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Minimal change disease

Definition

Minimal change disease is a kidney disorder that can lead to nephrotic syndrome, although the nephrons of the kidney look normal under a regular microscope.

Alternative Names

Minimal change nephrotic syndrome; Nil disease; Lipoid nephrosis; Idiopathic nephrotic syndrome of childhood

Causes

Each kidney is made of more than a million units called nephrons, which filter blood and produce urine.

In minimal change disease, there is damage to the glomeruli -- the tiny blood vessels inside the nephron. The disease gets its name because this damage isn't visible under a regular microscope. It can only be seen under an electron microscope.

Minimal change disease is the most common cause of nephrotic syndrome in children. It is also frequently seen in adults.

The cause is unknown, but the disease may occur after:

  • Allergic reactions
  • Recent immunizations
  • Viral infection

References

Brenner BM.Brenner and Rector's The Kidney. 7th ed. Philadelphia, Pa: Saunders; 2003.

Review Date: 11/12/2007
Reviewed By: Charles Silberberg, D.O., Private Practice specializing in Nephrology, Affiliated with NY Medical College, Division of Nephrology, Valhalla, NY. Review provided by VeriMed Healthcare Network.

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