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Management of hyperlipidemia in children with refractory nephrotic syndrome: the effect of statin therapy.
Sanjad, S A; al-Abbad, A; al-Shorafa, S.
Afiliação
  • Sanjad SA; Department of Pediatrics, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.
J Pediatr ; 130(3): 470-4, 1997 Mar.
Article em En | MEDLINE | ID: mdl-9063427
The efficacy and safety of hydroxymethylglutaric coenzyme A reductase inhibitor (statins) in the treatment of hyperlipidemia were evaluated in 12 infants and children with steroid-resistant nephrotic syndrome followed prospectively for 1 to 5 years. All patients experienced a hypolipidemic response with a marked reduction in their total cholesterol (40%), low-density lipoprotein cholesterol (44%), and triglyceride levels (33%), but no appreciable change in high-density lipoprotein cholesterol. Statin therapy was well tolerated without clinical or laboratory adverse effects. In spite of a significant hypolipidemic response to statin therapy there were no changes observed in the degree of proteinuria, hypoalbuminemia, or in the rate of progression to chronic renal failure. Long-term controlled studies with statin therapy are needed to further document or negate their renoprotective role in refractory nephrotic syndrome.
Assuntos
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Proteínas / Inibidores de Hidroximetilglutaril-CoA Redutases / Hiperlipidemias / Síndrome Nefrótica / Hipolipemiantes Tipo de estudo: Etiology_studies Limite: Child / Child, preschool / Female / Humans / Infant / Male Idioma: En Revista: J Pediatr Ano de publicação: 1997 Tipo de documento: Article País de afiliação: Arábia Saudita País de publicação: Estados Unidos
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Proteínas / Inibidores de Hidroximetilglutaril-CoA Redutases / Hiperlipidemias / Síndrome Nefrótica / Hipolipemiantes Tipo de estudo: Etiology_studies Limite: Child / Child, preschool / Female / Humans / Infant / Male Idioma: En Revista: J Pediatr Ano de publicação: 1997 Tipo de documento: Article País de afiliação: Arábia Saudita País de publicação: Estados Unidos