Document Detail


Focal segmental glomerulosclerosis complicating solitary kidney.
MedLine Citation:
PMID:  18688570     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 78-year old woman with complicating solitary kidney had nephrotic syndrome. Renal biopsy specimens showed focal segmental glomerulosclerosis (FSGS). First, the patient was treated with angiotensin receptor blocker (ARB) and angiotensin converting enzyme inhibitor (ACEI). Proteinuria decreased from 10 to 6 g/day, but overall the nephrotic syndrome did not improve. Additional treatment with prednisolone and cyclosporine reduced proteinuria to less than 1.0 g/day. We report that combination therapy with ARB, ACEI, prednisolone, and cyclosporine was successful for FSGS complicating solitary kidney.
Authors:
Yoshiyuki Oshiro; Sachio Umena; Masatoshi Noda
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2008-08-09
Journal Detail:
Title:  Clinical and experimental nephrology     Volume:  13     ISSN:  1342-1751     ISO Abbreviation:  Clin. Exp. Nephrol.     Publication Date:  2009 Feb 
Date Detail:
Created Date:  2009-02-02     Completed Date:  2009-03-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9709923     Medline TA:  Clin Exp Nephrol     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  81-4     Citation Subset:  IM    
Affiliation:
Department of Internal Medicine, Kawasaki Medical School Kawasaki Hospital, 2-1-80 Nakasange, Okayama, Japan. y.oshiro@kawasaki-hp.jp.
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MeSH Terms
Descriptor/Qualifier:
Aged
Angiotensin II Type 1 Receptor Blockers / therapeutic use
Angiotensin-Converting Enzyme Inhibitors / therapeutic use
Biopsy
Cyclosporine / therapeutic use
Drug Therapy, Combination
Female
Glomerulosclerosis, Focal Segmental / drug therapy,  etiology*,  pathology
Glucocorticoids / therapeutic use
Humans
Immunosuppressive Agents / therapeutic use
Kidney Glomerulus / pathology*
Nephrectomy / adverse effects*
Nephrotic Syndrome / drug therapy,  etiology*,  pathology
Prednisolone / therapeutic use
Proteinuria / etiology,  pathology
Treatment Outcome
Chemical
Reg. No./Substance:
0/Angiotensin II Type 1 Receptor Blockers; 0/Angiotensin-Converting Enzyme Inhibitors; 0/Glucocorticoids; 0/Immunosuppressive Agents; 50-24-8/Prednisolone; 59865-13-3/Cyclosporine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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