Intravenous Cyclophosphamide and Plasmapheresis in Dialysis-Dependent ANCA-Associated Vasculitis
Author(s) -
Ruth J. Pepper,
Dimitrios Chanouzas,
Ruth M. Tarzi,
Mark A. Little,
Alina Casian,
Michael Walsh,
Charles D. Pusey,
Lorraine Harper,
Alan D. Salama
Publication year - 2012
Publication title -
clinical journal of the american society of nephrology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.755
H-Index - 151
eISSN - 1555-905X
pISSN - 1555-9041
DOI - 10.2215/cjn.03680412
Subject(s) - medicine , plasmapheresis , dialysis , prednisolone , adverse effect , methylprednisolone , cyclophosphamide , renal function , leukopenia , surgery , gastroenterology , chemotherapy , immunology , antibody
Induction therapy with oral cyclophosphamide (CYP) has been a mainstay of treatment in patients with severe renal failure secondary to ANCA-associated vasculitis (AAV). Recent evidence proposes using pulsed intravenous CYP in less severe disease to minimize adverse events. It is unclear if this can be translated to those with dialysis-dependent renal insufficiency.
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