The prognosis of Nephrotic Syndrome varies and it is largely dependent on the
treatment method. Generally speaking, the prognosis of Nephrotic Syndrome will
be affected by the following factors.
1. The prognosis of Nephrotic Syndrome is closely related with the diseases
that caused it. Nephrotic Syndrome which is caused by tonsillitis or hemolytic
streptococci infection has a better prognosis, while the one caused by systemic
disorders has a poor prognosis.
2. Clinical manifestations: if patients do not have other symptoms except
pure proteinuria and microscopic hematuria, they can have a better prognosis;
patients who do not have high blood pressure will get a better prognosis than
those with continuous high blood pressure. Patients who have continuous anemia
which is not easy to improve have a bad prognosis.
3. Pathologic types: patients with light and focal Nephrotic Syndrome can be
cured; however, patients with mesangial and proliferative Neprhotic Syndrome
have a bad prognosis; if patients with severe pathological changes such as
crescents and glomerulonephritis will have a bad prognosis.
Different types of Nephrotic Syndrome have different prognosis
1. Kidney disease of minimal changes
This type is very common and its complications can be alleviated naturally
when this kind of diseases appear. Ninety percents patients with this disease
can be effective with treatment of hormone. However, the recurrence of this kind
of disease is up to 60%.
2. Mesangial and proliferative glomerulonephritis
Most patients with this type have got infection and received the hormone
treatment before developing this disease. Their prognosis is closely related
with their severity of pathological changes.
3. Capillary glomerulonephritis in mesangial area
This kind of disease is difficult to treat because hormones and cytotoxic
drugs can be effective only on part of children. Adults with this disease
develop fast and 10 years later 50% of those patients might develop to Chronic
Renal Failure.
4. Membranous Nephropathy
This type of disease always appears in the middle age and old age people with
Nephrotic Syndrome. The onset of this disease is slowly and concealing and it
can easily lead to thrombus and embolus which will cause the damage of kidney
after five years of onset.
5. Focal and Segmental Glomerulonephritis
Part of patients with this disease might develop from minimal pathological
changes. Hormone and cytotoxic drugs therapeutic reacts very slowly, but 50% can
be alleviated clinically.
The prognosis of Nephrotic Syndrome is greatly affected by various reasons.
If patients adopt the adequate therapy, take medicine as prescribed and have a
proper diet, your prognosis will be very well.
From the above introduction, we might probably know that Nephrotic Syndrome
is a Chronic Kidney Disease which is difficult to treat. However, if the
treatment method is right, there is still hope to cure Nephrotic Syndrome.