Rituximab is an effective treatment for lupus nephritis and allows a reduction in maintenance steroids
Author(s) -
Ruth J. Pepper,
Megan Griffith,
Cliona C. Kirwan,
Jeremy Levy,
David Taube,
Charles D. Pusey,
Liz Lightstone,
Thomas Cairns
Publication year - 2009
Publication title -
nephrology dialysis transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.654
H-Index - 168
eISSN - 1460-2385
pISSN - 0931-0509
DOI - 10.1093/ndt/gfp336
Subject(s) - medicine , rituximab , lupus nephritis , maintenance therapy , proteinuria , gastroenterology , cyclophosphamide , prednisolone , immunosuppression , systemic lupus erythematosus , nephritis , prednisone , surgery , urology , chemotherapy , kidney , disease , lymphoma
Lupus nephritis is a life-threatening complication of SLE. Treatment regimes include steroids and cyclophosphamide, both associated with significant morbidity. Newer regimes include mycophenolate mofetil (MMF). We report our outcomes in a prospectively monitored cohort of patients receiving our new standard treatment protocol, comprising rituximab induction therapy and MMF maintenance in patients already taking maintenance immunosuppression for SLE who developed lupus nephritis. We then attempted steroid reduction/withdrawal.
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