In the depths of the kidneys, where blood's river flows, Tiny filters called glomeruli watch as it goes. They hold back the proteins, a barrier so fine, But when damage occurs, they cross that line.
Nephrotic syndrome, its mark is quite clear, As proteins slip through, a loss we all fear. In the urine they spill, once safe and secure, A sign that the kidneys are no longer pure.
“Proteinuria” leads, the first in the chain, A river of protein lost, causing great strain. Then **Hypoalbuminemia**, low levels reside, In bloodstreams left wanting, where albumins hide.
Edema then follows, swelling takes hold, Legs, ankles, and face with fluid uncontrolled. The body puffs up, like clouds in the sky, A sign that the balance is passing us by.
“Hyperlipidemia” rises, fats fill the veins, With cholesterol soaring, it adds to the pains. The syndrome speaks loud through each troubling sign, A call for attention, a kidney’s decline.
But hope still remains in treatment's kind hand, With diuretics to clear the fluid-filled land. ACE inhibitors, ARBs come into play, To reduce the protein loss and keep harm at bay.
Though causes may vary, from lupus to disease, The goal is to manage and offer some ease. With care and with treatment, the kidneys may mend, And the river of proteins find balance again.