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EasyNephrologyNephrotic syndromeau-amcau-racp

A 60-year-old man is found to have proteinuria and generalised oedema. Investigations reveal serum albumin 20 g/L, cholesterol 8.5 mmol/L and urine protein excretion >4 g/day with bland urinary sediment. Which feature is least characteristic of nephrotic syndrome?

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