Key result
Chance proteinuria discovered during routine examinations is a frequent problem that can lead to unnecessary anxiety and investigation if not properly evaluated.
Answers are grounded in this paper and cite their sources.
Incidental discovery of postural proteinuria is often benign and should be evaluated with a staged approach to avoid unnecessary and potentially harmful investigations.
The discovery of proteinuria in a urine specimen randomly collected during an examination for employment, induction into the armed services, qualifying for insurance, or a school health program ("chance" proteinuria) is a frequent and perplexing problem. It may engender considerable anxiety in the patient or family because of the general perception that such proteinuria is an omen of potentially serious underlying renal disease. Worse, it can lead to unnecessary and potentially harmful investigation unless a properly staged approach to evaluation is undertaken.As vividly demonstrated by the remarkable footnote to an illustrious chapter in the history of nephrology, provided by . . .
No takes yet. Share an insight, caveat, or question.
Richard J. Glassock (1981) conducted an editorial in Postural (Orthostatic) Proteinuria. Chance proteinuria discovered during routine examinations is a frequent problem that can lead to unnecessary anxiety and investigation if not properly evaluated.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: