Is olmark suggestible for proteinuria due to SLE of kidney?
Patient: Hello sir, My sister ( 37 yrs) was detected with SLE two yrs back March 2010,at that time she wasnt passing urine,she had abdominal pain and was vomiting. Her creatnine level was 6 at that time.She had rashes on her face and arms.ANA test was positive and kidney biopsy confirmed SLE.She was put on dialysis ,at the same time they detected the blockage in the intestine also.Ileostomy was done and stoma bag was fixed,she was given the treatment of immuno suppresents and ENDOXIN,her condition improved and the creatnine level came down to 1.5, but she continued with the problem of proteinurea and high blood pressure, her albumin level was still 1 ,so it took 6 months to again join the intestine .Protein leakage was +++ in the routine urine test.Her creatnine level was stable between 2 to 2.5 for two yrs ,problem of proteinurea continued ,now it is at the level of ++.and her BP also remain at the higher level.Now the problem is that her creatnine level has reached 4 ,had a problem of Ascites also 250cc of water is removed last week, test of water is normal.As her TLC level came down to 3.9 dr has stopped MYFORTIC ,but he has prescribed OLMARK 40mg .Do you think that is ok? Doctor: yes, It can help to prevent protein loss from urine,but this should be avoided if creatinine is more than 4