VINCRISTINE IN STEROID-RESISTANT NEPHROTIC SYNDROME

被引:11
作者
ALMEIDA, MP
ALMEIDA, HA
ROSA, FC
机构
[1] Nephrology Unit, Department of Paediatrics, University of Lisbon
关键词
NEPHROTIC SYNDROME; FOCAL AND SEGMENTAL GLOMERULOSCLEROSIS; STEROID-RESISTANT; VINCRISTINE;
D O I
10.1007/BF00868273
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
The therapeutic response to vincristine was examined in seven children (aged 2-15 years) with corticosteroid-resistant (CR) nephrotic syndrome (NS) with focal and segmental glomerulosclerosis (FGS). Five were also resistant to cyclophosphamide. Vincristine was given weekly (1.5 mg/m(2) intravenously) for 8 weeks. Simultaneously, prednisone (60 mg/m(2) per day, orally) was given for 4 weeks and then gradually tapered. Two of these patients had a complete and stable remission; in five no benefit was observed. It was not possible to identify any characteristics to predict the response to vincristine. Although there is a case for trying vincristine therapy in CR NS with FGS, the results of this study are not encouraging and a better understanding of its action and indications is necessary.
引用
收藏
页码:79 / 80
页数:2
相关论文
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