Patient's question:
Child had nephrotic syndrome in April 2017, took hormones for a year and then stopped medication. Four months later, in August 2018, the disease recurred. In 2019, a cold triggered another recurrence, and now it has been the fourth recurrence. We have been very careful in taking care of the child. But the disease recurs if tonsillitis occurs by mistake. I would like to ask if there is a good treatment plan.Doctor's answer:
This situation leading to nephrotic syndrome is primarily caused by streptococcal infection. Therefore, in this case, if you catch a cold and develop tonsillitis, streptococcal infection is likely to trigger the onset of nephrotic syndrome. In this situation, it is mainly important to pay attention to prevention and avoid upper respiratory infections as much as possible. If you do have an upper respiratory infection, it is necessary to go to the hospital early for intravenous fluids to reduce inflammation and suppress the infection. Additionally, for nephrotic syndrome, it is necessary to take medication regularly for a period of time, mainly hormones and immunosuppressants.