One of my favorite underrecognized serious kidney diseases? Dent disease! Many of my Dent patients have male relatives with CKD/ESKD either "of unknown origin" or misdiagnosed as FSGS.
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Have a low threshold to check for low-molecular weight proteinuria in patients with weirdly elevated urine protein but normal serum albumin, especially with the positive family history in males! Sky high urinary retinol binding protein (or beta-2 microglobulin) is the hallmark.
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