The Beneficial Effect of Three-month Induction Therapy with High-dose Prednisone and Mycophenolate Mofetil Followed by Maintenance Therapy in Acute Non-crescentic Nephritis Associated with Immunoglobulin A Deposition Disease in Adults

Autor: Kamel El-Reshaid, Shaikha Al-Bader, John Madda
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Saudi Journal of Kidney Diseases and Transplantation, Vol 34, Iss 2, Pp 161-166 (2023)
Druh dokumentu: article
ISSN: 1319-2442
2320-3838
DOI: 10.4103/1319-2442.391895
Popis: The data available on immunoglobulin A (IgA) deposition disease indicate an inherited predisposition to the disease with autoimmune triggering. Hence, we prospectively evaluated the role of a new autoimmune regimen in the treatment of severe nephrotic or nephritic flares associated with noncrescentic nephritis in adult patients. Thirty-six patients were included, and the regimen consisted of an initial 3-month induction phase of prednisone and mycophenolate mofetil (MMF), followed by a maintenance phase of MMF alone for 21 months. Complete remission (CR) (normalization of creatinine clearance [CrCl] and a decrease in protein output to
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