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. 2014 Mar 29;29(12):2309–2317. doi: 10.1007/s00467-014-2781-z

Table 2.

Treatment and outcome of the last six Finnish CNS patients with recurrence of proteinuria and nephrotic syndrome after RTx

Patient Mutation dgn RTx, age Re-nephrosis
(no)
Time after RTx (mo) Therapy Outcome
(+ time since last remission in bold)

1

UTI, polyoma, rejections

Fin-major homozygote at birth 1y 7mo 1) 51 MP, Cyclo, PE

Remission

7y 7mo

2 Fin-major homozygote at birth 2y 4mo

1)

2)

3)

4)

5)

6)

4, 5

12

23

26

31

40

MP, Cyclo, PE

MP, Cyclo, PE

MP, Cyclo, PE

MP, Cyclo, PE, ACE

MP, Cyclo, PE, ACE

MP, Rituxi x4, ACE

Remission

Remission

6y

3 Fin-major homozygote at birth 1y 1mo

1)

2)

40

42

MP, Cyclo, PE

ACE

MP, Rituxi x4

ACE

Remission after 1mo

Remission

5y 6mo

4 Fin-major homozygote at birth 2y 10mo

1)

2)

4

5

20

MP, PE, Rituxi x4

Cyclo

MP, PE, Bortetsomibi x4

Rituxi x1

Remission after 12mo

still γ-glob. infusions

Remission 3y 7mo

5

H1N1

Fin-major homozygote at birth 1y 4mo

1)

2)

32

60

MP, Cyclo, PE

+Rituxi x2

+ACE

+Bortetsomibi x4

+Rituxi x1

MP, Rituxi x4

ACE

U-prot:

1.5 g/l

Transplant

nephropathy, HD

6 Fin-major homozygote at birth 1y 8mo 1)

13

14

MP, Cyclo, PE

Rituxi x2

Remission after 11mo

Remission 4y 6mo

RTx renal transplantation, y year, mo month, MP methylprednisolone, Cyclo cyclophosphamide, PE plasma exchange, ACE angiotensin-converting enzyme inhibition, Rituxi Rituximab, CNS congenital nephrotic syndrome, UTI urinary tract infection