Document Detail


Recurrent lymphomatoid papulosis associated with nephrotic syndrome. An occurrence of uncertain origin.
MedLine Citation:
PMID:  18026996     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We report on a 10-year-old child with nephrotic syndrome who developed recurrent lymphomatoid papulosis (LYP) 60 months after the first episode of proteinuria. LYP appeared when the child was taking low-dose cyclosporin and disappeared after the drug was replaced by prednisone at doses utilized for nephrotic syndrome (2 mg/kg). During the tapering of steroids, when the child was treated with low-dose prednisone (0.2 mg/kg), both LYP and nephrotic syndrome started again and required the reintroduction of prednisone to restore a normal clinical situation. This is the first case of LYP occurring in concomitance and synchronous with nephrotic syndrome. LYP was unrelated to cyclosporin (second episode after its withdrawn) but preceded the recurrence of proteinuria, suggesting a relationship with the disease activity. Even though the etiology of LYP is, in this case, uncertain, it should be considered as a clinical association of nephrotic syndrome in children and also included among potential triggers of the disease.
Authors:
Gian Marco Ghiggeri; Dario Bleid; Alberto Garaventa; Cristina Coccia; Claudio Gambini; Gianluca Caridi; Francesco Perfumo
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2007-11-20
Journal Detail:
Title:  Pediatric nephrology (Berlin, Germany)     Volume:  24     ISSN:  0931-041X     ISO Abbreviation:  Pediatr. Nephrol.     Publication Date:  2009 Jan 
Date Detail:
Created Date:  2009-02-04     Completed Date:  2009-04-16     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8708728     Medline TA:  Pediatr Nephrol     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  189-92     Citation Subset:  IM    
Affiliation:
Laboratory on Pathophysiology of Uremia, G. Gaslini Children Hospital, Largo G. Gaslini 5, 16148, Genova, Italy. labnefro@ospedale-gaslini.ge.it
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MeSH Terms
Descriptor/Qualifier:
Child
Cyclosporine / therapeutic use
Dose-Response Relationship, Drug
Glucocorticoids / therapeutic use
Humans
Immunosuppressive Agents / therapeutic use
Lymphomatoid Papulosis / complications,  pathology*
Male
Nephrotic Syndrome / complications,  drug therapy,  pathology*
Prednisone / therapeutic use
Proteinuria / drug therapy,  etiology,  pathology
Recurrence
Chemical
Reg. No./Substance:
0/Glucocorticoids; 0/Immunosuppressive Agents; 53-03-2/Prednisone; 59865-13-3/Cyclosporine

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


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