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Nephrotic syndrome in very elderly: Should we treat aggressively? Clin Pract 2018 Jan 08;8(1):1046

Date

02/15/2018

Pubmed ID

29441190

Pubmed Central ID

PMC5806499

DOI

10.4081/cp.2018.1046

Abstract

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.

Author List

Koratala A, Tantravahi J

Author

Abhilash Koratala MD Assistant Professor in the Medicine department at Medical College of Wisconsin