title: Syncope as initial symptom for nephrotic syndrome: a case report.
abstract: Although syncope and nephrotic syndrome are frequently encountered independently in pediatric practice, syncope as the initial symptom for nephrotic syndrome is rarely observed in the pediatric age group. In this report, we present the case of 3-year-old boy with nephrotic syndrome who presented with a history of three episodes of syncope before admission. The syncope occurred after excessive fluid loss or inadequate intake of fluids and was relieved spontaneously. History taking revealed that the early morning palpebral edema, and laboratory tests showed decreased plasma protein levels and elevated serum lipid levels. Nephrotic syndrome was diagnosed, but could not be confirmed histopathologically because the patient's parent refused consent for biopsy. The patient was managed with fluid expansion, correction of acidosis, and improvement of microcirculation to prevent recurrence of syncope, and glucocorticoids were administered to prevent disease progression.
authors.affiliation: Department of Pediatric Neurology, First Affiliated Hospital of Jilin University Changchun 130000, Jilin Province, P. R. China.
authors.forename: Xuemei
authors.initials: X
authors.lastname: Wu
authors.affiliation: Department of Cardiology, First Affiliated Hospital of Jilin University Changchun 130000, Jilin Province, P. R. China.
authors.forename: Guangliang
authors.initials: G
authors.lastname: Wang
authors.affiliation: Department of Pediatric Neurology, First Affiliated Hospital of Jilin University Changchun 130000, Jilin Province, P. R. China.
authors.forename: Jiachun
authors.initials: J
authors.lastname: Feng
keywords: Syncope; blood lipid; nephrotic syndrome; plasma protein