Document Detail


Successful use of single-dose rituximab for the maintenance of remission in a patient with steroid-resistant nephrotic syndrome.
MedLine Citation:
PMID:  19881243     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We present the case of a 23-year-old man with steroid-resistant nephrotic syndrome due to minimal change disease who was treated with rituximab. The patient was resistant to conventional therapy. We therefore treated him with a single dose of rituximab (375 mg/m(2)). One month after the administration of rituximab, complete remission was achieved. However, six months later, the patient was administered a second dose of rituximab as the peripheral B cell counts began to recover. Thereafter, at present, that is, one year after the first rituximab administration, complete remission has been maintained. We conclude that rituximab may be an effective treatment agent for resistant nephrotic syndrome and the peripheral B cell count may be a useful marker in such patients for preventing disease relapse.
Authors:
Noritomo Kurosu; Hidekazu Sugiura; Chihiro Iwasaki; Yukari Asamiya; Chiari Kojima; Takahito Moriyama; Mitsuyo Itabashi; Misao Tsukada; Takashi Takei; Tetsuya Ogawa; Takumi Yoshida; Keiko Uchida; Ken Tsuchiya; Kosaku Nitta
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2009-11-02
Journal Detail:
Title:  Internal medicine (Tokyo, Japan)     Volume:  48     ISSN:  1349-7235     ISO Abbreviation:  Intern. Med.     Publication Date:  2009  
Date Detail:
Created Date:  2009-11-02     Completed Date:  2010-01-25     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9204241     Medline TA:  Intern Med     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  1901-4     Citation Subset:  IM    
Affiliation:
Department of Medicine, Kidney Center, Tokyo Women's Medical University, Tokyo, Japan.
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MeSH Terms
Descriptor/Qualifier:
Adult
Antibodies, Monoclonal / therapeutic use*
Dose-Response Relationship, Drug
Drug Resistance / physiology
Humans
Immunologic Factors / therapeutic use*
Male
Nephrotic Syndrome / drug therapy*,  immunology,  physiopathology
Remission Induction
Steroids / therapeutic use
Treatment Outcome
Chemical
Reg. No./Substance:
0/Antibodies, Monoclonal; 0/Immunologic Factors; 0/Steroids; 0/rituximab

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


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