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Research ArticleOriginal Article
Open Access

Profile and primary treatment outcomes in membranous nephropathy

M.K. Hemanth Kumar, Jashan Sandhu and Jasvinder S. Sandhu
Saudi Medical Journal September 2022, 43 (9) 1051-1056; DOI: https://doi.org/10.15537/smj.2022.43.9.20220459
M.K. Hemanth Kumar
From the Department of Nephrology (Kumar, J. S. Sandhu); from the Department of Pathology (J. Sandhu), Dayanand Medical College and Hospital, from the Department of Pathology (J. Sandhu), Gian Sagar Medical College and Hospital, and from the Department of Nephrology (J. S. Sandhu), Satguru Partap Singh Hospital, Punjab, India.
MD, DM
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Jashan Sandhu
From the Department of Nephrology (Kumar, J. S. Sandhu); from the Department of Pathology (J. Sandhu), Dayanand Medical College and Hospital, from the Department of Pathology (J. Sandhu), Gian Sagar Medical College and Hospital, and from the Department of Nephrology (J. S. Sandhu), Satguru Partap Singh Hospital, Punjab, India.
MBBS, MD
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Jasvinder S. Sandhu
From the Department of Nephrology (Kumar, J. S. Sandhu); from the Department of Pathology (J. Sandhu), Dayanand Medical College and Hospital, from the Department of Pathology (J. Sandhu), Gian Sagar Medical College and Hospital, and from the Department of Nephrology (J. S. Sandhu), Satguru Partap Singh Hospital, Punjab, India.
MD, DM
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    Table 1

    - Baseline charcteristics (N=122).

    Clinical parametersn (%)
    Age, years (mean±SD)43±14.6
    Male76 (62.3)
    Female46 (37.7)
    Hypertension44 (36.0)
    Microscopic hematuria16 (13.0)
    Renal dysfunction17 (14.0)
    Serum creatinine, mg/dl (mean±SD)1.04±0.58
    Serum albumin, g/dl (mean±SD)2.4±0.4
    Proteinuria, g/24 hours (mean±SD)10.5±3.1
    Anti-PLA2R positive24/37 (64.8)
    Anti-PLA2R titre, RU/ml (mean±SD)166.9±244.25

    Values are presented as number and percentage (%), mean ± standard deviation (SD). PLA2R: phospholipase A2 receptor, mg/dl: milligrams per deciliter, g/dl: grams per deciliter, RU/ml: relative units per milliliter

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      Table 2

      - Primary treatment outcomes.

      Primary responsePrednisolone, cyclophosphamide (n=49)Modified Ponticelli (n=5)Prednisolone, tacrolimus (n=16)Rituximab (n=50)
      Males34 (69.4)3 (60.0)9 (56.3)28 (56.0)
      Females15 (30.6)2 (40.0)7 (43.7)22 (44.0)
      Complete remission28 (57.0)3 (60.0)13 (81.0)20 (40.0)
      Partial remission17 (34.7)2 (40.0)3 (19.0)18 (36.0)
      No response4 (8.0)0 (0.0)0 (0.0)12 (24.0)
      Relapse3 (6.0)0 (0.0)2 (13.0)1 (2.0)

      Values are presented as number and percentage (%).

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      Saudi Medical Journal: 43 (9)
      Saudi Medical Journal
      Vol. 43, Issue 9
      1 Sep 2022
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      Profile and primary treatment outcomes in membranous nephropathy
      M.K. Hemanth Kumar, Jashan Sandhu, Jasvinder S. Sandhu
      Saudi Medical Journal Sep 2022, 43 (9) 1051-1056; DOI: 10.15537/smj.2022.43.9.20220459

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      Profile and primary treatment outcomes in membranous nephropathy
      M.K. Hemanth Kumar, Jashan Sandhu, Jasvinder S. Sandhu
      Saudi Medical Journal Sep 2022, 43 (9) 1051-1056; DOI: 10.15537/smj.2022.43.9.20220459
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      Keywords

      • idiopathic membranous nephropathy
      • nephrotic syndrome
      • cyclophosphamide
      • tacrolimus
      • rituximab

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