Predictive Parameters of Steroid Dependency in Minimal Change Disease
نویسندگان
چکیده
The most common type of nephrotic syndrome in children is minimal change disease (MCD), which usually responsive to steroid therapy. Steroid dependency one the handicaps management these children. Thus, early prediction course may improve treatment strategy. Demographic characteristics and laboratory parameters 35 patients at time MCD diagnosis were retrospectively obtained from hospital records. There 23 (65%) with sensitive (SSNS) 12 (35%) dependent (SDNS). was a significant difference between SSNS SDNS terms age diagnosis, remission time, mean values platelet volume, low density lipoprotein cholesterol, uric acid, urine protein-to-creatinine ratio, total cholesterol creatinine (p = 0.003, p < 0.001, 0.013, 0.006, 0.036, 0.02, 0.034, respectively). markers can reduce side effects steroids facilitate use appropriate drugs.
منابع مشابه
Rituximab in Minimal Change Disease
Treatment with rituximab, a monoclonal antibody against the B-lymphocyte surface protein CD20, leads to the depletion of B cells. Recently, rituximab was reported to effectively prevent relapses of glucocorticoid-dependent or frequently relapsing minimal change disease (MCD). MCD is thought to be T-cell mediated; how rituximab controls MCD is not understood. In this review, we summarize key cli...
متن کاملMinimal Change Disease.
Minimal change disease (MCD) is a major cause of idiopathic nephrotic syndrome (NS), characterized by intense proteinuria leading to edema and intravascular volume depletion. In adults, it accounts for approximately 15% of patients with idiopathic NS, reaching a much higher percentage at younger ages, up to 70%-90% in children >1 year of age. In the pediatric setting, a renal biopsy is usually ...
متن کاملRifampicin-Induced Minimal Change Disease Is Improved after Cessation of Rifampicin without Steroid Therapy
There are several reports to demonstrate that rifampicin, a major anti-tuberculosis agent, is associated with some adverse renal effects, with a few cases of rifampicin-induced minimal change disease (MCD). In the present case, a 68-year-old female presented with nausea, vomiting, foamy urine, general weakness and edema. She had been taking rifampicin for 4 weeks due to pleural tuberculosis. Th...
متن کاملBiloma during steroid therapy for minimal change nephrotic syndrome.
A 27-year-old man, who had been on steroid therapy for 2 months for his nephrotic syndrome, suddenly developed intra-abdominal bile collection (biloma). He had no previous history of abdominal surgery, trauma, or any disease of the hepatobiliary system. The cause of the biloma formation was due, probably, to cholecystitis in the absence of calculi and a pinhole size perforation in the wall of g...
متن کاملMinimal change disease: a review.
Minimal change disease (MCD) is a histopathological lesion in the kidney that is most commonly associated with nephrotic syndrome. The majority of the cases are idiopathic. Pathogenesis is not well understood, although T-cell-related mechanisms are implicated. Massive proteinuria leads to hypoalbuminemia, salt retention, disorder of hemostasis, hyperlipidemia and increased susceptibility to inf...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
ژورنال
عنوان ژورنال: The journal of pediatric academy
سال: 2022
ISSN: ['2718-0875']
DOI: https://doi.org/10.51271/jpea-2022-185