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Therapy of membranous nephropathy associated with malignancy and secondary causes
J Ashley Jefferson1, William G Couser
1University of Washington, Seattle, USA.
Abstract:
Membranous nephropathy (MN) most commonly is idiopathic, but secondary causes are common in children and in older adults. The most common secondary causes of MN in industrialized countries include malignancy and systemic lupus erythematosis. Infectious causes (hepatitis B, quartan malaria, schistosomiasis) remain the most common etiologies in endemic areas. In this article we describe the clinical approach to patients with MN associated with malignancy and other common secondary causes. Treatment of secondary MN generally targets the primary disease rather than the renal lesion.
Insights
Membranous nephropathy (MN) often has secondary causes like malignancy or infections, especially in children and older adults. Treatment focuses on the underlying condition, not just the kidney damage.
Area of Science:
- Nephrology
- Internal Medicine
Background:
- Membranous nephropathy (MN) is a kidney disease.
- While often idiopathic, secondary causes are frequent in specific populations.
- Malignancy, systemic lupus erythematosus, and infections are key secondary etiologies.
Purpose of the Study:
- To outline the clinical approach for managing membranous nephropathy (MN) linked to secondary causes.
- To highlight common secondary causes of MN, including malignancy and infections.
Main Methods:
- Review of clinical approaches for patients with secondary MN.
- Discussion of common etiologies in industrialized and endemic regions.
Main Results:
- Secondary causes of MN are prevalent in pediatric and geriatric populations.
- Malignancy and systemic lupus erythematosus are leading secondary causes in industrialized nations.
- Infectious diseases like hepatitis B, malaria, and schistosomiasis are common in endemic areas.
Conclusions:
- The clinical management of secondary MN involves identifying and addressing the primary underlying disease.
- Treatment strategies for secondary MN prioritize the primary condition over solely managing the renal lesion.
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