Treatment of Primary FSGS in Adults

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Treatment of primary FSGS in adults.

Over the last 20 years, primary FSGS has emerged as one of the leading causes of idiopathic nephrotic syndrome in adults, particularly among African Americans. In nephrotic patients, progression to ESRD often occurs over the course of 5-10 years, whereas non-nephrotic patients and those entering a remission have an extremely favorable prognosis. As a result, it is in patients who remain persist...

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Treatment with Glucocorticoids or Calcineurin Inhibitors in Primary FSGS.

BACKGROUND AND OBJECTIVES In primary FSGS, calcineurin inhibitors have primarily been studied in patients deemed resistant to glucocorticoid therapy. Few data are available about their use early in the treatment of FSGS. We sought to estimate the association between choice of therapy and ESRD in primary FSGS. DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS We used an inception cohort of patient...

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FSGS Recurrence in Adults after Renal Transplantation

Recurrence of focal segmental glomerulosclerosis (FSGS) in the allograft occurs in 30-50% of patients, and it is associated with poor renal allograft survival. Major risk factors for recurrence are younger age at diagnosis, rapid progression to end-stage renal disease, white race, and the loss of previous allografts due to recurrence. Recent data support the hypothesis that circulating permeabi...

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Has the circulating permeability factor in primary FSGS been found?

A circulating permeability factor has long been implicated in the pathogenesis of primary focal segmental glomerulosclerosis (FSGS). Evidence in animal models and now in several cohorts of patients with primary FSGS suggests a role for the soluble urokinase-type plasminogen activator receptor (suPAR) as a biomarker and perhaps as a contributing factor. Confirmation of these findings might lead ...

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ژورنال

عنوان ژورنال: Journal of the American Society of Nephrology

سال: 2012

ISSN: 1046-6673,1533-3450

DOI: 10.1681/asn.2012040389