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121918

Comparison between Mycophenolate and Cyclophosphamide in Treatment of Lupus Nephritis

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Last updated: 03 Jan 2025

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Abstract

Background: Systemic lupus erythematosus is a chronic inflammatory disease that can affect any organ, but very often injures the kidney. It is more prevalent in women than men across all age groups and populations; the femaleto-male ratio is higher at reproductive age, ranging between 8:1 and 15:1, and is lowest in prepubertal children at about 4:3. Aim of the Work: To study the effect of intravenous cyclophosphamide versus oral mycophenolate (MMF) in the treatment of lupus nephritis (LN). Subjects and Methods: This was a prospective, randomized, comparative study on the efficacy of I.V cyclophosphamide compared to oral MMF in the induction therapy of LN. In this study 40 patients of systemic lupus erythematosus with lupus nephritis, were included. All patients were divided randomly into two groups. The first group included 20 female patients who given Oral Corticosteroid 1mg /kg and intravenous cyclophosphamide 500mg once every two weeks for 6 months. The second group included 20 patients receiving oral corticosteroid 1mg /kg and oral mycophenolate 2-3g/day (1200 mg/m2) for 6 months. Results: - As regard serum creatinine, alb/cr ratio, serum albumin, ESR, Anti DNA, c3, and eGFR there was a highly significant difference between before/after the treatment in each group, with no significant difference comparing the two group to each other. Conclusion: In our study, both MMF and IVC show significant improvement in patients with lupus nephritis with no superiority of one of them to the other.

DOI

10.21608/ejhm.2020.121918

Keywords

Mycophenolate, cyclophosphamide, Lupus nephritis

Authors

First Name

Ayman Abd El Aziz

Last Name

Abd El Rahman

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Affiliation

Departments of Internal Medicine, Faculty of Medicine, Al-Azhar University, Assiut, Egypt.

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First Name

Aldosoky Abd El Aziz

Last Name

Alsaid

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Affiliation

Departments of Internal Medicine, Faculty of Medicine, Al-Azhar University, Assiut, Egypt.

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First Name

Wael Mohamed Abdelkader

Last Name

Abdelaziz

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Affiliation

Departments of Internal Medicine, Faculty of Medicine, Al-Azhar University, Assiut, Egypt.

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Volume

81

Article Issue

4

Related Issue

18005

Issue Date

2020-10-01

Receive Date

2020-11-06

Publish Date

2020-10-01

Page Start

1,896

Page End

1,902

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_121918.html

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https://ejhm.journals.ekb.eg/service?article_code=121918

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28

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Comparison between Mycophenolate and Cyclophosphamide in Treatment of Lupus Nephritis

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Article

Created At

22 Jan 2023