Management of asymptomatic proteinuria in children: Role of the general practitioner

Although most children with the incidental finding of proteinuria do not have kidney disease and the proteinuria disappears on repeat testing, persistent asymptomatic proteinuria may be the first presenting feature of an underlying renal disorder. It is important to repeat the urinalysis and to rule out orthostatic proteinuria, as this will alleviate the anxiety of most patients and parents. In a minority group of patients, referral to a paediatric nephrologist is recommended.