Porteinuria is a common laboratory finding in children. It might represent
a benign condition or herald the presence of a serious underlying renal dis
ease or systemic disorder. Investigation to confirm a diagnosis or seek rea
ssurance is important. This paper discusses the various causes of proteinur
ia, and those aspects of the history, physical examination, and the laborat
ory tests that will help determine the cause or reassure that a serious pro
blem is not currently present.