Clinical analysis of low-dos erituximab in the treatment of refractory idiopathic membranous nephropathy

Objective To explore the efficacy and safety of low-dose rituximab(RTX)for refractory idiopathic membranous nephropathy(IMN).Methods From January 2017 to December 2018,32 cases of refractory IMN with positive anti-PLA2 R antibody were collected.They received low-dose RTX treatment and were followed...

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Main Authors: Yuan Zhong-fei, Liu Xian-yan, He Jian
Format: Article
Language:zho
Published: Editorial Department of Journal of Clinical Nephrology 2021-01-01
Series:Linchuang shenzangbing zazhi
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Online Access:http://www.lcszb.com/thesisDetails?columnId=57905525&Fpath=home&index=0
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author Yuan Zhong-fei
Liu Xian-yan
He Jian
author_facet Yuan Zhong-fei
Liu Xian-yan
He Jian
author_sort Yuan Zhong-fei
collection DOAJ
description Objective To explore the efficacy and safety of low-dose rituximab(RTX)for refractory idiopathic membranous nephropathy(IMN).Methods From January 2017 to December 2018,32 cases of refractory IMN with positive anti-PLA2 R antibody were collected.They received low-dose RTX treatment and were followed up for 1 year.Results The overall effective rate of low-dose RTX treatment for refractory IMN was 87.50% with a complete remission rate of 62.50% and a partial remission rate of 25.00%.After low-dose RTX treatment, CD19+B cell count, serum levels of total IgG and anti-PLA2 R antibody declined markedly(P<0.05)and disease severity was closely correlated with anti-PLA2 R antibody level.Adverse reactions of low-dose RTX treatment included agranulocytosis(n=2),hypotension during infusion(n=2)and pulmonary infection(n=1).Conclusion Low-dose rituximab is both effective and safe for refractory IMN.
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spelling doaj-art-0e5529a6872d4d0aa213a3bec4415eeb2025-08-20T02:28:47ZzhoEditorial Department of Journal of Clinical NephrologyLinchuang shenzangbing zazhi1671-23902021-01-0121521957905525Clinical analysis of low-dos erituximab in the treatment of refractory idiopathic membranous nephropathyYuan Zhong-feiLiu Xian-yanHe JianObjective To explore the efficacy and safety of low-dose rituximab(RTX)for refractory idiopathic membranous nephropathy(IMN).Methods From January 2017 to December 2018,32 cases of refractory IMN with positive anti-PLA2 R antibody were collected.They received low-dose RTX treatment and were followed up for 1 year.Results The overall effective rate of low-dose RTX treatment for refractory IMN was 87.50% with a complete remission rate of 62.50% and a partial remission rate of 25.00%.After low-dose RTX treatment, CD19+B cell count, serum levels of total IgG and anti-PLA2 R antibody declined markedly(P<0.05)and disease severity was closely correlated with anti-PLA2 R antibody level.Adverse reactions of low-dose RTX treatment included agranulocytosis(n=2),hypotension during infusion(n=2)and pulmonary infection(n=1).Conclusion Low-dose rituximab is both effective and safe for refractory IMN.http://www.lcszb.com/thesisDetails?columnId=57905525&Fpath=home&index=0RituximabIdiopathic membranous nephropathyEfficacySafety
spellingShingle Yuan Zhong-fei
Liu Xian-yan
He Jian
Clinical analysis of low-dos erituximab in the treatment of refractory idiopathic membranous nephropathy
Linchuang shenzangbing zazhi
Rituximab
Idiopathic membranous nephropathy
Efficacy
Safety
title Clinical analysis of low-dos erituximab in the treatment of refractory idiopathic membranous nephropathy
title_full Clinical analysis of low-dos erituximab in the treatment of refractory idiopathic membranous nephropathy
title_fullStr Clinical analysis of low-dos erituximab in the treatment of refractory idiopathic membranous nephropathy
title_full_unstemmed Clinical analysis of low-dos erituximab in the treatment of refractory idiopathic membranous nephropathy
title_short Clinical analysis of low-dos erituximab in the treatment of refractory idiopathic membranous nephropathy
title_sort clinical analysis of low dos erituximab in the treatment of refractory idiopathic membranous nephropathy
topic Rituximab
Idiopathic membranous nephropathy
Efficacy
Safety
url http://www.lcszb.com/thesisDetails?columnId=57905525&Fpath=home&index=0
work_keys_str_mv AT yuanzhongfei clinicalanalysisoflowdoserituximabinthetreatmentofrefractoryidiopathicmembranousnephropathy
AT liuxianyan clinicalanalysisoflowdoserituximabinthetreatmentofrefractoryidiopathicmembranousnephropathy
AT hejian clinicalanalysisoflowdoserituximabinthetreatmentofrefractoryidiopathicmembranousnephropathy