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Postural Proteinuria: Response to Corticosteroid Therapy

ROGER C. HERDMAN, M.D.; ALFRED F. MICHAEL, M.D.; and ROBERT A. GOOD, M.D.
Ann Intern Med. 1966;65(2):286-292. doi:10.7326/0003-4819-65-2-286
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We recently had an opportunity to study a child (Case 1) with a history of the steroid responsive nephrotic syndrome who developed postural proteinuria which also disappeared after a course of corticosteroid therapy. Although the status of postural proteinuria as a significant renal abnormality is uncertain, the case history of this child suggested to us that there might be some relationship or similarity between postural proteinuria and the idiopathic nephrotic syndrome of childhood. Both conditions are characterized by proteinuria occurring predominantly in the younger age groups, by lack of significant renal histologic abnormalities by light microscopy, and usually by a

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