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I have conducted a BIOCHIMIE URINAIRE and shown an excess of microalbumine (mg/L 104.00 ) please advise the causes and solution
6 فبراير 2014
رأي ثانوي

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د. Bassem Tanios طب أمراض الكلى
Albumin ( protein) in the urine is known as microalbuminuria if it is between 30 to 300 mg/g of creatinine and macroalbubinuria or albuminuria if it more than 300mg/g of creatinine. These numbers which are calculated from a random urine sample correlate with excretion of 30-300 mg of albumin by the kidneys /24 hours in the case of microalbuminuria and >300mg of albumin/24hours in the case of macroalbuminuria.

Microalbuminuria is a marker of early kidney disease in Diabetes and other diseases, and is also present in persons who have high blood pressure where the presence of microalbuminuria may be a marker of early kidney disease, but more importantly a marker of higher cardio-vascular risk.

Concerning your test result, we cannot make any conclusions if you have this condition or not, because as you notice microalbuminuria is expressed as mg/g of creatinine, so in the urine sample you give the laboratory has to measure both albumin and creatinine and calculate a ratio expressed in mg/g, this will correlate more with the 24 hour excretion of albumin by your kidneys.

So the first thing you should do is repeat the urine test, morning samples give the best results. If the test result you do confirms the presence of microalbuminuria, the cause of this should be investigated and appropriate treatment depending on the cause will be given.

The most frequent causes are Diabetes and High blood pressure, and other diseases affecting the kidneys.
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