Abstract | OBJECTIVE: METHOD: Twenty-one children with steroid-resistant nephrotic syndrome enrolled from October 2008 to July 2010 into this retrospective longitudinal study received oral tacrolimus treatment, 0.1 to 0.15 mg/kg per day and once every 12 hours, and prednisone 0.2 to 0.75 mg/kg per day simultaneously. During the treatment, the plasma concentration of tacrolimus, urine volume, urine, serum creatinine and liver function were regularly monitored. RESULT: After 1 to 3 months treatment, 14 cases showed complete remission and 7 cases had partial remission. Sixteen patients received renal biopsy, of whom 6 revealed minimal change nephropathy with complete remission in 3 cases, 3 cases had partial remission;4 cases revealed focal segmental glomerulosclerosis with 2 complete remission and 2 partial remission; other 5 children with IgM nephropathy and 1 mesangial proliferative glomerulonephritis achieved complete remission. Within treatment period, 6 patients presented transient adverse reactions, without altering the principle treatment strategy, but only taking the symptomatic treatment. During follow-up, 1 case was lost to follow-up and the remaining 20 cases were followed up from 2 months to 21 months. In 4 patients the disease relapsed within 1st-year follow-up, while at 2nd-year follow-up, 4 cases had (6 times) recurrence. CONCLUSION:
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Authors | Sheng-hua Yao, Jian-hua Mao, Yong-hui Xia, Da-yan Wang, Yi-fang Chen, Cheng-qing Fang, Ai-min Liu, Li-zhong Du |
Journal | Zhonghua er ke za zhi = Chinese journal of pediatrics
(Zhonghua Er Ke Za Zhi)
Vol. 49
Issue 11
Pg. 825-8
(Nov 2011)
ISSN: 0578-1310 [Print] China |
PMID | 22336304
(Publication Type: English Abstract, Journal Article, Research Support, Non-U.S. Gov't)
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Chemical References |
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Topics |
- Adolescent
- Child
- Child, Preschool
- Drug Resistance
- Female
- Humans
- Infant
- Longitudinal Studies
- Male
- Nephrotic Syndrome
(drug therapy)
- Prednisone
(administration & dosage, therapeutic use)
- Retrospective Studies
- Tacrolimus
(administration & dosage, therapeutic use)
- Treatment Outcome
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