Adult-onset nephrotic syndrome with minimal changes: response to corticosteroids and cyclophosphamide.

F Nolasco, J S Cameron, J Hicks, C S Ogg, D G Williams
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Abstract

Eighty-nine patients with onset of nephrotic syndrome over the age of 15 years and minimal changes on renal biopsy have been studied. Seventy-five patients were given a course of prednisone in an initial dosage of 60mg/24hr, tapering over the following 8-16 weeks. Only 45 were in remission after eight week's treatment, 55 after 16 weeks; eventually, a total of 58 lost their proteinuria completely. Of these, 24 per cent never relapsed, 56 per cent relapsed on a single occasion or infrequently, and only 21 per cent were frequent relapsers. Cyclophosphamide, used in 36 patients, had a similar time to response. Stability of remission was better than in similar children, 66 per cent being in remission at five years, after which no further relapses were seen.

最小变化的成人肾病综合征:对皮质类固醇和环磷酰胺的反应。
本文对89例15岁以上的肾病综合征患者进行了研究,并对肾活检的微小变化进行了研究。75名患者给予一个疗程的泼尼松,初始剂量为60mg/24小时,在随后的8-16周逐渐减少。治疗8周后只有45人缓解,16周后55人缓解;最终,共有58人完全失去了蛋白尿。在这些人中,24%的人从未复发,56%的人在一次或不经常复发,只有21%的人是频繁复发。36例患者使用环磷酰胺,产生反应的时间相似。与同类儿童相比,缓解的稳定性更好,66%的儿童在5年内得到缓解,之后没有再复发。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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