Primary nephrotic syndrome in Qatar (Arabian Gulf)
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Updated: Jul 27, 2026

Use of Ultra-high Field MRI in Small Rodent Models of Polycystic Kidney Disease for In Vivo Phenotyping and Drug Monitoring
Published on: June 23, 2015
Insights
Most children with primary nephrotic syndrome respond to steroids initially. However, a significant portion may develop steroid resistance or frequent relapses, necessitating further investigation and tailored treatment strategies.
Area of Science:
- Pediatric Nephrology
- Glomerular Diseases
Background:
- Primary nephrotic syndrome is a significant kidney disorder in children.
- Steroid responsiveness is a key prognostic indicator.
Purpose of the Study:
- To analyze the clinical course and renal biopsy findings in children with primary nephrotic syndrome.
- To identify patterns of steroid resistance and frequent relapses.
Main Methods:
- Retrospective study of 62 children diagnosed with primary nephrotic syndrome.
- Analysis of initial steroid response, relapse frequency, and development of steroid resistance.
- Review of renal biopsy results for steroid-resistant and relapsing cases.
Main Results:
- 88.7% of children were initially steroid sensitive; 11.2% were steroid resistant.
- Among steroid-sensitive cases, 21.8% experienced frequent relapses.
- Renal biopsies revealed focal glomerulosclerosis, minimal change disease, and membranoproliferative glomerulonephritis in various subgroups.
Conclusions:
- While many children achieve initial remission, a notable percentage develop steroid resistance or frequent relapses.
- Renal biopsy findings vary among different clinical presentations of nephrotic syndrome.
- Long-term management strategies should account for the potential for treatment resistance and relapse.
Abstract:
Sixty-two children with primary nephrotic syndrome were studied. The mean age at diagnosis was 5.5 years (range 1.5-11 years). Fifty-five were initially steroid sensitive (88.7 per cent) and seven (11.2 per cent) were steroid resistant. Renal biopsies performed on six of the steroid-resistant cases showed focal glomerulosclerosis in three, minimal change disease in two and membranoproliferative glomerulonephritis in one. Of the 55 children who were initially steroid responsive, 12 (21.8 per cent) had a frequently relapsing course, while three (5.5 per cent) became steroid resistant. Two out of the 12 who had frequent relapses became steroid resistant and one became steroid dependent. Renal biopsies performed on six of these patients showed minimal change disease in five and segmental glomerulosclerosis in one. Renal biopsies of two out of three patients who were initially steroid responsive but who later became resistant showed minimal change disease in one and segmental sclerosis in one.
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