title: [Therapy of lupus nephritis with standard therapeutic protocols and cyclosporine].
abstract: The study carried out was at the Department of Nephrology, Military Medical Academy, over the period from 1996 to 2001. Different types of lupus nephritis were documented in 42 patients and were treated with standard therapeutic protocols (corticosteroids, the pulse dose of cyclophosphamide + corticosteroids) and cyclosporine in the target serum concentration of 100-120 ng/ml along with pronisone of 15-20 mg per day. The different degree of damaged renal function was observed. Renal biopsy was performed in 13 patients and in one patient rebiopsy was done. Twenty one patients were treated only with corticosteroids (remission in 23.8% of cases), with cyclophosphamide + corticosteroids 33 patients (remission in 42.4% of cases) and cyclosporine + corticosteroids 12 patients (remission in 91.7% of cases). The pulse therapy with cyclophosphamide in combination with corticosteroids, and cyclosporine in combination with lower doses of corticosteroids was statistically more successful in comparison with corticosteroids monotherapy (p < 0.01). Remission was found in 73.8% of patients, terminal renal weakness was observed in 7 patients, and fatal outcome in 4 patients. We recommend the pulse therapy of cyclophosphamide in combination with corticosteroids in the treatment of severe clinical forms of lupus nephritis, and in refractive forms cyclosporine in combination with low doses of corticosteroids.
authors.affiliation: Department of Nephrology, Military Medical Academy, Belgrade.
authors.forename: Radmila
authors.initials: R
authors.lastname: Petrović
authors.forename: Roksanda
authors.initials: R
authors.lastname: Stojanović
authors.forename: Darinka
authors.initials: D
authors.lastname: Novicić-Sasić
authors.forename: Jovan
authors.initials: J
authors.lastname: Dimitrijević
authors.forename: Stevan
authors.initials: S
authors.lastname: Pavlović
authors.forename: Dragisa
authors.initials: D
authors.lastname: Stojković
authors.forename: Dragana
authors.initials: D
authors.lastname: Palić-Obradović
authors.forename: Gordana
authors.initials: G
authors.lastname: Stevanović
authors.forename: Slavica
authors.initials: S
authors.lastname: Prodanović
mesh_terms: D000328:Adult; D016572:Cyclosporine / Q000008:administration & dosage*; D004359:Drug Therapy, Combination; D005260:Female; D005938:Glucocorticoids / Q000008:administration & dosage*; D006801:Humans; D007166:Immunosuppressive Agents / Q000008:administration & dosage*; D008181:Lupus Nephritis / Q000188:drug therapy*; D008297:Male; D020551:Pulse Therapy, Drug
chemical_list: D005938:Glucocorticoids; D007166:Immunosuppressive Agents; D016572:Cyclosporine