Multiple combined therapy for severe Henoch-Schonlein nephritis in children

Multiple combined therapy for severe Henoch-Schonlein nephritis in children
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DOI:
10.1007/s004670050447
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发表时间:
1998-04-01
影响因子:
3
通讯作者:
Yoshikawa, N
Yoshikawa, N
中科院分区:
医学3区
文献类型:
--
作者:
Iijima, K;Ito-Kariya, S;Yoshikawa, N

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从1980年至1992年,14例表现为严重肾小球改变(IV级或V级)的Henoch-Schonlein肾炎(HSN)患儿接受了泼尼松龙、环磷酰胺、肝素/华法林和潘生丁的多重联合治疗,并随访7.5 ± 0.9年。从肾炎发作到开始治疗的时间为0.8 ± 0.4年。10例患者在治疗后进行了随访活检。治疗后肾小球新月体/节段性病变的百分比显著降低(70% ± 5% vs. 42% ± 7%,P
From 1980 through 1992, 14 children with Henoch-Schonlein nephritis (HSN) showing severe glomerular changes (grade IV or V) were given a multiple combined therapy with prednisolone, cyclophosphamide, heparin/ warfarin, and dipyridamole, and were followed for 7.5 +/- 0.9 years. The period between the onset of nephritis and the start of therapy was 0.8 +/- 0.4 years. Ten patients underwent follow-up biopsy after therapy. The percentage of glomeruli having crescents/segmental lesions was significantly reduced after therapy (70% +/- 5% vs. 42% +/- 7%, P