Nephrotic syndrome in very elderly: Should we treat aggressively?

  • Abhilash Koratala | akoratsla@ufl.edu Division of Nephrology, Hypertension and Renal Transplantation, University of Florida, Gainesville, FL, United States. http://orcid.org/0000-0001-5801-3574
  • Jogiraju Tantravahi Division of Nephrology, Hypertension and Renal Transplantation, University of Florida, Gainesville, FL, United States.

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.

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Author Biographies

Abhilash Koratala, Division of Nephrology, Hypertension and Renal Transplantation, University of Florida, Gainesville, FL

Assistant Professor of Medicine

Division of Nephrology, Hypertension and Renal Transplantation

Jogiraju Tantravahi, Division of Nephrology, Hypertension and Renal Transplantation, University of Florida, Gainesville, FL

Assistant Professor of Medicine

Division of Nephrology, Hypertension and Renal Transplantation

Published
2018-01-24
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Section
Case Reports
Keywords:
Minimal change disease, very elderly, renal biopsy, immunosuppressive therapy.
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How to Cite
Koratala, A., & Tantravahi, J. (2018). Nephrotic syndrome in very elderly: Should we treat aggressively?. Clinics and Practice, 8(1). https://doi.org/10.4081/cp.2018.1046

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