Nephrotic syndrome is a rare kidney condition that causes too much protein to be lost in your child’s urine and too much water to be retained in their body.

About the urinary system and kidneys

In most cases, nephrotic syndrome can be treated with steroids. It is then known as steroid-sensitive nephrotic syndrome (SSNS).

However, for some children, steroids do not work. In those cases, the condition is known as steroid-resistant nephrotic syndrome (SRNS).

In some cases, steroids work at first and then stop working, so the diagnosis changes from SSNS to SRNS.

1 in 5 children only have one episode of nephrotic syndrome. However 4 in 5 will have at least one relapse. Some children have frequent relapses. Their condition is then known as frequently relapsing nephrotic syndrome.

Nephrotic syndrome affects around 2 in every 100,000 children.

SSNS affects around nine in 10 children with nephrotic syndrome.

SRNS affects around one in 10 children with nephrotic syndrome.

In some children with SRNS, a kidney biopsy shows that they have a specific type called focal segmental glomerulosclerosis (FSGS).

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More information

  • About the urinary system and kidneys

    If your child has a health condition that affects their kidneys or another part of the urinary system, you may wish to find out more.

  • Nephrotic syndrome: frequently relapsing

    If your child's nephrotic syndrome keeps coming back, this is said to be frequently relapsing and may need further treatment.

  • Focal segmental glomerulosclerosis (FSGS)

    FSGS and IgM nephropathy cause nephrotic syndrome in children, where the kidneys leak too much protein into the urine and lead to swelling in the body.