Rituximab Treatment for Adult Patients with Focal Segmental Glomerulosclerosis

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Rituximab treatment of adult patients with steroid-resistant focal segmental glomerulosclerosis.

BACKGROUND AND OBJECTIVES Isolated case reports have shown a beneficial effect of rituximab on pediatric patients with primary FSGS, but there is no information about rituximab treatment of FSGS in adults. DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS All patients who had biopsy-proven FSGS and were treated with rituximab in Spain were identified, independent of their positive or negative res...

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Treatment of nephrotic syndrome due to minimal change disease and focal segmental glomerulosclerosis remains a challenge since steroid dependence, steroid resistance and a relapsing disease course exhibits a high cumulative steroid dosage. The necessity of using alternative steroid-sparing immunosuppressive agents with potential toxic side effects also restricts their long-term use. Rituximab, ...

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Successful treatment of adult-onset collapsing focal segmental glomerulosclerosis with rituximab

Collapsing focal segmental glomerulosclerosis (FSGS), or collapsing glomerulopathy (CG), responds poorly to commonly employed therapies, with a high proportion of patients progressing to end-stage renal disease. We report an adult in a nephrotic state, diagnosed with minimal-change disease on biopsy, who failed to respond to steroids, calcineurin inhibitors (CNIs), mycophenolate mofetil and cyc...

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Rituximab targets podocytes in recurrent focal segmental glomerulosclerosis.

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Focal segmental glomerulosclerosis--does treatment work?

This study also confirms that the mean time to remission in treated FSGS patients can be as long as 5 months and that treatment should continue beyond that time. It reports a relapse rate of 20% and a spontaneous remission rate of 30.7%. Recent studies have also demonstrated higher spontaneous remission rates than those previously [7] , particularly in comparison with American series. The highe...

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ژورنال

عنوان ژورنال: Internal Medicine

سال: 2012

ISSN: 0918-2918,1349-7235

DOI: 10.2169/internalmedicine.51.6854