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2015 ; 8
(ä): 266
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A series of patients with minimal change nephropathy treated with rituximab
during adolescence and adulthood
#MMPMID26112053
Dekkers MJ
; Groothoff JW
; Zietse R
; Betjes MG
BMC Res Notes
2015[Jun]; 8
(ä): 266
PMID26112053
show ga
BACKGROUND: The treatment of immune suppression dependent minimal change
nephropathy (MCN) can be challenging and frequently leads to serious
complications. In paediatric patients, successful treatment with rituximab is
described in steroid-dependent MCN. There is limited information about the
potential efficacy of rituximab for the treatment of MCN in adults and
adolescence. We describe our experience with rituximab in adolescent and adult
patients with immune suppression dependent MCN. RESULTS: Ten adolescents and
adults with immune suppression dependent MCN and therapy related complications
were treated with rituximab. At a mean age of 26 years, about 10.5 years after
first presentation, they received two doses of rituximab (375 mg/m(2)).
Maintenance immunosuppressive medication was stopped. After a mean follow-up of
43 months, three patients had four relapses. Three relapses were successfully
retreated with rituximab again, after induction therapy with 60 mg prednisone per
day. Rituximab was well tolerated and no infectious complications were recorded.
CONCLUSION: Treatment with rituximab induces a long-term remission of immune
suppression dependent MCN in adolescents and adults. A timely treatment with
rituximab could be considered to limit side effects of immunosuppressive
medication.