Rule outs for glomerulonephropathy include: infectious: -chronic bacterial infection (pyometra, endocarditis, brucellosis, leptospirosis, etc) -viral (canine adenovirus I) -tickborne diseases (RMSF, ehrlichia, Lyme) -parasitic disease (esp heartworm aka dirofilaria immitis; leishmania) neoplastic: -any neoplasia; multiple myeloma in particular can cause amyloidosis immune mediated: -lupus -pancreatic necrosis -anti-glomerular basement membrane antibody (as in humans) -systemic inflammatory response syndrome other: -long term cushing's disease or high dose steroids -familial (amyloidosis of Shar Peis, others) -idiosyncratic/idiopathic Treatments include: -elimination of offending antigen if possible (rare) -immunosuppressive therapies: cytoxan 50 mg/m2 q 48 hrs, azothioprine (dogs only) 50 mg/m2 PO SID or EOD, cyclosporine (dogs only) 15 mg/kg PO SID -moderately protein restricted diet of highly digestible protein (cottage cheese, egg white) -reduced sodium intake & diuretics to induce negative sodium balance and drain excessive fluid. Furosemide (lasix) 2-4 mg/kg SID-TID until edema is resolved. -prevent systemic hypertension using diuretics, salt restriction, beta-adrenergic blockers, vasodilators - esp enalapril (ACE inhib) to change interglomerular pressure and reduce protein losses. -aspirin to prevent thrombosis due to decreased AT-III.