Altman J J, Feldman S
Diabétologie nutrition transplantation, hôpital Laennec, Paris.
Rev Prat. 1993 Oct 1;43(15):1940-2.
Glomerular proteinuria without significant functional disorders or histological lesions can be found in massively obese patients. Nephrotic syndrome, segmental hyalinization of the glomeruli and altered filtration are exceptional. In most cases, therefore, glomerular proteinuria requires only supervision without treatment. The physiopathogenesis of this nephropathy (renal vein hyperpressure?) has not yet been fully elucidated.
在极度肥胖的患者中可发现无明显功能障碍或组织学病变的肾小球蛋白尿。肾病综合征、肾小球节段性玻璃样变和滤过改变较为罕见。因此，在大多数情况下，肾小球蛋白尿仅需监测而无需治疗。这种肾病的病理生理机制（肾静脉高压？）尚未完全阐明。
