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Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Clin+Kidney+J 2013 ; 6 (5): 500-2 Nephropedia Template TP
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Successful treatment of adult-onset collapsing focal segmental glomerulosclerosis with rituximab #MMPMID26120443
Ramachandran R; Rajakumar V; Duseja R; Sakhuja V; Jha V
Clin Kidney J 2013[Oct]; 6 (5): 500-2 PMID26120443show ga
Collapsing focal segmental glomerulosclerosis (FSGS), or collapsing glomerulopathy (CG), responds poorly to commonly employed therapies, with a high proportion of patients progressing to end-stage renal disease. We report an adult in a nephrotic state, diagnosed with minimal-change disease on biopsy, who failed to respond to steroids, calcineurin inhibitors (CNIs), mycophenolate mofetil and cyclophosphamide. Repeat biopsy showed CG. Treatment with 4 weekly doses of rituximab led to sustained remission of his nephrotic state. This is the first report of adult-onset CG that has responded favourably to rituximab. Rituximab could be a treatment option for patients with this difficult-to-treat condition.