Wednesday, 11 September 2019
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62, years old woman with frequent relapses of MCD. Failed Cyclosporine, complete remission with Rituximab, patient still takes low dose of prednisone 2 mg. Now 6 months after Rituximab proteinuria started to rise but still in low levels, 200mg per 24 hrs collection. Should I give additional dose of Rituximab at 6 months?
more than a month ago
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#1810
Shalom Yael,

If persistent, I might be inclined to see how she responds to a mini pulse of prednisone followed by taper. I am speaking from the perspective of a healthcare system where getting Ritux is not straightforward (Canada).

Jordan
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