Comprehensive management application of sulodexide on proteinuria: 2 case reports

Proteinuria is an important sign of kidney function decline and one of the common clinical manifestations in patients with chronic kidney disease and diabetic kidney disease, which are often accompanied by a gradual decline in kidney function. Therefore, effective management of proteinuria is of gre...

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Main Authors: Li Zhou, Wenge Li
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-02-01
Series:Frontiers in Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fmed.2025.1519604/full
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author Li Zhou
Wenge Li
author_facet Li Zhou
Wenge Li
author_sort Li Zhou
collection DOAJ
description Proteinuria is an important sign of kidney function decline and one of the common clinical manifestations in patients with chronic kidney disease and diabetic kidney disease, which are often accompanied by a gradual decline in kidney function. Therefore, effective management of proteinuria is of great significance for delaying the progression of kidney disease and protecting kidney function. Sulodexide is a mixture of fast-moving heparin and dermatan sulfate with anticoagulant, thrombolytic, anticardiovascular, lipid-lowering, and renal-protective effects. It has potential application value in the comprehensive management of proteinuria. This study reported two different chronic disease cases to explore the comprehensive management application of sulodexide in patients with long-term poor proteinuria control. Case 1 is a 45 years-old male with type 2 diabetes mellitus and hypertension accompanied by persistent proteinuria and intermittent edema in both legs. Case 2 is a 52 years-old female with chronic nephritis and rheumatoid arthritis accompanied by persistent proteinuria and edema in both legs. Two patients showed a decrease in urinary protein levels and stable control of the remaining signs of disease after the addition of sulodexide to their comprehensive treatment regimens, indicating that sulodexide plays an important role in the comprehensive management of proteinuria.
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spelling doaj-art-62493a313f72444c85d22885167f82b22025-02-05T07:32:31ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2025-02-011210.3389/fmed.2025.15196041519604Comprehensive management application of sulodexide on proteinuria: 2 case reportsLi ZhouWenge LiProteinuria is an important sign of kidney function decline and one of the common clinical manifestations in patients with chronic kidney disease and diabetic kidney disease, which are often accompanied by a gradual decline in kidney function. Therefore, effective management of proteinuria is of great significance for delaying the progression of kidney disease and protecting kidney function. Sulodexide is a mixture of fast-moving heparin and dermatan sulfate with anticoagulant, thrombolytic, anticardiovascular, lipid-lowering, and renal-protective effects. It has potential application value in the comprehensive management of proteinuria. This study reported two different chronic disease cases to explore the comprehensive management application of sulodexide in patients with long-term poor proteinuria control. Case 1 is a 45 years-old male with type 2 diabetes mellitus and hypertension accompanied by persistent proteinuria and intermittent edema in both legs. Case 2 is a 52 years-old female with chronic nephritis and rheumatoid arthritis accompanied by persistent proteinuria and edema in both legs. Two patients showed a decrease in urinary protein levels and stable control of the remaining signs of disease after the addition of sulodexide to their comprehensive treatment regimens, indicating that sulodexide plays an important role in the comprehensive management of proteinuria.https://www.frontiersin.org/articles/10.3389/fmed.2025.1519604/fullproteinuriachronic kidney diseasediabetic kidney diseasechronic diseasessulodexide
spellingShingle Li Zhou
Wenge Li
Comprehensive management application of sulodexide on proteinuria: 2 case reports
Frontiers in Medicine
proteinuria
chronic kidney disease
diabetic kidney disease
chronic diseases
sulodexide
title Comprehensive management application of sulodexide on proteinuria: 2 case reports
title_full Comprehensive management application of sulodexide on proteinuria: 2 case reports
title_fullStr Comprehensive management application of sulodexide on proteinuria: 2 case reports
title_full_unstemmed Comprehensive management application of sulodexide on proteinuria: 2 case reports
title_short Comprehensive management application of sulodexide on proteinuria: 2 case reports
title_sort comprehensive management application of sulodexide on proteinuria 2 case reports
topic proteinuria
chronic kidney disease
diabetic kidney disease
chronic diseases
sulodexide
url https://www.frontiersin.org/articles/10.3389/fmed.2025.1519604/full
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