Helped Over 500,000 patients with 98%+ satisfaction.

Connect & Get Personalized 1-to-1 Answers from Expert Doctors

DoctorSpring > Question Home

Macular patch on feet with urine protein

Resolved Question:

30 aug 12 i got red spot or macular patches on both feet, ,physician gave me omanacontil 40mg,30mg,20mg,10,5mg each for 10 days & lazanine& atraxcin f0r 20days & blood report shows normal ony RDw 15 & esinofills 9h& esr 17 (N). ANa negative.refered to dermatologist she gave same steroid with rantec150,manikindcv625, goutnil 1/2 teblet each day 3sep, recrrence of lession on discontinue goutnil 13 sep,biopsy done 18sep shows small vessel leucocytoclastic vasculitis to continue the gountil stop omnacontilfor six month. but pain in knee &and thereafter lession recurrence stopping the goutnil . rheumatologist Inmeun-P (painkillar), cellin 500 & goutnil 1 t alternate day.complete bloodt count with ESr ESR 10(n), MCV 103.02 (H),Screatnine 0.96 rest normal ,ANCA negative,chest xray normalprotien 1, mucus thread few, slightly hazy in urine routine, . on 13 march due MCV h gave Rejuneron od 2month, Inmeun-P (painkillar),goutnil see after 3 month. 9 june S, cretnine 0.85,HBs ag negative lipid profile normal,protein 2& occult blood 3. 9 july creatinine in random urine 87.75 mg/dl, total proteine i random urine =66.3mg/dl H and creatnine & proteine ratio =0.76 H suggested to see nephrologistwith usg abdomen. neprologist urine routine protein 3,occult blood 4,epithelial cell ocassional,amorphus deposit present, c3 c4 normal,esr 6mm,24 hr urine creatnine 15.06 & creatnine in random urine =37.91 mg/dl L, 24 hr urine protien 0.79 H & total protien in random urine =27,5 H. Neprologist advised to go for Renal biopsy for management & prognosis. pls advise shold i go for biopsy?.

Category: Nephrologist

Ask Your Own Question

Category: Pediatrician
 30 Doctors Online


Thanks for your query at

Any amount of proteinuria above 200 mg per day is abnormal. It should be evaluated. As the report, you have a proetienuria of approx 700 mg per day. It needs renal biopsy.

Leucocytoclastic vasculitis can involve kidney and mostly A nephropathy like situation can be seen in the kidney. You don't require to take Goutnil or Zyoric as it not appearing like gout.

Hope it helps, please feel free to discuss further.

Dr. Sree Bhushan Raju

Patient replied :

Dear Sir,
I gave the sample in fortis hospital for spot urine routine test on 03/08/13 in which Protein (method multistix) not detected but blood (multistix) 3 detected, what is reason of blood.Urine culture on same date shows polymerpho nuclear leucosites not detected, gram stain no organism detected, culture no groth, Pls advise sir i am little bit confused because biopsy of renal may damage the kidney/renal, i think biopsy iast option

The protein as per routine urine examination is nil and spot is high. It can vary from time to time and lab to lab. In fact, There is no hurry in renal biopsy and you cans till wait for few more weeks and months for renal biopsy.

The other parts of urine report only are suggestive of absence of infection in the urine.

To clarify about your doubt renal biopsy, which is a simple and safe procedure. There is no harm attributed to kidney due to renal biopsy. Its a simple 5-10 min procedure and absolutely safe. There are hardly any major complications seen out of several thousands of biopsy procedures.

It is essential to know the underlying renal condition so that the treatment can be given as per the diseases and severity. It can also give an impression over the kidney disease how it progresses during the life time.

You don't have to worry about the kidney biopsy rather the indication and timing are very important. I feel that there is no urgency in renal biopsy and you can wait and see. Meanwhile you can watch creatinine and proteinuria. If there is an increase in creatinine and worsening of proteinuria by more than 1 gm pr day, You can plan for renal biopsy as any thing less that may not support or guide you in the treatment.

Hope it helps.

Dr. Sree Bhushan Raju

Patient replied :

Dear Sir,
I am sorry to say my question remained unanswered about blood in urine (multistix) 3 detected, what is reason of blood in urine . is it related to proteinurea ? what does it indicates?should i go for another 24 hr cretinine in urine & 24 hr protein in urine test . As you have suggested that Any amount of proteinuria above 200 mg per day is abnormal.You are requested to tell that What is the abnormal value of creatinine in 24 hr urine test


Urinary red blood cells should be checked in urine microscopy rather than blood through dip stics. So, you don't have to worry and you can check 24 hrs protein later . There is nothing like normal urinary creatinine.

It depends on protein intake , muscle mass of the body etc. what is important is its relation with the protein and to show that the urinary collection is adequate and appropriate sample for the test . Blood in the urine can be detected in urine microscopy.

Hope i have answered your question. Please feel free to discuss further.


Patient replied :

Dear Sir.
My nephrologist has suggested me stop the goutnil teblet & suggested me take the feburic 40 . He told me that goutnil has side effect on kidney in compare to feburic. Your diseases doesn't look gout. What is your opinion about it.


Goutnil has colchicine which has anti gout property and decreases the joint pains. Where as genitive is febuxostat which decreases uric acid which is the culprit in gout. Gout nil should be used only when there is a severe joint pain for immediate relief but not for decreasing gout. Zyloric has Allopurinol which was used earlier to decrease uric acid has few side effects and febuxostat has decreased such incidences

You can safely use feburic and use goutnil only when severe joint pains are there.


Dr. Raj Rani Mitra
Category: Pediatrician
M.R.C.PCh Royal College of Paediatrics and child health 2009 
M.R.C.P. Royal College of Physicians U.K. 1974
D.C.H. Royal College of Physicians, London, U.K. 1971
M.B.B.S. Calcutta University, India 1965
Dr. Raj Rani Mitra and 4 other Medical Specialists are ready to help you

Users who read this, also read:

Make informed and better medical decisions.

Join the 500,000 people who found a smarter, quicker way to get Answers, Recommendations & Expert Opinions.

Expert Doctors at fingertips

Recommendation on next step. Second-opinion.Multi-specialty.

Save Time

Average time for answers: 6 hours.

Save Money

$35 for typical specialist consult vs. $120 for a local appointment.

Free Follow-ups

Clarify, ask further questions for free in private conversation.

100% Satisfaction

Money back guarantee for the 1st reply. MEDNET Quality Board.

Start My Consultation



Doctor Spring is a novel online Doctor consultation platform where you can get your medical questions answered by leading Doctors. Just Submit your question and rest assured that you will consult a Doctor easily. Once you submit the question, the Doctor from the concerned specialty will reply within hours. You can always ask more questions or add details with follow-up question options and make it an online doctor chat. You may use this service to consult a specialty or for getting medical second opinion. All paid services come with a MEDNET quality assurance and 100% money back guarantee.

DoctorSpring in news