raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:567548

Idiopathic steroid-resistant nephrotic syndrome

Synonyms: Idiopathic SRNS

Type
Clinical syndrome
Group
Disorder
Inheritance
Not applicable
Age of onset
Adolescent, Adult, Childhood
Status
active

A rare, idiopathic nephrotic syndrome characterized by the triad of proteinuria, hypoalbuminemia and edema in patients who do not respond, or only partially respond, to the initial trial of corticosteroids. Patients may be multidrug resistant or may be sensitive to second-line immunosuppressive therapy.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enIdiopathic steroid-resistant nephrotic syndromeIdiopathic SRNS
frSyndrome néphrotique corticorésistant idiopathiqueSNCR idiopathique · Syndrome néphrotique idiopathique avec résistance aux stéroïdes
deIdiopathisches steroid-resistentes nephrotisches SyndromIdiopathisches SRNS
esSíndrome nefrótico idiopático resistente a esteroidesSNRS idiopático
itSindrome nefrosica idiopatica resistente agli steroidiSRNS idiopatica
nlIdiopathisch steroïdresistent nefrotisch syndroomIdiopathisch SRNS
ptSíndrome nefrótica corticorresistente idiopáticaSRNS idiopática
plIdiopatyczny zespół nerczycowy oporny na sterydy= en
csIdiopatický nefrotický syndrom rezistentní na steroidy= en
ukІдіопатичний стероїдорезистентний нефротичний синдромІдіопатичний SRNS
zh特发性类固醇抵抗肾病综合征= en
trİdiyopatik steroide dirençli nefrotik sendromİdiyopatik SRNS

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
ICD-10N04.8NTBTattributedvalidated
ICD-11GB41NTBTattributedvalidated
MONDO0031008Evalidated
MeSHC536404Evalidated
UMLSC1868672Evalidated

E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.

3

Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (1):

Children (2):

4

Genes

0 direct

Orphanet records no gene directly on this code.

5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Annual incidence1-9 / 1 000 0000.2582 / 100 000WorldwideValue and classValidated30552564[PMID]_ORPHANET
Point prevalenceUnknown—WorldwideClass onlyValidatedORPHANET

Value is Orphadata's ValMoy: the mean estimate per 100 000 for prevalence and incidence, the number of cases or families for case reports.

6

HPO phenotypes

24 annotations · validated 2021-06-17
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0003119Abnormal circulating lipid concentration
HP:0031265Abnormal podocyte morphology
HP:0003073Hypoalbuminemia
HP:0000093Proteinuria
Frequent (79-30%)
HP:0000969Edema
HP:0000097Focal segmental glomerulosclerosis
HP:0003124Hypercholesterolemia
HP:0100724Hypercoagulability
HP:0002155Hypertriglyceridemia
HP:0012579Minimal change glomerulonephritis
Occasional (29-5%)
HP:0002027Abdominal pain
HP:0012590Abnormal urine output
HP:0001919Acute kidney injury
HP:0001945Fever
HP:0031504Foamy urine
HP:0002315Headache
HP:0100539Periorbital edema
HP:0011947Respiratory tract infection
HP:0003774Stage 5 chronic kidney disease
Very rare (<4-1%)
HP:0001967Diffuse mesangial sclerosis
HP:0001510Growth delay
HP:0002586Peritonitis
HP:0002204Pulmonary embolism
HP:0004936Venous thrombosis

Run the differential on the 4 obligate / very frequent terms

Annotation source: 32382828[PMID]_29910038[PMID]_31831576[PMID]

7

Sources for this card