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Nephrotic syndrome in very elderly: Should we treat aggressively?

Chronic kidney disease and acute kidney injury are being increasingly recognized in very elderly patients, aged 80 or more. In cases of suspected glomerulonephritis with or without nephrotic syndrome, the clinical decision-making of whether to obtain a renal biopsy and treat with immunosuppressive t...

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Detalles Bibliográficos
Autores principales: Koratala, Abhilash, Tantravahi, Jogiraju
Formato: Online Artículo Texto
Lenguaje:English
Publicado: PAGEPress Publications, Pavia, Italy 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5806499/
https://www.ncbi.nlm.nih.gov/pubmed/29441190
http://dx.doi.org/10.4081/cp.2018.1046
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author Koratala, Abhilash
Tantravahi, Jogiraju
author_facet Koratala, Abhilash
Tantravahi, Jogiraju
author_sort Koratala, Abhilash
collection PubMed
description Chronic kidney disease and acute kidney injury are being increasingly recognized in very elderly patients, aged 80 or more. In cases of suspected glomerulonephritis with or without nephrotic syndrome, the clinical decision-making of whether to obtain a renal biopsy and treat with immunosuppressive therapy should not be based on advanced age alone but take into consideration the patient’s functional status and overall prognosis. Herein, we report a case of an elderly patient with minimal change disease who benefitted from a timely renal biopsy and aggressive immunosuppressive therapy.
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spelling pubmed-58064992018-02-13 Nephrotic syndrome in very elderly: Should we treat aggressively? Koratala, Abhilash Tantravahi, Jogiraju Clin Pract Case Report Chronic kidney disease and acute kidney injury are being increasingly recognized in very elderly patients, aged 80 or more. In cases of suspected glomerulonephritis with or without nephrotic syndrome, the clinical decision-making of whether to obtain a renal biopsy and treat with immunosuppressive therapy should not be based on advanced age alone but take into consideration the patient’s functional status and overall prognosis. Herein, we report a case of an elderly patient with minimal change disease who benefitted from a timely renal biopsy and aggressive immunosuppressive therapy. PAGEPress Publications, Pavia, Italy 2018-01-24 /pmc/articles/PMC5806499/ /pubmed/29441190 http://dx.doi.org/10.4081/cp.2018.1046 Text en ©Copyright A. Koratala and J. Tantravahi, 2018 http://creativecommons.org/licenses/by-nc/4.0/ This work is licensed under a Creative Commons Attribution NonCommercial 4.0 License (CC BY-NC 4.0).
spellingShingle Case Report
Koratala, Abhilash
Tantravahi, Jogiraju
Nephrotic syndrome in very elderly: Should we treat aggressively?
title Nephrotic syndrome in very elderly: Should we treat aggressively?
title_full Nephrotic syndrome in very elderly: Should we treat aggressively?
title_fullStr Nephrotic syndrome in very elderly: Should we treat aggressively?
title_full_unstemmed Nephrotic syndrome in very elderly: Should we treat aggressively?
title_short Nephrotic syndrome in very elderly: Should we treat aggressively?
title_sort nephrotic syndrome in very elderly: should we treat aggressively?
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5806499/
https://www.ncbi.nlm.nih.gov/pubmed/29441190
http://dx.doi.org/10.4081/cp.2018.1046
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