Membranöse Glomerulonephritis
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Membranöse Glomerulonephritis : Differenziertere Therapien durch Autoantikörperbestimmung? / Stahl, R A; Hoxha, E; Helmchen, U.
in: DEUT MED WOCHENSCHR, Jahrgang 136, Nr. 34-35, 08.2011, S. 1733-7.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Membranöse Glomerulonephritis
T2 - Differenziertere Therapien durch Autoantikörperbestimmung?
AU - Stahl, R A
AU - Hoxha, E
AU - Helmchen, U
N1 - © Georg Thieme Verlag KG Stuttgart · New York.
PY - 2011/8
Y1 - 2011/8
N2 - Membranous nephropathy is the most common cause of nephrotic syndrome in adults. Binding of circulating autoantibodies to the glomerular filtration barrier leads to the development of this autoimmune disease. The clinical symptoms range from small proteinuria to severe nephrotic syndrome with enormous oedema, not controllable hyperlipidaemia and increased disposition for infection. One third of patients reach complete or partial remission of proteinuria under symptomatic treatment, which includes ACE-inhibitors and AT-I-blockers, loop diuretics and statins. Untreated the disease leads to loss of renal function over 5-10 years in 20-30% of patients. A risk score based on proteinuria and renal function is used to guide the decision when to start with an immunosuppressive therapy. A better adapted diagnostic and therapy of membranous nephropathy may be possible through measurement of circulating autoantibodies directed against a podocytic phospholipase-A(2) receptor.
AB - Membranous nephropathy is the most common cause of nephrotic syndrome in adults. Binding of circulating autoantibodies to the glomerular filtration barrier leads to the development of this autoimmune disease. The clinical symptoms range from small proteinuria to severe nephrotic syndrome with enormous oedema, not controllable hyperlipidaemia and increased disposition for infection. One third of patients reach complete or partial remission of proteinuria under symptomatic treatment, which includes ACE-inhibitors and AT-I-blockers, loop diuretics and statins. Untreated the disease leads to loss of renal function over 5-10 years in 20-30% of patients. A risk score based on proteinuria and renal function is used to guide the decision when to start with an immunosuppressive therapy. A better adapted diagnostic and therapy of membranous nephropathy may be possible through measurement of circulating autoantibodies directed against a podocytic phospholipase-A(2) receptor.
KW - Antibodies, Monoclonal, Murine-Derived
KW - Autoantibodies
KW - Biopsy
KW - Diagnosis, Differential
KW - Follow-Up Studies
KW - Glomerulonephritis, Membranous
KW - Humans
KW - Immunologic Factors
KW - Immunomodulation
KW - Immunosuppressive Agents
KW - Kidney Glomerulus
KW - Male
KW - Middle Aged
KW - Nephrotic Syndrome
KW - Prognosis
KW - Receptors, Phospholipase A2
KW - Rituximab
KW - Case Reports
KW - English Abstract
KW - Journal Article
KW - Review
U2 - 10.1055/s-0031-1286067
DO - 10.1055/s-0031-1286067
M3 - SCORING: Zeitschriftenaufsatz
C2 - 21877306
VL - 136
SP - 1733
EP - 1737
JO - DEUT MED WOCHENSCHR
JF - DEUT MED WOCHENSCHR
SN - 0012-0472
IS - 34-35
ER -