التفاصيل البيبلوغرافية
العنوان: |
Glomerulonephritis - 1 |
المؤلفون: |
Pillebout, Evangeline, Alberti, Corinne, Guillevin, Loic, Thervet, Eric, CESAR Study Group, Schiffer, Lena, Kumpers, Philipp, Becker, Jan, Misslitz, Ana, Haubitz, Marion, Haller, Hermann, Witte, Torsten, Schiffer, Mario, Requiao-Moura, Lucio, Soares, Maria Fernanda, Carvalho, Priscila, Mastroianni-Kirsztajn, Gianna, Teixeira, Vicente, Bang, Kitae, Lee, Young Sook, Kim, Min-Ok, Kang, Ju Hyung, Chin, Ho Jun, Joo, Kwon Wook, Kim, Yonsu, Chae, DongWan, Jo, Jong Tae, Lee, Kang Wook, Han, Jin Suk, Kim, Suhnggwon, Ahn, Curie, Oh, Kook-hwan, Liao, Chia-Te, Lin, Wei-Chou, Huang, Kuan-Yu, Wu, Kwan-Dun, Tsai, Tun-Jun, Vuong, Mai, Lundberg, Sigrid, Gunnarsson, Iva, Wramner, Lars, Seddighzadeh, Maria, Hahn-Zoric, Mirjana, Fernstrom, Anders, Hanson, Lars, Do, Lieu, Jacobson, Stefan, Padyukov, Leonid, Cha, Ran-hyi, Kim, Yong Chul, Lee, Tae Woo, Na, Ki Young, Chae, Dong-Wan, The PREMIER Study Group, Lim, Chun Soo, Kim, Sun Moon, Oh, Yun Kyu, Kim, Yon Su, Hussain, Naser, Al-Hilali, Nabieh, Knoll, Greg, Biyani, Mohan, Akbari, Ayub, Saito, Takao, Watanabe, Maho, Ogahara, Satoru, Shuto, Hideki, Kataoka, Yasufumi, Kuroki, Aki, Matsumoto, Kei, Makino, Mutsuki, Hirai, Yuki, Akizawa, Tadao, Ahn, Jeong Myung, Hwang, Jin Ho, Han, Seung Seok, Fenoglio, Roberta, Gravellone, Luciana, Lazzarich, Elisa, Airoldi, Andrea, Quaglia, Marco, Rossi, Davide, Cena, Tiziana, Gaidano, Gianluca, Magnani, Corrado, Stratta, Piero, Grcevska, Ladislava, Dzikova, Sonja, Petrusevska, Gordana, Ristevska, Vesna, Popovska, Maja, Nikolov, Vladimir, Berkeliyeva, Maya, Stancu, S., Mandache, E., Rauta, M., Barsan, L., Mircescu, G., Rabbani, Malik Anas, Habib, Haseeb Bin, Islam, Mohammad, Ahmad, Bushra, Tahir, Shumaila, Tahir, Syeda Anjala, Siliano, Priscila Reina, Rocha, Lillian Andrade, Medina-Pestana, José, Heilberg, Ita Pfeferman, Anuradha, R., Nagarik, Amit, Swarnalatha, G., Adikey, Gopalkishan, Suszek, Dorota, Wielosz, Ewa, Majdan, Maria, Vachvanichsanong, Prayong, Dissaneewate, Pornsak, McNei, Edward, Hu, Wei-Xin, Sun, Hai-Ou, Chen, Hui-Ping, Xie, Hong-Lang, Zhang, Hai-Tao, Liu, Zhi-Hong, Li, Lei-Shi, Hu, Weixin, Wang, Jing, Zheng, Chun-Xia, Lu, Yi-Zhou, Chen, Zhao-Hong, Pankhurst, Tanya, Howie, Alexander, Adu, Dwomoa, Ihm, C., Hwang, S., Choi, S., Jeong, K., Moon, J., Lee, S., Lee, T., Gallelli, Beniamina, Burdick, Larry, Quaglini, Silvana, Banfi, Giovanni, Novembrino, Cristina, Bamonti, Fabrizia, Messa, Piergiorgio, Moroni, Gabriella, Yamada, Kazunori, Kawano, Mitsuhiro, Inoue, Ryo, Fujii, Hiroshi, Ito, Kiyoaki, Hamano, Ryoko, Koni, Ichiro, Yamagishi, Masakazu, Franco, Renata, Valle, Carla, Cardoso, Antonio, Hung, Peir-Haur, Shen, Cheng-Huang, Chiu, Yen-Ling, Jong, Ing-Ching, Chiang, Pei-Chun, Lin, Chang-Te, Hung, Kuan-Yu, Laurino, Simona, Chaudhry, Afzal, Booth, Anthony, Jayne, David, Rout, Shashi Bhusan, Zwiech, Rafal, Kacprzyk, Feliks, Lv, Jicheng, Qin, Shaohua, Li, Yuehong, Zhang, Hong, Liu, Lijun, Shi, Sufang, Wang, Haiyan, Mathur, Rajendra, Bhargava, Vinant, Konnur, Abhijit, Patel, Archit, Mukhopadhyay, Banibrata, Hegde, Umapati, Gohel, Kalpesh, Gang, Sishir, Rajapurkar, Mohan, Allen, Veronica, Assounga, Alain, Monova, Daniela, Monov, Simeon, Ueda, Hideki, Ishimura, Eiji, Kobayashi, Ikue, Tsuda, Akihiro, Shima, Hideaki, Shidara, Kaori, Mori, Katsuhito, Inaba, Masaaki, Nishizawa, Yoshiki, Unver, Suat, Ipcioglu, Osman, Kinalp, Can, Ozcan, Omer, Atasoyu, Enes, Evrenkaya, Rifki, Imai, Hirokazu, Suga, Norihiro, Miura, Naoto, Ibrahim, Salwa, Fayed, Ahmed, Fadda, Sawsen, Belal, Dawlet, Xie, Yuansheng, Lie, Caihua, Wu, Jie, Wang, Yong, Chen, Pu, Wang, Jianzhong, Chen, Xiangmei, Prasad, Narayan, Agarwal, Vikas, Jafar, Tabrej, Sharma, Raj