Nephrotic Syndrome in Very Elderly: Should We Treat Aggressively? | Zendy

Abhilash Koratala | Zendy; Jogiraju Tantravahi | Zendy

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Nephrotic Syndrome in Very Elderly: Should We Treat Aggressively?

Author(s) -

Abhilash Koratala,

Jogiraju Tantravahi

Publication year - 2018

Publication title -

clinics and practice

Language(s) - English

Resource type - Journals

ISSN - 2039-7283

DOI - 10.4081/cp.2018.1046

Subject(s) - medicine , nephrotic syndrome , renal biopsy , disease , biopsy , kidney disease , minimal change disease , acute kidney injury , glomerulonephritis , kidney , intensive care medicine , focal segmental glomerulosclerosis

Chronic kidney disease and acute kidney injury are being increasingly recognized in very elderly patients, aged 80 or more. In cases of suspected glomerulonephritis with or without nephrotic syndrome, the clinical decision-making of whether to obtain a renal biopsy and treat with immunosuppressive therapy should not be based on advanced age alone but take into consideration the patient's functional status and overall prognosis. Herein, we report a case of an elderly patient with minimal change disease who benefitted from a timely renal biopsy and aggressive immunosuppressive therapy.

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