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Updated: July 18, 2025
Constipation is a common, and mucous diarrhoea an occasional, symptom. The abdomen is often pigmented. The hands and feet are usually cold and cyanosed. The extreme nervousness of the children is the point upon which most stress may be laid in the present connection. The association of albuminuria with neurosis in childhood has been noticed by many observers.
In some cases it has produced ringing in the ears or deafness, or a rapid pulse, or an excessively high temperature, panting respiration, profuse perspiration, albuminuria, delirium, and imminent collapse. In one published case this anti-pyretic did not lower, but, on the contrary, seemed actually to raise the temperature so high that immediately after death it stood at 110 deg.
If, during pregnancy in a patient with a damaged heart, albuminuria develops and the blood pressure is increased, showing kidney insufficiency, there can be no question of delay, from every point of view, and labor must be precipitated; the uterus must be emptied to save the mother's life.
There is pain on swallowing, and often earache; and the patient speaks with a nasal accent. He becomes weak and anæmic, and loses his appetite. There is often albuminuria. Leucocytosis is usually well marked before the injection of antitoxin; after the injection there is usually a diminution in the number of leucocytes.
It seems most likely that the albuminuria is due to defective tone in the vasomotor musculature, comparable in every way to the defective tone in the muscles of the skeleton. We have often further evidence of vasomotor weakness. Fainting attacks are so common as to be the rule rather than the exception.
In all strenuous training or competitive athletic work, the participators should all be examined more or less frequently and more or less carefully for heart strain and albuminuria and also for a too great increase of blood pressure. All training and all athletic sports should be graded to the age of the boy or girl and not necessarily to his or her size.
It has been argued that the lordosis itself produces the albuminuria by mechanical compression of the renal vein, and it is said that albuminuria can be produced, even in the prone position, by placing the child in a plaster jacket applied so as to maintain the position of lordosis. Other observers, however, have not obtained this result.
The children are apt to fall heavily when the centre of gravity is suddenly displaced, because their upright posture is maintained by balancing the trunk upon the support of the pelvis. The frequency and severity of the falls which these children suffer is a common complaint of the mother. The faulty posture is often associated with slight albuminuria.
Albuminuria, ascites, œdema of the lower limbs, clubbing of the fingers, and diarrhœa are among the most prominent symptoms of this condition. The prognosis in hectic fever depends on the completeness with which the further absorption of toxins can be prevented.
A diseased kidney depends particularly upon the skin for succor more than any other organ. When the kidneys from any cause fail to act the skin comes to their rescue and throws off impurities which nature intended should go by the renal route. For this reason diabetes and albuminuria, the most stubborn of all kidney diseases, are usually benefited by a dry, warm climate.
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