Apheresis in Adult With Refractory Idiopathic Nephrotic Syndrome on Native Kidneys

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TitreApheresis in Adult With Refractory Idiopathic Nephrotic Syndrome on Native Kidneys
Type de publicationJournal Article
Year of Publication2021
AuteursMoret L, Ganea A, Dao M, Hummel A, Knebelman B, Subra JFrancois, Noble J, Mariat C, Jourde-Chiche N, Toure F, Garrouste C, Laurent C, Adeline L, Delmas Y, Cez A, Fritz O, Mousson C, Pouteau LMarie, Moranne O, Halimi J-M, Audard V
JournalKIDNEY INTERNATIONAL REPORTS
Volume6
Pagination2134-2143
Date PublishedAUG
Type of ArticleArticle
ISSN2468-0249
Mots-clésapheresis, focal segmental glomerulosclerosis, minimal change nephrotic syndrome, nephrotic syndrome
Résumé

{Background: Apheresis is the gold standard for idiopathic nephrotic syndrome (INS) relapse after transplantation, but it remains unknown whether such treatment is useful for adults with refractory INS on native kidneys. Methods: This retrospective study included patients older than 16 years with biopsy-proven refractory (persistent nephrotic syndrome on corticosteroids plus at least 1 immunosuppressive drug) INS treated by apheresis and followed for at least 3 months. Results: Between September 1997 and January 2020, 21 patients (focal segmental glomerulosclerosis: 12, minimal change nephrotic syndrome: 9, men: 67%, median age: 34 years) were identified. At last follow-up (12 months), 7 of 21 patients were in complete or partial remission. Remission was associated with older age (51 vs. 30 years

DOI10.1016/j.ekir.2021.04.029