Rituximab treatment for adult purpura nephritis with nephrotic syndrome.

نویسندگان

  • Hiroaki Ishiguro
  • Tatsuo Hashimoto
  • Mariko Akata
  • Shota Suzuki
  • Kengo Azushima
  • Yusuke Kobayashi
  • Tomohiko Kanaoka
  • Shinichiro Yoshida
  • Hiromichi Wakui
  • Jin Oshikawa
  • Kiyotaka Nagahama
  • Yoshiaki Inayama
  • Kouichi Tamura
  • Yoshiyuki Toya
  • Satoshi Umemura
چکیده

The case of a 68-year-old woman with purpura nephritis associated with nephrotic syndrome is herein described. The patient's clinical course and the findings of a renal biopsy study revealed purpura nephritis. Following treatment with corticosteroids and intravenous cyclophosphamide accompanied by an angiotensin II type I receptor-blocker, an anti-platelet drug and an hydroxymethylglutaryl (HMG)-CoA, the proteinuria mildly decreased. Additional rituximab therapy led to a complete remission. This report describes our successful experience using rituximab to treat refractory nephrotic syndrome of purpura nephritis. Further studies are required to confirm the efficacy of rituximab as an alternative therapy for nephrotic syndrome.

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عنوان ژورنال:
  • Internal medicine

دوره 52 10  شماره 

صفحات  -

تاریخ انتشار 2013