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  1. kk
  2. General Nephrology Questions
  3. Sunday, 03 March 2019
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My husband was bitten by rattlesnake 10 years ago and developed kidney disease (membranous nyrophathy). After 6 years his kidneys were almost normal, but recently his ACR shot up to 2306. Of course, we are following up with his kidney doctor next week after he does a 24 hour urine collection, but wanted your thoughts?
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Could you kindly post the exact units that were used in your lab report. Even an image of the lab result would be helpful without disclosing any personal health information in the event that you do choose to post the image below.

Dr. Jordan Weinstein
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sure
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Hello,

Sorry, is the hand-written result the current one? As in 2306 mg/g? In that case it would represent a very significant level of proteinuria that could reflect a recurrence of membranous. If it is only 263 as on the typed report, then this is much less severe. Even if 2306 is the current number, it might respond to treatment with ACE inhibitors or angiotensin blockers, commonly used to treat blood pressure. A renal biopsy and/or assessment of certain blood antibodies (anti-PLA2R) might be helpful.

I can only base my opinion on the information provided and your health-care provider might arrive at different conclusions once you have provided an entire history and had a physical examination performed. As always, this forum provides general medical information only and is limited to educational use only. Please discuss the above remarks with your health-care provider.

Dr. Jordan Weinstein
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