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 Renal Disease

Focal segmental glomerulosclerosis

Focal segmental glomerulosclerosis

Male urinary system
Male urinary system

Definition:

Focal segmental glomerulosclerosis is scar tissue that forms in areas of the kidney that filter certain things out of the body. These areas are called glomeruli. The help the body get rid of harmful or unnecessary substances. Each kidney has thousands of glomeruli.

"Focal" means that some of the glomeruli become scarred, while others remain normal. "Segmental" means that only part of an individual glomerulus is damaged.

Alternative Names:
Segmental glomerulosclerosis; Focal sclerosis with hyalinosis
Causes, incidence, and risk factors:

The cause of focal segmental glomerulosclerosis is usually unknown. A small number of cases result from reflux nephropathy. The condition affects both children and adults. Males are affected slightly more often than females, and it also occurs more frequently in African Americans.

Focal segmental glomerulosclerosis causes about 10 - 15% of all cases of nephrotic syndrome.

Symptoms:
  • Foamy urine
  • Swelling of the body, called generalized edema, from retained fluids
  • Weight gain
  • Poor appetite
Signs and tests:

There are no strong clues to the diagnosis on physical examination, other than evidence of edema and elevated blood pressure. Signs of kidney renal failure and associated fluid overload may develop as the illness gets worse.

Tests may include:


Review Date: 5/15/2007
Reviewed By: Robert Mushnick, M.D., Clinical Assistant Professor, Department of Nephrology, SUNY Downstate Health Center, Brooklyn, NY. Review provided by VeriMed Healthcare Network.

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