Varwani Mohamed Hasham, Sokwala Ahmed
Department of Medicine, The Aga Khan University Hospital, Nairobi, Kenya.
Saudi J Kidney Dis Transpl. 2017 Sep-Oct;28(5):1175-1179. doi: 10.4103/1319-2442.215133.
Various immunomodulating agents have been tried for the treatment of steroid-resistant focal segmental glomerulosclerosis (FSGS) in the native kidney. A few case series and small studies have reported mixed results with the use of Rituximab for this indication. We report on the case of a 76-year-old male with steroid-resistant FSGS successfully treated with rituximab and remained in remission at the end of six months. A review of the literature highlights the paucity of data on this subject. We conclude that rituximab is a potentially useful treatment for steroid resistant FSGS and larger controlled studies are needed to further define its role in this setting.
多种免疫调节药物已被尝试用于治疗原发性肾脏中对类固醇耐药的局灶节段性肾小球硬化症(FSGS)。一些病例系列和小型研究报告了使用利妥昔单抗治疗该适应症的结果不一。我们报告了一例76岁男性对类固醇耐药的FSGS患者,成功接受利妥昔单抗治疗,在六个月结束时仍处于缓解状态。文献综述突出了关于该主题的数据匮乏。我们得出结论,利妥昔单抗对于对类固醇耐药的FSGS是一种潜在有用的治疗方法,需要更大规模的对照研究来进一步明确其在这种情况下的作用。