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Case Reports
. 2021 Aug;100(2):457-458.
doi: 10.1016/j.kint.2021.04.033. Epub 2021 May 5.

Minimal change disease relapse following SARS-CoV-2 mRNA vaccine

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Case Reports

Minimal change disease relapse following SARS-CoV-2 mRNA vaccine

Delphine Kervella et al. Kidney Int. 2021 Aug.
No abstract available

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Figures

Figure 1
Figure 1
Urine protein-to-creatinine ratio and steroid dose during follow-up. (1) Diagnosis of idiopathic nephrotic syndrome (iNS; minimal change disease diagnosed on kidney biopsy). (2) First relapse when tapering steroids from 10 mg to 9 mg; increase of steroid dose to 1 mg/kg (60 mg), leading to remission of NS. (3) Second relapse when tapering steroids from 12.5 mg to 10 mg; increase of steroid dose to 0.5 mg/kg, leading to remission. Coronavirus disease 2019 (COVID-19) mRNA vaccine was injected while the patient was treated with 0.4 mg/kg steroids (25 mg; ongoing tapering from last relapse occurring 6 weeks before first vaccine injection; no proteinuria on urine dipstick test at the time of vaccine injection). (4) Proteinuria after first mRNA COVID-19 vaccine injection; increase of steroid dose from 25 mg to 30 mg (0.5 mg/kg). (5) Proteinuria increase after second mRNA COVID-19 vaccine injection; increase of steroids to 60 mg (1 mg/kg), leading to remission.

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