Membranous nephropathy has cast urine?

Membranous nephropathy is a glomerular disease. Whether it is accompanied by cast urine should be analyzed in combination with specific conditions.

The main pathological feature of membranous nephropathy is thickening of the glomerular basement membrane, resulting in decreased glomerular filtration function, resulting in decreased urine output, proteinuria, hypertension and other symptoms. Cast urine usually refers to a urine abnormality caused by renal tubular damage, manifested as tubular epithelial cells, debris, protein casts and other substances in urine. Membranous nephropathy generally does not cause renal tubular damage, so cast urine does not occur. However, if the patient also has other kidney diseases, such as tubulointerstitial disease, tubulointerstitial nephritis, etc., it may be accompanied by cast urine. Therefore, in the diagnosis and treatment process, doctors need to comprehensively consider the patient's condition and examination results to determine the cause and formulate a reasonable treatment plan.