Period of freedom from relapse as an indication of cure in minimal change nephrotic syndrome in adults
- PMID: 895965
- DOI: 10.1159/000180880
Period of freedom from relapse as an indication of cure in minimal change nephrotic syndrome in adults
Abstract
17 adult-onset nephrotic patients with minimal-change glomerular lesions experienced 39 relapses in all. The relationship between the remission period t (expressed in months) preceding each relapse and the rate of relapse (relapse rate) F (t) was proven to correspond closely to Weibull's distribution function as follows (chi 2 = 1.72, 0.5 less than p less than 0.75): In In (formula - see text) From the equation, the time when 99% of relapsing patients have relapsed is 39.3 months. This means that adult-relapsing nephrotic patients with minimal-change lesions will experience a relapse within 39.3 months of remission. They should be free from relapse and considered cured with a 99% reliability when remission has continued longer than 39.3 months, i.e. beyond the 'period of freedom from relapse'.
Similar articles
-
Spontaneous remission of nephrotic syndrome in patients with IgA nephropathy.Nephrol Dial Transplant. 2011 May;26(5):1570-5. doi: 10.1093/ndt/gfq559. Epub 2010 Sep 14. Nephrol Dial Transplant. 2011. PMID: 20841490
-
Relapse of nephrotic syndrome following remission for 20 years.Int J Pediatr Nephrol. 1983 Sep;4(3):211-4. Int J Pediatr Nephrol. 1983. PMID: 6315615
-
The Clinical Course of Minimal Change Nephrotic Syndrome With Onset in Adulthood or Late Adolescence: A Case Series.Am J Kidney Dis. 2017 May;69(5):637-646. doi: 10.1053/j.ajkd.2016.10.032. Epub 2017 Jan 12. Am J Kidney Dis. 2017. PMID: 28089478
-
[Haematuria in children. II. Diagnostic problems in proteinuria and the nephrotic syndrome in childhood (author's transl)].Monatsschr Kinderheilkd (1902). 1978 Feb;126(2):57-61. Monatsschr Kinderheilkd (1902). 1978. PMID: 345108 Review. German.
-
Current Understanding of Nephrotic Syndrome in Children.Pediatr Clin North Am. 2022 Dec;69(6):1079-1098. doi: 10.1016/j.pcl.2022.08.002. Epub 2022 Oct 29. Pediatr Clin North Am. 2022. PMID: 36880923 Review.
Cited by
-
Minimal Change Nephrotic Syndrome Relapse after 52 Years of Remission: A Case Report.Case Rep Nephrol Dial. 2018 Aug 31;8(2):178-181. doi: 10.1159/000492614. eCollection 2018 May-Aug. Case Rep Nephrol Dial. 2018. PMID: 30320121 Free PMC article.
-
Predictors of Relapse in Adult-Onset Nephrotic Minimal Change Disease.Medicine (Baltimore). 2016 Mar;95(12):e3179. doi: 10.1097/MD.0000000000003179. Medicine (Baltimore). 2016. PMID: 27015208 Free PMC article.