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Steroid response pattern in Indian children with nephrotic syndrome

Identifieur interne : 001A22 ( Istex/Corpus ); précédent : 001A21; suivant : 001A23

Steroid response pattern in Indian children with nephrotic syndrome

Auteurs : Sanjeev Gulati ; Vijay Kher ; Rk Sharma ; Amit Gupta

Source :

RBID : ISTEX:61F0732DDD36BE57EE4FC3515FB303EA0D851677

English descriptors

Abstract

Gulati S, Kher V, Sharma RK, Gupta A. Steroid response pattern in Indian children with nephrotic syndrome. Acta Pædiatr 1994;83:530–3. Stockholm. ISSN 08033–5253 The steroid response pattern to standard prednisolone therapy is of immense diagnostic, therapeutic and prognostic value for the treating physician in managing children with nephrotic syndrome. None of the studies from our country has analysed the clinical, biochemical and histopathological profile in different steroid response categories. To address this problem we conducted a study comprising 127 children with nephrotic syndrome referred to our Institute. They were treated with oral prednisolone according to the APN protocol. Based on the subsequent response these children were classified into different steroid response categories on follow‐up. Of the 116 children with follow‐up of more than six months, infrequent relapsers constituted the majority (37.9%). The frequency of other steroid response categories was as follows: frequent relapsers (21.6%), steroid‐dependent (18.1%), initial non‐responders (17.3%) and subsequent non‐responders (5.1%). The factors predicting a poor response to standard prednisolone therapy in our study were age of onset more than eight years, male sex, hypertension, microscopic haematuria and presence of non‐minimal change nephrotic syndrome lesions on histopathology

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DOI: 10.1111/j.1651-2227.1994.tb13074.x

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ISTEX:61F0732DDD36BE57EE4FC3515FB303EA0D851677

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<abstract lang="en">Gulati S, Kher V, Sharma RK, Gupta A. Steroid response pattern in Indian children with nephrotic syndrome. Acta Pædiatr 1994;83:530–3. Stockholm. ISSN 08033–5253 The steroid response pattern to standard prednisolone therapy is of immense diagnostic, therapeutic and prognostic value for the treating physician in managing children with nephrotic syndrome. None of the studies from our country has analysed the clinical, biochemical and histopathological profile in different steroid response categories. To address this problem we conducted a study comprising 127 children with nephrotic syndrome referred to our Institute. They were treated with oral prednisolone according to the APN protocol. Based on the subsequent response these children were classified into different steroid response categories on follow‐up. Of the 116 children with follow‐up of more than six months, infrequent relapsers constituted the majority (37.9%). The frequency of other steroid response categories was as follows: frequent relapsers (21.6%), steroid‐dependent (18.1%), initial non‐responders (17.3%) and subsequent non‐responders (5.1%). The factors predicting a poor response to standard prednisolone therapy in our study were age of onset more than eight years, male sex, hypertension, microscopic haematuria and presence of non‐minimal change nephrotic syndrome lesions on histopathology</abstract>
<subject lang="en">
<genre>Keywords</genre>
<topic>Children</topic>
<topic>nephrotic syndrome</topic>
<topic>steroid response patteern</topic>
</subject>
<relatedItem type="host">
<titleInfo>
<title>Acta Pædiatrica</title>
</titleInfo>
<genre type="Journal">journal</genre>
<identifier type="ISSN">0803-5253</identifier>
<identifier type="eISSN">1651-2227</identifier>
<identifier type="DOI">10.1111/(ISSN)1651-2227</identifier>
<identifier type="PublisherID">APA</identifier>
<part>
<date>1994</date>
<detail type="volume">
<caption>vol.</caption>
<number>83</number>
</detail>
<detail type="issue">
<caption>no.</caption>
<number>5</number>
</detail>
<extent unit="pages">
<start>530</start>
<end>533</end>
<total>4</total>
</extent>
</part>
</relatedItem>
<identifier type="istex">61F0732DDD36BE57EE4FC3515FB303EA0D851677</identifier>
<identifier type="DOI">10.1111/j.1651-2227.1994.tb13074.x</identifier>
<identifier type="ArticleID">APA530</identifier>
<recordInfo>
<recordContentSource>WILEY</recordContentSource>
<recordOrigin>Blackwell Publishing Ltd</recordOrigin>
</recordInfo>
</mods>
</metadata>
<serie></serie>
</istex>
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