The Use of ACTH Gel in Membranous Nephropathy

Ann Sedeeq, Akram Al-Salman, Arshdeep Tindni
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Abstract

Membranous Nephropathy (MN) is one of the most common causes of nephrotic syndrome characterized by insidious onset, nephrotic range proteinuria, reduced renal function, and can lead to end stage renal disease. Treatment regimens for MN have been described including steroids treatment in combination with cyclophosphamide or calcineurin inhibitors, cyclosporine or tacrolimus. Adrenocorticotropin (ACTH) has been increasingly studied for various glomerulopathies, most notably MN and growing evidence suggesting that ACTH maybe an effective treatment option.
促肾上腺皮质激素凝胶在膜性肾病中的应用
膜性肾病(MN)是肾病综合征最常见的病因之一,其特点是发病隐匿,肾病范围蛋白尿,肾功能下降,并可导致终末期肾病。MN的治疗方案包括类固醇治疗联合环磷酰胺或钙调磷酸酶抑制剂、环孢素或他克莫司。促肾上腺皮质激素(ACTH)在各种肾小球疾病中的研究越来越多,尤其是MN,越来越多的证据表明ACTH可能是一种有效的治疗选择。
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