GuidelinesPrimary Care STG
Glomerular Diseases (GN)
Glomerular disease
DESCRIPTION
Glomerular disease may be a result of a primary condition of the kidney, or may be secondary to a systemic disorder. Can present with any, or a combination of the following:
- Proteinuria
- Reduced eGFR
- Haematuria
- Hypertension and oedema
Approach to care is outlined under the syndromes which follow.
Diabetic nephropathy
See: Diabetic nephropathy
REFERRAL
- Unexplained haematuria on two to three consecutive visits
- Proteinuria >1 g/24 hours or PCR >0.1 g/mmol
- Elevated or rising creatinine
- Nephritic syndrome
- Nephrotic syndrome
- Chronic kidney disease
Note:
Where facilities are available, investigation should be done, e.g. serum creatinine to calculate the eGFR, or PCR.
Standard Treatment Guidelines and Essential Medicines List for South Africa, Primary Healthcare, 2020-2024_Version 1.0_17 October 2024
Chapter 8: Kidney and Urological Disorders_8.3 Glomerular Diseases (GN)