Question of the Week

Question :

Posted On : 25 Oct 2004

How to manage a patient with nephrotic syndrome with very frequent relapses?

Expert Answer :

No expert answer available.

Answer Discussion :

skywalky

A frequent relapser would be defined as a patient having a relapse of more than 2 times in 6 month or 4 times a year.patient should be reinduced with 60mg-m2 prednisolone until he attains remission,and then continued with 40mg-m2 EOD ,reducing the dose of prednisolone 25 Percent every 2-4 weeks and slowly tapering over 6 months.

20 years ago

Faisal Shafiq

first rule out organic causes such as SLE, HBV , drugs as addressing this will cure the condition. in case of idiopathic nephrotic syndrome this patient should undergo renal biopsy and the therapy is according to the histopathological diagnosis. this usually involves cyclosporin alongwith steroids

20 years ago

pediatriconcall

Read the article on "NEPHROTIC SYNDROME" on www.pediatriconcall.com or from the link given below:

http:www.pediatriconcall.com-fordoctor-diseasesandcondition-PEDIATRIC_NEPHROLOGY.asp

20 years ago

Nisha

Pulse therapy of Methylprednisone or CTX or cyclosporine chemotherapy

20 years ago

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