Different Effects of Tolvaptan in Patients with Idiopathic Membranous Nephropathy with Nephrotic Syndrome

被引：8

作者：

Tanaka, Atsushi ^{[1
]}

Nakamura, Tsukasa ^{[2
]}

Sato, Eiichi ^{[2
]}

Ueda, Yoshihiko ^{[3
]}

Node, Koichi ^{[1
]}

机构：

[1] Saga Univ, Dept Cardiovasc Med, Saga, Japan

[2] Shinmatsudo Cent Gen Hosp, Dept Internal Med, Div Nephrol, Matsudo, Chiba, Japan

[3] Dokkyo Univ, Koshigaya Hosp, Dept Pathol, Soka, Saitama, Japan

来源：

INTERNAL MEDICINE | 2017年 / 56卷 / 02期

关键词：

aquaporin-2 (AQP-2); idiopathic membranous nephropathy (IMN); nephrotic syndrome; prednisolone (PSL); tolvaptan; CHRONIC-KIDNEY-DISEASE; DECOMPENSATED HEART-FAILURE; ARGININE-VASOPRESSIN;

D O I：

10.2169/internalmedicine.56.7539

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

This case report discusses the clinical indication for immunosuppressants in patients with idiopathic membranous nephropathy (IMN). Because this disease occasionally shows spontaneous remission, it is necessary to determine the predictive values for a therapeutic effect in order to provide appropriate treatment. Two distinct cases described herein illustrate the different effects of tolvaptan in responders and non-responders, according to the pre-treatment levels of AQP-2 immunostaining in the samples from renal biopsy and urinary levels of AQP-2 and osmolality, suggesting that these values may be useful predictors of response to tolvaptan in patients with nephrotic IMN.

引用

页码：191 / 196

页数：6

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