急性进展性肾小球肾炎合并ANCA相关性血管炎是否仍应使用血浆置换治疗?

A. Kaplan, W. Szpirt
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引用次数: 2

摘要

35年来,已有数据表明,治疗性血浆置换(TPE)对于伴有ANCA相关性血管炎(AAV)和肌酐水平升高的快速进行性肾小球肾炎(RPGN)患者是一种有效的治疗方法。peexivas研究的发表对这一结论提出了挑战。这一观点将概述这一问题的历史,并提出我们对现状的评估。
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Should We Still Use Therapeutic Plasma Exchange for Rapidly Progressive Glomerulonephritis in ANCA Associated Vasculitis?
For over thirty-five years, available data suggested that therapeutic plasma exchange (TPE) was a useful treatment for patients with Rapidly Progressive Glomerulonephritis (RPGN) associated with ANCA Associated Vasculitis (AAV) and elevated creatinine levels. The publication of the PEXIVAS study has challenged this conclusion. This perspective will outline the history of this issue and present our assessment of the current status.
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