BavariaNephro

A 60yo otherwise healthy woman develops #nephrotic syndrome. Only putative trigger: first vaccination w/ Comirnaty 10 days before.

Biopsy shows IgAN with a podocytopathy resembling #FSGS.

Steroids and CNI are not tolerated.

1) how would you label the disease? Primary or secondary FSGS?
2) next treatment? Ritux?

#AskRenal #Nephrology

Feb 28, 2023 at 3:22amWeb
Show threadSwapnil Hiremath  MDFeb 28, 2023

@BavariaNephro vitamin R is not a bad idea

Seems like an immune mediated mechanism so I would favour knocking those B cells off

Show threadBavariaNephroFeb 28, 2023
@hswapnil never heard the term “vitamin R” before - and even though I guess I might be very late to this party: I’m lovin’ it! 😃