Focal Segmental Glomerulosclerosis - Classification

Classification

Depending on the cause it is broadly classified as:

  • Primary, when no underlying cause is found; usually presents as nephrotic syndrome
  • Secondary, when an underlying cause is identified; usually presents with kidney failure and proteinuria. This is actually a heterogeneous group including numerous causes such as
    • Infections such as HIV (known as HIV-Associated Nephropathy)
    • Toxins and drugs such as heroin and pamidronate
    • Familial forms
    • Secondary to nephron loss and hyperfiltration, such as with chronic pyelonephritis and reflux, morbid obesity, diabetes mellitus

There are many other classification schemes also.

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