Within 48 hours, creatinine increased from 0.96 mg/ dl to 1.83 mg/dl (corresponding to 85 to 162 μmol/l), and further laboratory workup revealed a severe nephrotic syndrome with a serum albumin of 17 g/l, hyperlipidemia with cholesterol levels of 495 mg/dl (corresponding to 12.8 mmol/l), triglyceride levels of 700 mg/dl (corresponding to 7.9 mmol/l), and proteinuria with a urinary protein-to-creatinine ratio of 9.9 g/g (corresponding to 1124 mg/mmol). Here, ALB is linked to hyperlipidemia.