Risk factors include acute glomerulonephritis,diabetes,hypertensive nephrosclerosis,hyperlipidemia,chronic thbulointerstitial injury, or hemodynamically mediated glomerular sclerosis (Corwin,2007).Secondary glomerular diseases that can have systemic effects include systemic lupus erytematosus and Goodpasture's syndrome (antoimmune diseases), diabetic glomerulosclerosis,and amyloidosis.