Note: Symptoms vary and in many cases there are no symptoms at all.
A physical exam may show swelling (edema).
A urinalysis may reveal protein in the urine or blood in the urine. Glomerular filtration rate (the "speed" of blood purification) is usually nearly normal.
Serum albumin may be low. Blood lipid levels may increase.
Kidney biopsy confirms the diagnosis of membranous nephropathy.