Case Discussion

Nephrotic Syndrome   Posted By Pratheep Arora    Date : 21-Mar-06   06:09 AM     Reply

I want to take an opinion of my collegues who is viewing this. I have a 60 yrs male with biopsy proven membranous nephropathy and diabetic nephropathy. he has resistant proteinuria of around 20 gram. Serum Cr, of around 5 mg/Dl. I have tried steroid and orla cytoxan in the past but patient could not tolerate it. Recently he has come down with community acquired pneumonia. I have him now on ARB and Ca channel blocker. What are your views on immunosupressive on this level of GFR. What do you think about MMf

Thanks Pratheep

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