U.S. flag

An official website of the United States government

Format

Send to:

Choose Destination

Severe albuminuria

MedGen UID:
1726965
Concept ID:
C5421583
Finding
Synonym: Heavy albuminuria
 
HPO: HP:0033066

Definition

The presence of severely increased concentrations of albumin in the urine, defined as an albumin-creatinine ratio greater than 300 mg/gm (greater than 34 mg/mmol). [from HPO]

Term Hierarchy

Professional guidelines

PubMed

Zhang J, Healy HG, Venuthurupalli SK, Tan KS, Wang Z, Cameron A, Hoy WE
BMC Nephrol 2019 Sep 4;20(1):348. doi: 10.1186/s12882-019-1532-6. PMID: 31484506Free PMC Article
Vassalotti JA, Centor R, Turner BJ, Greer RC, Choi M, Sequist TD; National Kidney Foundation Kidney Disease Outcomes Quality Initiative
Am J Med 2016 Feb;129(2):153-162.e7. Epub 2015 Sep 25 doi: 10.1016/j.amjmed.2015.08.025. PMID: 26391748
Iwakura Y, Morimoto R, Kudo M, Ono Y, Takase K, Seiji K, Arai Y, Nakamura Y, Sasano H, Ito S, Satoh F
J Clin Endocrinol Metab 2014 May;99(5):1593-8. Epub 2013 Nov 27 doi: 10.1210/jc.2013-2180. PMID: 24285678

Recent clinical studies

Etiology

Writing Group for the CKD Prognosis Consortium, Grams ME, Coresh J, Matsushita K, Ballew SH, Sang Y, Surapaneni A, Alencar de Pinho N, Anderson A, Appel LJ, Ärnlöv J, Azizi F, Bansal N, Bell S, Bilo HJG, Brunskill NJ, Carrero JJ, Chadban S, Chalmers J, Chen J, Ciemins E, Cirillo M, Ebert N, Evans M, Ferreiro A, Fu EL, Fukagawa M, Green JA, Gutierrez OM, Herrington WG, Hwang SJ, Inker LA, Iseki K, Jafar T, Jassal SK, Jha V, Kadota A, Katz R, Köttgen A, Konta T, Kronenberg F, Lee BJ, Lees J, Levin A, Looker HC, Major R, Melzer Cohen C, Mieno M, Miyazaki M, Moranne O, Muraki I, Naimark D, Nitsch D, Oh W, Pena M, Purnell TS, Sabanayagam C, Satoh M, Sawhney S, Schaeffner E, Schöttker B, Shen JI, Shlipak MG, Sinha S, Stengel B, Sumida K, Tonelli M, Valdivielso JM, van Zuilen AD, Visseren FLJ, Wang AY, Wen CP, Wheeler DC, Yatsuya H, Yamagata K, Yang JW, Young A, Zhang H, Zhang L, Levey AS, Gansevoort RT
JAMA 2023 Oct 3;330(13):1266-1277. doi: 10.1001/jama.2023.17002. PMID: 37787795Free PMC Article
Ku E, McCulloch CE, Inker LA, Tighiouart H, Schaefer F, Wühl E, Ruggenenti P, Remuzzi G, Grimes BA, Sarnak MJ
J Am Soc Nephrol 2023 Mar 1;34(3):385-393. Epub 2023 Jan 17 doi: 10.1681/ASN.0000000000000072. PMID: 36735510Free PMC Article
Shah N, Perkovic V, Kotwal S
Expert Rev Clin Pharmacol 2022 Jul;15(7):827-842. Epub 2022 Aug 22 doi: 10.1080/17512433.2022.2108402. PMID: 35912871
Jansson Sigfrids F, Groop PH, Harjutsalo V
Lancet Diabetes Endocrinol 2022 Jul;10(7):489-498. Epub 2022 Apr 27 doi: 10.1016/S2213-8587(22)00099-7. PMID: 35489369
Vassalotti JA, Centor R, Turner BJ, Greer RC, Choi M, Sequist TD; National Kidney Foundation Kidney Disease Outcomes Quality Initiative
Am J Med 2016 Feb;129(2):153-162.e7. Epub 2015 Sep 25 doi: 10.1016/j.amjmed.2015.08.025. PMID: 26391748