Kumar, Gupta, Amit, Agarwal, Suraksha, El-Refaey, Ahmed, Sarhan, Amr, Bakr, Ashraf, Hammad, Ayman, Ragab, Mohamed, El-Hoseeny, Fatema, Abd-Elrahman, Ashraf, Ristovska, Vesna, Zhang, Jiong, Zeng, Cai-Hong, Li, Shi-Jun, Zhang, Wen |
بيانات النشر: |
Oxford University Press |
سنة النشر: |
2010 |
المجموعة: |
HighWire Press (Stanford University) |
مصطلحات موضوعية: |
Saturday |
الوصف: |
INTRODUCTION AND AIMS: Even though HSP in adult patients is usually associated with a good prognosis, some patients may present severe visceral involvements. To date, there is no comparative evaluation of treatment in such patients.The aim of this study was to compare the risk/benefit ratio of steroid (STE) alone or associated with cyclophosphamide (CYC) in severe HSP. METHODS: This multicenter, prospective, randomized open-label trial included 54 adult patients with biopsy proven HSP and severe visceral manifestation including endocapillary and/or extracapillary proliferative glomerulonephritis (class 3 or 4).Patients were assigned to receive either STE alone (group STE, n = 29) or associated with CYC (group CYC, n = 25).The primary end point was the complete remission of the disease at 6 month (M6). Secondary endpoints included patient and renal survival, the presence of renal abnormalities. Safety was assessed at M6 and M12. RESULTS: No significant difference was shown between the 2 groups. Only 3 patients in each group displayed active skin lesions at M12 and none demonstrated active visceral involvements. At M12, patient survival was 79 % in group STE vs. 96% in group CYC. Renal function, proteinuria and hematuria were not different between the 2 groups. Of note, in group STE and CYC, renal function remained stable during the follow-up and patients experienced a significant decrease of daily proteinuria between inclusion and M12 (3.2±1.1 and 0.3±0.2 g/24h vs. 3.6±1.2 and 0.6±0.1g/day respectively). The incidence of hematuria decreased also in both groups during the follow-up (STE 89 to 36% vs. CYC 96 to 50% respectively). Safety data, including diabetes mellitus and severe infection, was also similar between the 2 groups. CONCLUSIONS: We report here the first largest study of prospective therapeutic intervention for severe HSP in adults. Even though the number of patients does not allow definite conclusion, our results suggest that Cyclophosphamide plus Steroids treatment provides no additional benefit ... |
نوع الوثيقة: |
text |
وصف الملف: |
text/html |
اللغة: |
English |
Relation: |
http://ckj.oxfordjournals.org/cgi/content/short/2/suppl_2/ii1029; http://dx.doi.org/10.1093/ndtplus/2.s2.8 |
DOI: |
10.1093/ndtplus/2.s2.8 |
الاتاحة: |
http://ckj.oxfordjournals.org/cgi/content/short/2/suppl_2/ii1029 https://doi.org/10.1093/ndtplus/2.s2.8 |
Rights: |
Copyright (C) 2010, European Renal Association - European Dialysis and Transplant Assoc |
رقم الانضمام: |
edsbas.6A35CB57 |
قاعدة البيانات: |
BASE |