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101772

SINGLE VERSUS DIVIDED-DOSE STEROIDS IN TREATMENT OF NEPHROTIC SYNDROME

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Last updated: 25 Dec 2024

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Abstract

Introduction: Oral corticosteroids form the cornerstone for management of most children with nephrotic syndrome. Prednisolone should be administered at a dose of 60 mg/m²/day (maximum daily dose, 80 mg) for 4-6 weeks. Daily therapy may be either given, as a single morning or divided doses. We aim by this study to compare the regimen of giving steroids in a single daily dose with that of giving them in three-divided doses, as regard the compliance, response to treatment, and occurrence of complications. Patients and methods: The study was conducted on 30 patients having presumed steroid-responsive minimal change nephrotic syndrome. 15 patients were given prednisolone in a single daily dose. The other 15 patients were given prednisolone in three divided doses. Results: There was no significant statistical differences between the two groups of patients as regard the duration of treatment before remession or complications of nephrotic syndrome. No complications related to steroids were observed in any of our patients. Conclusion: Prednisolone, as a single morning dose is as effective as divided doses for inducing remission with no higher risk of complications. As single-dose steroid therapy is likely to be associated with better drug compliance, we recommend it as the regimen of choice for treatment of nephrotic syndrome.

DOI

10.21608/azjp.2015.101772

Authors

First Name

Khalid A.

Last Name

Sanousy

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Orcid

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First Name

Osama

Last Name

M. Elasheer

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Volume

18

Article Issue

2

Related Issue

15402

Issue Date

2015-06-01

Receive Date

2020-07-08

Publish Date

2015-06-01

Page Start

1,491

Page End

1,502

Print ISSN

1110-7774

Online ISSN

3009-7770

Link

https://azjp.journals.ekb.eg/article_101772.html

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https://azjp.journals.ekb.eg/service?article_code=101772

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18

Type

Original Article

Type Code

1,135

Publication Type

Journal

Publication Title

Al-Azhar Journal of Pediatrics

Publication Link

https://azjp.journals.ekb.eg/

MainTitle

SINGLE VERSUS DIVIDED-DOSE STEROIDS IN TREATMENT OF NEPHROTIC SYNDROME

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Article

Created At

22 Jan 2023