Predictive risk factors of steroid dependent nephrotic syndrome in children with idiopathic nephrotic syndrome

Autor: Ehsan Valavi, Azar Nickavar, Parisa Amoori, Mohsen Fathi, Bahareh Valavi
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Journal of Nephropharmacology, Vol 12, Iss 2, Pp e10571-e10571 (2023)
Druh dokumentu: article
ISSN: 2345-4202
DOI: 10.34172/npj.2023.10571
Popis: Introduction: Steroid dependent nephrotic syndrome (SDNS) is a difficult and troublesome presentation of idiopathic nephrotic syndrome (INS) in children, with complicated management and increased morbidity. Objectives: The aim of this study was to identify the predictive clinical and laboratory characteristics of patients with SDNS, for parents counseling, appropriate management and improving outcome. Patients and Methods: A total of 374 children with steroid sensitive INS were evaluated in two groups as steroid dependent (group 1=199) and non-steroid dependent (group 2= 175) INS. SDNS was defined as ≥2 relapses during steroid reducing treatment or 15 days after discontinuation of corticosteroids. Results: Mean age at presentation was significantly lower in children with SDNS than those without steroid dependency (P=0.022). Diagnostic age less than two years (P=0.016), total relapses (P
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