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Intern Med ; 54(17): 2213-7, 2015.
Article in English | MEDLINE | ID: mdl-26328649

ABSTRACT

We report a case involving a 43-year-old Japanese woman with steroid-resistant focal segmental glomerular sclerosis (FSGS) and severe renal dysfunction, which was ameliorated by low-density lipoprotein apheresis (LDL-A). She had been treated with steroid therapy, but had experienced anuria for over 10 weeks and required hemodialysis. She was then treated with LDL-A, which resulted in improved urinary protein excretion and renal function. Her renal function recovered after 97 days of hemodialysis therapy. This case suggests that LDL-A may represent an effective rescue treatment in patients with FSGS and long-term anuria.


Subject(s)
Anuria/etiology , Glomerulosclerosis, Focal Segmental/therapy , Lipoproteins, LDL/blood , Nephrotic Syndrome/therapy , Plasmapheresis , Renal Dialysis , Adrenal Cortex Hormones/administration & dosage , Adult , Drug Resistance , Female , Glomerulosclerosis, Focal Segmental/blood , Glomerulosclerosis, Focal Segmental/complications , Humans , Kidney/metabolism , Kidney/pathology , Nephrotic Syndrome/blood , Nephrotic Syndrome/etiology , Treatment Outcome
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