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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...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
PAGEPress Publications, Pavia, Italy
2018
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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. |
format | Online Article Text |
id | pubmed-5806499 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | PAGEPress Publications, Pavia, Italy |
record_format | MEDLINE/PubMed |
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 |
work_keys_str_mv | AT koratalaabhilash nephroticsyndromeinveryelderlyshouldwetreataggressively AT tantravahijogiraju nephroticsyndromeinveryelderlyshouldwetreataggressively |