ISSN 1006-298X      CN 32-1425/R

Chinese Journal of Nephrology, Dialysis & Transplantation ›› 2021, Vol. 30 ›› Issue (1): 14-18.DOI: 10.3969/j.issn.1006298X.2021.01.003

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Efficacy of rituximab in treatment of cryoglobulinaemic membranoproliferative glomerulonephritis

  

  • Online:2021-02-28 Published:2021-02-27

Abstract: Objective:To observe the efficacy and side effects of rituximab(RTX) in the treatment of cryoglobulinaemic membranoproliferative glomerulonephritis(MPGN).
Methodology:Eight patients with biopsy proven cryoglobulinaemic MPGN were enrolled in this study. RTX was given intravenously at 375 mg/m2.
Results:Four patients were associated with HBV infection . All patients were treated with glucocorticosteroid therapy, combined with tacrolimus in 2 cases. Entecavir were prescribed to 4 patients with HBV infection. With a median followup of 35(12~40) months,4 cases achieved complete remission,2 cases achieved partial remission and 2 cases failed to respond. No acute or chronic serious adverse reactions were observed during RTX treatment.
Conclusion:RTX combined with glucocorticosteroid can be an effective and safe selection in patients with cryoglobulinaemic MPGN,which may be worthy of further study.


Key words: Rituximab, cryoglobulinaemia, membranoproliferative glomerulonephritis, hepatitis B virus infection