Mr GMK aged 52 years (PIN Number L-8757) came to the clinic for treatment of Nephrotic Syndrome. He was suffering from nephrotic syndrome since the last 2 years.He was not on steroids. He was on anti-hypertensive medicines and his blood pressure was well controlled. He presented with puffiness of the face and weakness. He was […]
Clinical Case of Nephrotic Syndrome in a Middle-Aged Male
Patient Details: Name: Mr. GMK Age: 52 years PIN: L-8757 Occupation: Retired Chemical Engineer Family: Lives with wife and two sons (elder son – engineer, younger son – student) Medical History: Diagnosed with Nephrotic Syndrome (Minimal Change Disease) 2 years prior to presentation. Not on steroids; was on anti-hypertensive medications, with well-controlled blood pressure. Presented with puffiness of face and generalized weakness. Urine protein: 2+ to 3+ Kidney biopsy: Minimal change glomerulopathy (18 January 2006). 24-hour urine protein: 1596 mg on 2 July 2006. Lifestyle & Personality: Previously very short-tempered and violent; now calmer. Disciplined, social, and family-oriented. Highly sentimental and helpful; shows anxiety about his health. Intolerant to winter; craves sweet and spicy foods. Retired to focus on health and avoid long-term overseas work. Treatment & Progress: Homeopathic treatment started on 9 August 2006 under Dr. Shah: Lycopodium 200 C. Initial reduction in 24-hour urine protein: from 1595 mg → 721 mg in 2–3 months. Proteins fluctuated around 1000 mg for a few follow-ups. September 2007: Severe persistent colds caused a relapse; treatment modified to Kali Carb 200 C and Tuberculinum 1M, leading to significant improvement in both colds and proteinuria. Ongoing treatment continues with expectation of further improvement and eventual complete normalcy. 24-Hour Urine Protein Trend: Date 24-Hour Urine Protein (mg) 02/07/2006 1596 14/12/2006 721 12/03/2007 1050 14/07/2007 833 14/09/2007 1960 13/10/2007 1317 18/12/2008 480 11/03/2008 375 17/05/2008 364 06/09/2008 350 07/09/2009 176 07/11/2009 200 13/04/2010 161 17/06/2011 200 01/09/2010 192 11/01/2012 96 Summary: Mr. GMK showed a significant reduction in proteinuria with homeopathic treatment, with occasional relapses triggered by infections. Lifestyle adjustments and adherence to treatment contributed to gradual improvement, and he remains under observation for further recovery.
Table of Contents
Mr GMK aged 52 years (PIN Number L-8757) came to the clinic for treatment of Nephrotic Syndrome. He was suffering from nephrotic syndrome since the last 2 years.
He was not on steroids. He was on anti-hypertensive medicines and his blood pressure was well controlled.
He presented with puffiness of the face and weakness. He was investigated and detected to be suffering from nephrotic syndrome. Urine proteins were 2+ to 3 +.
Case Details:
He stays with his wife and two children. His wife is a home maker. Elder son is an engineer and younger son is a student.
Patient worked as a Chemical Engineer.
He worked in a big chemical company for several years. After the company closed down, he took up jobs in petrochemical companies in Africa and the Middle East.
He leads a retired life since the past one year as he wants to focus on his health.
He described himself as a disciplined person. He was involved in union activities in his company and was very popular among workers. He sacrificed his promotions for union activities.
He was previously a very short tempered person and was also violent. He described his anger as uncontrolled. Now he has calmed down considerably.
He is very social and likes company.
He has anxiety about his health.
He is much attached to his family and is always nagging his children for studies and discipline.
He is very sentimental and likes to help any one who approaches him
He had difficulty living without his family. He became homesick. So now he is not keen to go on assignments abroad. He says he has enough savings to back him.
He is intolerant to winter and he has a craving for sweet and spicy food.
His kidney biopsy dated 18 January 06 showed Minimal change glomerulopathy.
His 24 hours urine protein on 2nd July 2006 was 1596.
His treatment was started on 9th August 2006.
The case was studied by Dr. Shah and patient was prescribed Lycopodium 200 C
His treatment was started on 9 th August 2006, 24 hours urine protein was 1595 at that time. In two three months it came down to 721. It remained steady around one thousand for a few follow ups.
First followup
During September 2007, he developed severe persistent colds with relapse in his Nephrotic Syndrome. The case was reviewed and considering his symptoms of colds, he was prescribed Kali Carb 200 and a few doses of Tuberculinum 1M.
Second followup
Within a few weeks of the above treatment he showed very good progress which resulted in a drastic reduction in his 24 hours urine proteins and of course his colds.
The patient is still under treatment and we expect further improvement with complete normalcy.
Date(View reports )
24 hours Urine Protien
02/07/2006
1596 mg
14/12/2006
721 mg
12/03/2007
1050 mg
14/07/2007
833 mg
14/09/2007
1960 mg
13/10/2007
1317 mg
18/12/2008
480 mg
11/03/2008
375 mg
17/05/2008
364 mg
06/09/2008
350 mg
176 mg
200 mg
161 mg
200 mg
01/09/2010
192 mg
96 mg
