<prompt> All of the following are decreased in nephrotic syndrome, except ?Serum transferrinSerum fibrinogenSerum ceruloplasminSerum albumin  <response>: Ans. is b i.e., Serum Fibrinogen Fibrinogen level is increased in nephrotic syndrome dt increased hepatic synthesis of fibrinogen. The largest propoion of protein lost in urine is albumin. Sometimes, globulins can also be excreted - - Immunoglobulin excretion increases the susceptibility of infection. Other proteins which are decreased - Transferrin - Microcytic hypochromic anemia. Cholecalciferol binding protein - hypocalcemia Thyroxine binding globulin - decreased thyroxine level. Antithrombin III - hypercoagulability Ceruloplasmin Causes of Hvpercoagulability in nephrotic syndrome Loss of antithrombin III Increased synthesis of fibrinogen by liver. Altered activity of protein C and S Increased platelet aggregability. Hypercoagulability can cause renal vein thrombosis. 