Programmed immunoadsorption with regeneration of adsoption columns in the treatment of lupus nephritis

Programmed immunoadsorption (IA) with regeneration of adsoption columns is a promising and safe technique to treat lupus nephritis (LN) in case of ineffective immunosuppressive therapy and its severe adverse reactions. This technique makes it possible to control disease activity, to maintain kidney...

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Main Authors: A. A. Sokolov, A. S. Manuilov, S. N. Bardakov, V. V. Tishko, A. N. Belskikh, O. Yu. Strelnikova, T. V. Bulgakova
Format: Article
Language:Russian
Published: IMA-PRESS LLC 2020-09-01
Series:Современная ревматология
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Online Access:https://mrj.ima-press.net/mrj/article/view/1055
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author A. A. Sokolov
A. S. Manuilov
S. N. Bardakov
V. V. Tishko
A. N. Belskikh
O. Yu. Strelnikova
T. V. Bulgakova
author_facet A. A. Sokolov
A. S. Manuilov
S. N. Bardakov
V. V. Tishko
A. N. Belskikh
O. Yu. Strelnikova
T. V. Bulgakova
author_sort A. A. Sokolov
collection DOAJ
description Programmed immunoadsorption (IA) with regeneration of adsoption columns is a promising and safe technique to treat lupus nephritis (LN) in case of ineffective immunosuppressive therapy and its severe adverse reactions. This technique makes it possible to control disease activity, to maintain kidney function, and to ensure a normal quality of life. Due to the reusability of IA columns, it is possible to remove any required amount of IgG and to reduce the cost of an extracorporeal procedure.The paper describes a clinical case of 3-year prolonged IA in a female patient with systemic lupus erythematosus (SLE) and LN with the insufficient efficacy of drug therapy and related complications. Seventy IA sessions were performed during a follow-up period. Combined treatment with glucocorticoids, cytotoxic drugs, and IA resulted in improved clinical and laboratory parameters, lower SLE activity according to SELENA-SLEDAI scores, and better quality of life according to the SF-36 scale. No adverse reactions were recorded during IA sessions.
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institution Kabale University
issn 1996-7012
2310-158X
language Russian
publishDate 2020-09-01
publisher IMA-PRESS LLC
record_format Article
series Современная ревматология
spelling doaj-art-bf50481231344f4ea4fee61daf84fbe42025-08-20T03:59:54ZrusIMA-PRESS LLCСовременная ревматология1996-70122310-158X2020-09-0114311111610.14412/1996-7012-2020-3-111-1162288Programmed immunoadsorption with regeneration of adsoption columns in the treatment of lupus nephritisA. A. Sokolov0A. S. Manuilov1S. N. Bardakov2V. V. Tishko3A. N. Belskikh4O. Yu. Strelnikova5T. V. Bulgakova6S.M. Kirov Medical Military Academy, Ministry of Defense of RussiaS.M. Kirov Medical Military Academy, Ministry of Defense of RussiaS.M. Kirov Medical Military Academy, Ministry of Defense of RussiaS.M. Kirov Medical Military Academy, Ministry of Defense of RussiaS.M. Kirov Medical Military Academy, Ministry of Defense of RussiaS.M. Kirov Medical Military Academy, Ministry of Defense of RussiaOOO «INVITRO SPb»Programmed immunoadsorption (IA) with regeneration of adsoption columns is a promising and safe technique to treat lupus nephritis (LN) in case of ineffective immunosuppressive therapy and its severe adverse reactions. This technique makes it possible to control disease activity, to maintain kidney function, and to ensure a normal quality of life. Due to the reusability of IA columns, it is possible to remove any required amount of IgG and to reduce the cost of an extracorporeal procedure.The paper describes a clinical case of 3-year prolonged IA in a female patient with systemic lupus erythematosus (SLE) and LN with the insufficient efficacy of drug therapy and related complications. Seventy IA sessions were performed during a follow-up period. Combined treatment with glucocorticoids, cytotoxic drugs, and IA resulted in improved clinical and laboratory parameters, lower SLE activity according to SELENA-SLEDAI scores, and better quality of life according to the SF-36 scale. No adverse reactions were recorded during IA sessions.https://mrj.ima-press.net/mrj/article/view/1055lupus nephritissystemic lupus erythematosusplasmapheresisimmunoadsorption
spellingShingle A. A. Sokolov
A. S. Manuilov
S. N. Bardakov
V. V. Tishko
A. N. Belskikh
O. Yu. Strelnikova
T. V. Bulgakova
Programmed immunoadsorption with regeneration of adsoption columns in the treatment of lupus nephritis
Современная ревматология
lupus nephritis
systemic lupus erythematosus
plasmapheresis
immunoadsorption
title Programmed immunoadsorption with regeneration of adsoption columns in the treatment of lupus nephritis
title_full Programmed immunoadsorption with regeneration of adsoption columns in the treatment of lupus nephritis
title_fullStr Programmed immunoadsorption with regeneration of adsoption columns in the treatment of lupus nephritis
title_full_unstemmed Programmed immunoadsorption with regeneration of adsoption columns in the treatment of lupus nephritis
title_short Programmed immunoadsorption with regeneration of adsoption columns in the treatment of lupus nephritis
title_sort programmed immunoadsorption with regeneration of adsoption columns in the treatment of lupus nephritis
topic lupus nephritis
systemic lupus erythematosus
plasmapheresis
immunoadsorption
url https://mrj.ima-press.net/mrj/article/view/1055
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