Diagnosis

Kim H, Hyun YY, Joo YS, Yun HR, Kim Y, Jung JY, Jeong JC, Kim J, Park JT, Yoo TH, Kang SW, Oh KH, Han SH
Nephrol Dial Transplant 2024 Feb 28;39(3):473-482. doi: 10.1093/ndt/gfad195. PMID: 37723608
Writing Group for the CKD Prognosis Consortium, Grams ME, Coresh J, Matsushita K, Ballew SH, Sang Y, Surapaneni A, Alencar de Pinho N, Anderson A, Appel LJ, Ärnlöv J, Azizi F, Bansal N, Bell S, Bilo HJG, Brunskill NJ, Carrero JJ, Chadban S, Chalmers J, Chen J, Ciemins E, Cirillo M, Ebert N, Evans M, Ferreiro A, Fu EL, Fukagawa M, Green JA, Gutierrez OM, Herrington WG, Hwang SJ, Inker LA, Iseki K, Jafar T, Jassal SK, Jha V, Kadota A, Katz R, Köttgen A, Konta T, Kronenberg F, Lee BJ, Lees J, Levin A, Looker HC, Major R, Melzer Cohen C, Mieno M, Miyazaki M, Moranne O, Muraki I, Naimark D, Nitsch D, Oh W, Pena M, Purnell TS, Sabanayagam C, Satoh M, Sawhney S, Schaeffner E, Schöttker B, Shen JI, Shlipak MG, Sinha S, Stengel B, Sumida K, Tonelli M, Valdivielso JM, van Zuilen AD, Visseren FLJ, Wang AY, Wen CP, Wheeler DC, Yatsuya H, Yamagata K, Yang JW, Young A, Zhang H, Zhang L, Levey AS, Gansevoort RT
JAMA 2023 Oct 3;330(13):1266-1277. doi: 10.1001/jama.2023.17002. PMID: 37787795Free PMC Article
Vazquez L, Vazquez Arreola E, Hanson RL, Sinha M
Diabetes Care 2023 Sep 1;46(9):1659-1667. doi: 10.2337/dc23-0343. PMID: 37433116Free PMC Article
Jansson Sigfrids F, Groop PH, Harjutsalo V
Lancet Diabetes Endocrinol 2022 Jul;10(7):489-498. Epub 2022 Apr 27 doi: 10.1016/S2213-8587(22)00099-7. PMID: 35489369
Vassalotti JA, Centor R, Turner BJ, Greer RC, Choi M, Sequist TD; National Kidney Foundation Kidney Disease Outcomes Quality Initiative
Am J Med 2016 Feb;129(2):153-162.e7. Epub 2015 Sep 25 doi: 10.1016/j.amjmed.2015.08.025. PMID: 26391748

Therapy

Writing Group for the CKD Prognosis Consortium, Grams ME, Coresh J, Matsushita K, Ballew SH, Sang Y, Surapaneni A, Alencar de Pinho N, Anderson A, Appel LJ, Ärnlöv J, Azizi F, Bansal N, Bell S, Bilo HJG, Brunskill NJ, Carrero JJ, Chadban S, Chalmers J, Chen J, Ciemins E, Cirillo M, Ebert N, Evans M, Ferreiro A, Fu EL, Fukagawa M, Green JA, Gutierrez OM, Herrington WG, Hwang SJ, Inker LA, Iseki K, Jafar T, Jassal SK, Jha V, Kadota A, Katz R, Köttgen A, Konta T, Kronenberg F, Lee BJ, Lees J, Levin A, Looker HC, Major R, Melzer Cohen C, Mieno M, Miyazaki M, Moranne O, Muraki I, Naimark D, Nitsch D, Oh W, Pena M, Purnell TS, Sabanayagam C, Satoh M, Sawhney S, Schaeffner E, Schöttker B, Shen JI, Shlipak MG, Sinha S, Stengel B, Sumida K, Tonelli M, Valdivielso JM, van Zuilen AD, Visseren FLJ, Wang AY, Wen CP, Wheeler DC, Yatsuya H, Yamagata K, Yang JW, Young A, Zhang H, Zhang L, Levey AS, Gansevoort RT
JAMA 2023 Oct 3;330(13):1266-1277. doi: 10.1001/jama.2023.17002. PMID: 37787795Free PMC Article
Shah N, Perkovic V, Kotwal S
Expert Rev Clin Pharmacol 2022 Jul;15(7):827-842. Epub 2022 Aug 22 doi: 10.1080/17512433.2022.2108402. PMID: 35912871
Luo Q, Cai Y, Zhao Q, Tian L, Liu Y, Liu WJ
Ren Fail 2022 Dec;44(1):806-814. doi: 10.1080/0886022X.2022.2068443. PMID: 35856157Free PMC Article
Jansson Sigfrids F, Groop PH, Harjutsalo V
Lancet Diabetes Endocrinol 2022 Jul;10(7):489-498. Epub 2022 Apr 27 doi: 10.1016/S2213-8587(22)00099-7. PMID: 35489369
Cativo EH, Lopez PD, Cativo DP, Atlas SA, Rosendorff C
Am J Med 2021 Jan;134(1):104-113.e3. Epub 2020 Jul 6 doi: 10.1016/j.amjmed.2020.05.039. PMID: 32645341

Prognosis

Kim H, Hyun YY, Joo YS, Yun HR, Kim Y, Jung JY, Jeong JC, Kim J, Park JT, Yoo TH, Kang SW, Oh KH, Han SH
Nephrol Dial Transplant 2024 Feb 28;39(3):473-482. doi: 10.1093/ndt/gfad195. PMID: 37723608
Writing Group for the CKD Prognosis Consortium, Grams ME, Coresh J, Matsushita K, Ballew SH, Sang Y, Surapaneni A, Alencar de Pinho N, Anderson A, Appel LJ, Ärnlöv J, Azizi F, Bansal N, Bell S, Bilo HJG, Brunskill NJ, Carrero JJ, Chadban S, Chalmers J, Chen J, Ciemins E, Cirillo M, Ebert N, Evans M, Ferreiro A, Fu EL, Fukagawa M, Green JA, Gutierrez OM, Herrington WG, Hwang SJ, Inker LA, Iseki K, Jafar T, Jassal SK, Jha V, Kadota A, Katz R, Köttgen A, Konta T, Kronenberg F, Lee BJ, Lees J, Levin A, Looker HC, Major R, Melzer Cohen C, Mieno M, Miyazaki M, Moranne O, Muraki I, Naimark D, Nitsch D, Oh W, Pena M, Purnell TS, Sabanayagam C, Satoh M, Sawhney S, Schaeffner E, Schöttker B, Shen JI, Shlipak MG, Sinha S, Stengel B, Sumida K, Tonelli M, Valdivielso JM, van Zuilen AD, Visseren FLJ, Wang AY, Wen CP, Wheeler DC, Yatsuya H, Yamagata K, Yang JW, Young A, Zhang H, Zhang L, Levey AS, Gansevoort RT
JAMA 2023 Oct 3;330(13):1266-1277. doi: 10.1001/jama.2023.17002. PMID: 37787795Free PMC Article
Vazquez L, Vazquez Arreola E, Hanson RL, Sinha M
Diabetes Care 2023 Sep 1;46(9):1659-1667. doi: 10.2337/dc23-0343. PMID: 37433116Free PMC Article
Gurbanov A, Gülhan B, Kuşkonmaz B, Okur FV, Ozaltin F, Düzova A, Çetinkaya DU, Topaloglu R
Pediatr Nephrol 2023 Feb;38(2):461-469. Epub 2022 May 20 doi: 10.1007/s00467-022-05599-x. PMID: 35596092
Jansson Sigfrids F, Groop PH, Harjutsalo V
Lancet Diabetes Endocrinol 2022 Jul;10(7):489-498. Epub 2022 Apr 27 doi: 10.1016/S2213-8587(22)00099-7. PMID: 35489369

Clinical prediction guides

Kim H, Hyun YY, Joo YS, Yun HR, Kim Y, Jung JY, Jeong JC, Kim J, Park JT, Yoo TH, Kang SW, Oh KH, Han SH
Nephrol Dial Transplant 2024 Feb 28;39(3):473-482. doi: 10.1093/ndt/gfad195. PMID: 37723608
Vazquez L, Vazquez Arreola E, Hanson RL, Sinha M
Diabetes Care 2023 Sep 1;46(9):1659-1667. doi: 10.2337/dc23-0343. PMID: 37433116Free PMC Article
Šoić D, Štambuk J, Tijardović M, Keser T, Lauc G, Bulum T, Lovrenčić MV, Rebrina SV, Tomić M, Novokmet M, Smirčić-Duvnjak L, Gornik O
Front Endocrinol (Lausanne) 2023;14:1101154. Epub 2023 May 24 doi: 10.3389/fendo.2023.1101154. PMID: 37293493Free PMC Article
Gurbanov A, Gülhan B, Kuşkonmaz B, Okur FV, Ozaltin F, Düzova A, Çetinkaya DU, Topaloglu R
Pediatr Nephrol 2023 Feb;38(2):461-469. Epub 2022 May 20 doi: 10.1007/s00467-022-05599-x. PMID: 35596092
Jansson Sigfrids F, Groop PH, Harjutsalo V
Lancet Diabetes Endocrinol 2022 Jul;10(7):489-498. Epub 2022 Apr 27 doi: 10.1016/S2213-8587(22)00099-7. PMID: 35489369

Recent systematic reviews

Luo Q, Cai Y, Zhao Q, Tian L, Liu Y, Liu WJ
Ren Fail 2022 Dec;44(1):806-814. doi: 10.1080/0886022X.2022.2068443. PMID: 35856157Free PMC Article
Monticone S, Sconfienza E, D'Ascenzo F, Buffolo F, Satoh F, Sechi LA, Veglio F, Mulatero P
J Hypertens 2020 Jan;38(1):3-12. doi: 10.1097/HJH.0000000000002216. PMID: 31385870

Supplemental Content

Table of contents

    Clinical resources

    Practice guidelines

    • PubMed
      See practice and clinical guidelines in PubMed. The search results may include broader topics and may not capture all published guidelines. See the FAQ for details.

    Consumer resources

    Recent activity

    Your browsing activity is empty.

    Activity recording is turned off.

    Turn recording back on

    See more...