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Minimal-lesion nephrotic syndrome with early resistance to steroid therapy.
J Pediatr ; 87(3): 377-80, 1975 Sep.
Article em En | MEDLINE | ID: mdl-1165516
The initial and long-term clinical course of six children with steroid-resistant, minimal-lesion nephrotic syndrome was evaluated. All children experienced remission after two to five weeks of combined cyclophosphamide-prednisone therapy. Following cyclophosphamide treatment, three patients have relapsed and have become steroid sensitive. The clinical outcome was quite favorable. These data suggest: (1) cyclophosphamide may induce a prompt remission in patients with minimal glomerular lesions who have early resistance to corticosteroids; (2) relapses which occur after cyclophosphamide should be treated with prednisone alone, even though the patient was previously steroid resistant; (3) the ultimate outcome is related more to the nature of the histopathologic lesion than to a lack of steroid responsiveness.
Assuntos
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Prednisona / Ciclofosfamida / Síndrome Nefrótica Tipo de estudo: Diagnostic_studies Limite: Child, preschool / Female / Humans / Male Idioma: En Revista: J Pediatr Ano de publicação: 1975 Tipo de documento: Article País de publicação: Estados Unidos
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Prednisona / Ciclofosfamida / Síndrome Nefrótica Tipo de estudo: Diagnostic_studies Limite: Child, preschool / Female / Humans / Male Idioma: En Revista: J Pediatr Ano de publicação: 1975 Tipo de documento: Article País de publicação: Estados Unidos