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Hypoalbuminemia (or hypoalbuminaemia) is a medical sign in which the level of albumin in the blood is low. [1] This can be due to decreased production in the liver , increased loss in the gastrointestinal tract or kidneys , increased use in the body, or abnormal distribution between body compartments.
This constellation of symptoms contrasts with the classical presentation of nephrotic syndrome (excessive proteinuria >3.5 g/day, low plasma albumin levels (hypoalbuminemia) <3 g/L, generalized edema, and hyperlipidemia). [8] [10] Signs and symptoms that are consistent with nephritic syndrome include: Hematuria (red blood cells in the urine) [11]
Nephrotic syndrome is a collection of symptoms due to kidney damage. This includes protein in the urine, low blood albumin levels, high blood lipids, and significant swelling. Other symptoms may include weight gain, feeling tired, and foamy urine. Complications may include blood clots, infections, and high blood pressure. [1]
Albumin is a protein made specifically by the liver, and can be measured cheaply and easily. It is the main constituent of total protein (the remaining constituents are primarily globulins). Albumin levels are decreased in chronic liver disease, such as cirrhosis. It is also decreased in nephrotic syndrome, where it is lost through the urine.
Hypoalbuminemia means low blood albumin levels. [13] This can be caused by: Liver disease; cirrhosis of the liver is most common; Excess excretion by the kidneys (as in nephrotic syndrome) Excess loss in bowel (protein-losing enteropathy, e.g., Ménétrier's disease) Burns (plasma loss in the absence of skin barrier)
very low blood pressure (profound arterial hypotension, with systolic blood pressure levels <90 mm Hg); albumin deficiency (hypoalbuminemia measuring <3.0 g/dL); partial or generalized edema, and cold extremities; a paraprotein in the blood (an MGUS in approximately 80% of cases).
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A comprehensive metabolic panel (CMP) is also often used to test for hypoalbuminemia, levels of albumin lower than ≤2.5 g/dL. This is a key step in differentiating glomerulonephrosis from conditions that also cause proteinuria, such as multiple myeloma and diabetes mellitus, that are not marked by hypoalbuminemia.