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Kidney diseases

Congenital nephrotic syndrome, Finnish type

An inherited kidney disease present from birth. The kidney cannot keep protein in the blood and lets it leak into the urine. The baby has widespread swelling in the first months.

Not part of the panel of Türkiye's National Newborn Screening Programme (heel-prick test). Source

This page is translated from the Turkish original.

This disease is followed through the “Kidney diseases” group.

Understanding the disease

This section has not yet been reviewed by a physician. It summarises patient information from sources such as MedlinePlus, Orphanet and the NHS in plain language. The disease can differ from person to person; talk to your doctor about diagnosis and treatment.

What happens in this disease?

The kidney's filters clean the blood but keep protein in the body. In this disease, a change in the NPHS1 gene damages a structure in the filter. This is why a lot of protein is lost in the urine. Symptoms begin in the womb or in the first 3 months. Kidney function decreases over time.

Which symptoms can occur?

Symptoms appear at birth or within the first 3 months.

  • Swelling of the whole body, called edema
  • A lot of protein in the urine, foamy urine
  • Fluid collecting inside the belly
  • Low birth weight and poor appetite
  • Passing little urine
  • Frequent and severe infections
  • High cholesterol in the blood
  • Clotting problems (sometimes)

How is it diagnosed?

During pregnancy, the placenta may look large on ultrasound. A protein in the fluid the baby floats in may be high. After birth, a lot of protein is found in the urine and little protein in the blood. A genetic test confirms the diagnosis.

Treatment and care

Early and intensive care is needed. The aim is to control protein loss, swelling and infections. Medicines that reduce protein leakage into the urine and fluid restriction may be used. In some babies the doctor may advise removing the kidneys. This is followed by dialysis and a kidney transplant. An early kidney transplant can bring the disease under control in some children. The doctor who follows the disease decides which treatment is suitable.

For the family: inheritance and genetic counselling

This disease is passed on through recessive inheritance. Two changed genes are needed to have the disease; one comes from the mother and one from the father. For a carrier couple, the chance of an affected child in each pregnancy is 1 in 4. The Finnish type is seen most often in families of Finnish origin. In marriages between relatives, the chance of two carriers coming together may be higher. Genetic counselling and testing options during pregnancy can be discussed.

Source: MedlinePlus Genetics: Congenital nephrotic syndrome · MedlinePlus Medical Encyclopedia: Congenital nephrotic syndrome · Orphanet: Congenital nephrotic syndrome, Finnish type (ORPHA:839)

Key facts

How is it inherited?
Autosomal recessive
When does it usually start?
Before birth, Infancy, Newborn period
Gene(s) involved
NPHS1

These facts are taken from Orphanet and MedlinePlus records (last checked: October 7, 2026). Frequency values are approximate ranges.

You are not alone: patient associations in Türkiye

Non-profit patient and family organizations in Türkiye working on this disease or disease group. Links are for information; Doktorclub is not affiliated with these organizations and does not endorse them.

We could not find a patient association specific to this disease.

For all rare diseases: Nadir Hastalıklar Federasyonu

Support and help

Doktorclub does not diagnose, recommend treatments or refer you to hospitals or doctors. These pages are meant to help you talk with your doctor.

News about Finnish-type nephrotic

Clinical trials (ClinicalTrials.gov)

A clinical trial is a regulated study that tests whether a new treatment is safe and whether it works, in patients who volunteer. Most trials look for a certain age, genetic change and health condition. Taking part is voluntary.

This list is not a treatment recommendation. Treatments tested in phase 1–3 trials are investigational (experimental): their efficacy and safety have not yet been proven and they are not approved treatments. Taking part depends on each trial’s criteria and a physician’s assessment; the first step is to talk to the doctor who manages your care.

ClinicalTrials.gov currently lists no active interventional studies for this disease. Last checked: October 7, 2026.

See all studies on ClinicalTrials.gov · Joining clinical trials

Kidney diseases: other news

Medical codes (for talking with your doctor and finding sources)

These codes identify the disease in international classifications and databases. They can help when you talk with your doctor or look for reliable sources.

Orphanet code: ORPHA:839

No separate ICD-11 code; WHO classifies this disease under: GB4Z

Codes checked against WHO ICD-11 and Orphanet on October 7, 2026.

This page provides general information and does not replace diagnosis or treatment. Talk to your doctor about symptoms, diagnosis and treatment.

The information on these pages is for general information only and does not replace medical advice. Talk to your doctor about diagnosis and treatment decisions. In an emergency in Türkiye, call 112.

Every update is based on an open source and labeled with its level of evidence. No advertising and no drug brand names. Our scientific principles

This page was translated from Turkish by the Doktorclub editorial team.