Document Detail


Autoimmune thyroiditis in a child with steroid-dependent nephrotic syndrome.
MedLine Citation:
PMID:  18461358     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Autoimmune thyroiditis is rarely described in association with nephrotic syndrome. Herein we report a girl who developed autoimmune thyroiditis insidiously during the course of minimal change nephrotic syndrome. She was steroid-sensitive, but developed severe steroid dependency and did not respond to cyclophosphamide therapy. She went into stable remission with levamisole. Five months after introduction of levamisole a mild goiter was found on systematic examination at school. The diagnosis of autoimmune thyroiditis was established with typical ultrasound appearance of the thyroid gland along with significant titers of antithyroid antibodies. It is very unlikely that levamisole was responsible for thyroiditis because experimental animal administration of high doses of levamisole inhibited lymphocyte infiltration of the thyroid. Since levamisole has had a beneficial effect on the nephrotic syndrome in our patient we decided to continue the treatment. She has been receiving levamisole for 3 years, and no adverse effects have been observed during the treatment period.
Authors:
Velibor Tasic; Meri Angjeleska; Nadica Ristoska-Bojkovska; Gordana Petrusevska; Zoran Gucev
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2008-05-07
Journal Detail:
Title:  European journal of pediatrics     Volume:  168     ISSN:  1432-1076     ISO Abbreviation:  Eur. J. Pediatr.     Publication Date:  2009 Feb 
Date Detail:
Created Date:  2008-12-19     Completed Date:  2009-03-11     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7603873     Medline TA:  Eur J Pediatr     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  229-31     Citation Subset:  IM    
Affiliation:
Department of Pediatric Nephrology, University Children's Hospital, 17 Vodnjanska, 1000 Skopje, Macedonia. vtasic@freemail.com.mk
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MeSH Terms
Descriptor/Qualifier:
Adjuvants, Immunologic / therapeutic use*
Autoantibodies / blood
Child
Child, Preschool
Dose-Response Relationship, Drug
Drug Administration Schedule
Drug Therapy, Combination
Female
Follow-Up Studies
Humans
Immunosuppressive Agents / adverse effects,  therapeutic use*
Levamisole / therapeutic use*
Nephrosis, Lipoid / complications*,  diagnosis,  drug therapy*
Prednisone / adverse effects,  therapeutic use*
Recurrence
Thyroid Gland / immunology
Thyroiditis, Autoimmune / complications*,  diagnosis
Chemical
Reg. No./Substance:
0/Adjuvants, Immunologic; 0/Autoantibodies; 0/Immunosuppressive Agents; 14769-73-4/Levamisole; 53-03-2/Prednisone

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