Approach to Membranous Lupus Nephritis: A Survey of Pediatric Nephrologists and Pediatric Rheumatologists

被引：5

作者：

Boneparth, Alexis ^{[1
,12
]}

Radhakrishna, Suhas M. ^{[2
,13
]}

Greenbaum, Larry A. ^{[5
,14
]}

Yen, Eric ^{[3
]}

Okamura, Daryl M. ^{[6
,15
]}

Cooper, Jennifer C. ^{[4
]}

Mason, Sherene ^{[7
,16
]}

Levy, Deborah M. ^{[11
,17
]}

Sule, Sangeeta D. ^{[8
,18
]}

Jensen, Paul T. ^{[9
]}

Yildirim-Toruner, Cagri ^{[9
,19
]}

Ardoin, Stacy P. ^{[9
,20
]}

Wenderfer, Scott E. ^{[10
,21
]}

机构：

[1] Columbia Univ, Med Ctr, New York, NY USA

[2] Univ Calif San Diego, Rady Childrens Hosp, San Diego, CA 92103 USA

[3] Univ Calif Los Angeles, Los Angeles, CA USA

[4] Univ Calif San Francisco, San Francisco, CA 94143 USA

[5] Emory Univ, Childrens Healthcare Atlanta, Atlanta, GA 30322 USA

[6] Univ Washington, Seattle Childrens Hosp, Res Inst, Seattle, WA 98195 USA

[7] Univ Connecticut, Connecticut Childrens Hosp, Hartford, CT 06112 USA

[8] Johns Hopkins Univ, Baltimore, MD USA

[9] Ohio State Univ, Nationwide Childrens Hosp, Columbus, OH 43210 USA

[10] Texas Childrens Hosp, Baylor Coll Med, Houston, TX 77030 USA

[11] Univ Toronto, Hosp Sick Children, Toronto, ON, Canada

[12] Columbia Univ, Med Ctr, Pediat, New York, NY USA

[13] Univ Calif San Diego, Pediat, La Jolla, CA 92093 USA

[14] Emory Univ, Pediat, Atlanta, GA 30322 USA

[15] Univ Washington, Pediat, Seattle, WA 98195 USA

[16] Univ Connecticut, Pediat, Storrs, CT USA

[17] Univ Toronto, Pediat, Toronto, ON, Canada

[18] Johns Hopkins Univ, Pediat, Baltimore, MD USA

[19] Ohio State Univ, Pediat, Columbus, OH 43210 USA

[20] Ohio State Univ, Med & Pediat, Columbus, OH 43210 USA

[21] Texas Childrens Hosp, Baylor Coll Med, Pediat, Houston, TX 77030 USA

来源：

JOURNAL OF RHEUMATOLOGY | 2017年 / 44卷 / 11期

关键词：

LUPUS NEPHRITIS; PEDIATRIC SYSTEMIC LUPUS ERYTHEMATOSUS; PHYSICIAN PRACTICE PATTERNS; CHILDREN; MANAGEMENT; NEPHROPATHY; GUIDELINES; PREDNISONE; PROGNOSIS; OUTCOMES;

D O I：

10.3899/jrheum.170502

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Objective. To describe treatment practices for childhood pure membranous lupus nephritis (MLN). Methods. Survey study of Childhood Arthritis and Rheumatology Research Alliance and American Society of Pediatric Nephrology members. Results. There were 117 respondents who completed the survey (60 pediatric nephrologists, 57 pediatric rheumatologists). Steroids and nonsteroid immunosuppression (NSI) were routinely used by the majority for MLN. Mycophenolate mofetil was the favored initial NSI. Nephrologists used steroids (60% vs 93%) and NSI (53% vs 87%) less often than did rheumatologists for MLN without nephrotic syndrome (NS). Conclusion. Pediatric rheumatologists and nephrologists both recommend steroids and NSI for children with MLN, with or without NS.

引用

页码：1619 / 1623

页数：5

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