TY - CHAP M1 - Book, Section TI - Membranous Nephropathy A1 - Alfaadhel, Talal A. A1 - Fervenza, Fernando C. A1 - Cattran, Daniel C. A2 - Lerma, Edgar V. A2 - Rosner, Mitchell H. A2 - Perazella, Mark A. Y1 - 2017 N1 - T2 - CURRENT Diagnosis & Treatment: Nephrology & Hypertension, 2e AB - ESSENTIALS OF DIAGNOSISNephrotic syndrome is the typical presenting feature.The glomerular basement membranes (GBMs) appear thickened on light microscopy.There is an absence of glomerular inflammation.Primary (PLA2R or THSD7A antigen related) membranous nephropathy (MN) is a leading cause of nephrotic syndrome in adults.Secondary MN forms can account for up to one-third of cases.Malignancy as a secondary cause increases with age.Conservative management should be the first step in management.Risk of progression of the disease needs to be considered because patients with a high risk of progression can benefit from immunosuppressive treatment. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/20 UR - accessmedicine.mhmedical.com/content.aspx?aid=1149113920 ER -