I am a 47 year old woman, physically fit, and very active. About 10 years ago I found out in routine medical exam that I had proteins in the urine ( 3 g/l)
My ratio micro albumine/ creatinine was over 85, constantly for a few months and then I was send for a biopsy revealing a glomerular necrosis (12%) performed on one kidney. All that time my blood work was fine and showed that my estimate GFR was optimal. No metabolic disease, no signs of autoimmune disease, low blood pressure ( 87/52), normal weight 5’3”-112 lbs. Mediterranean diet.
I use to be followed by a nefrologist back in Canada, but now I live in France since 5 years and I only have a generalist physician. Since 3 years I notice a serious drop in my urine, I now have 0.17 g of protein in my urine and although my ratio microalbumine/creatinine is still abnormal it dropped to 13. ( instead of 85). Blood work is always the same, ( around 104 eGFR) .
I was wondering how is this possible since I was told the damages were permanent? Should I still seek for nephrology medical attention or the generalist is enough to monitor my condition?