Evaluación de la proteinuria

Last reviewed: 21 Aug 2025
Last updated: 10 Jan 2024

Summary

Differentials

Common

  • Fiebre
  • Esfuerzo físico intenso
  • Infección urinaria
  • Hemorragia urológica
  • Proteinuria ortostática
  • Enfermedad con cambios mínimos
  • Glomeruloesclerosis focal y segmentaria
  • Nefropatía membranosa
  • Glomerulonefritis membranoproliferativa
  • Nefropatía por IgA
  • Lupus eritematoso sistémico
  • Glomerulonefritis post-infecciosa
  • Lesión tubular aguda
  • Nefritis intersticial
  • Obstrucción de las vías urinarias
  • Síndrome metabólico
  • Nefropatía diabética
  • Hipertensión
  • Vasculitis de vasos medianos y pequeños
  • Rabdomiólisis (mioglobinuria)
Full details

Uncommon

  • Embarazo
  • Amiloidosis
  • Enfermedades por depósito de cadena ligera y pesada
  • Glomerulopatía fibrilar e inmunotactoide
  • Enfermedad anti-membrana basal glomerular (anti-GBM) (síndrome de Goodpasture)
  • Síndrome de Fanconi
  • Enfermedad renal quística
  • Hipercalciuria
  • Enfermedad de Dent
  • Nefropatía por ácido aristolóquico
  • Nefropatía de cilindros de cadena ligera
  • Enfermedad de Fabry
  • Síndrome hemolítico urémico (SHU)
  • Púrpura trombótica trombocitopénica (PTT)
  • Crisis renal esclerodérmica
  • Intoxicación por metales pesados
  • Glomeruloesclerosis nodular idiopática
  • Glomerulonefritis proliferativa con depósitos de IgG monoclonales
  • Polimiositis
  • Trombosis venosa renal
Full details

Contributors

Authors

Sana Waheed, MD

Staff Nephrologist

Piedmont Nephrology and Internal Medicine

Atlanta

GA

Disclosures

SW declares that she has no competing interests.

Acknowledgements

Dr Sana Waheed would like to gratefully acknowledge Dr Derek M. Fine and Dr C. John Sperati, previous contributors to this topic.

Disclosures

DMF is an author of a reference cited in this topic. CJS declares that he has no competing interests.

Peer reviewers

Mark Perazella, MD

Associate Professor

Yale University School of Medicine

New Haven

CT

Disclosures

MP declares that he has no competing interests.

Arif Showkat, MD, FASN

Assistant Professor

Division of Nephrology

University of Tennessee

Memphis

TN

Disclosures

AS declares that he has no competing interests.

Guy Neild, MD, FRCP, FRCPath

Professor of Nephrology

Institute of Urology and Nephrology

University College London

London

UK

Disclosures

GN declares that he has no competing interests.

Frederick Tam, MBBS

Senior Lecturer in Renal Medicine

Division of Medicine

Imperial College London

UK

Disclosures

FT has received travelling grants from Amgen, MSD, Novartis, and Roche to attend International Nephrology conferences. He has also received research grants from Wellcome Trust, Medical Research Council UK, Baxter Biosciences, and Roche Palo Alto. He has also provided consultancy to research work with GE Healthcare and Baxter Biosciences.

Peer reviewer acknowledgements

BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.

Disclosures

Peer reviewer affiliations and disclosures pertain to the time of the review.

References

Our in-house evidence and editorial teams collaborate with international expert contributors and peer reviewers to ensure that we provide access to the most clinically relevant information possible.

Key articles

Kidney Disease: Improving Global Outcomes. KDIGO 2012 clinical practice guideline for the evaluation and management of chronic kidney disease. Jan 2013 [internet publication].Full text

National Institute for Health and Care Excellence. Chronic kidney disease in adults: assessment and management. Jan 2021 [internet publication].Full text

Reference articles

A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
  • Evaluación de la proteinuria images
  • Guidelines

    • Chronic kidney disease: assessment and management NG 203
    • Chronic kidney disease and measurement of albuminuria or proteinuria: a position statement
    More Guidelines
  • Patient information

    Enfermedad renal crónica: ¿Qué es?

    Glomerulonefritis

    More Patient information
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