Membranous nephropathy

Patient's question:

Adopt cyclophosphamide. Once a month. The total amount has reached five grams. The effect is good after each, but it cannot be maintained for two weeks. Protein and occult blood appear in the urine again. Who has a good treatment method.

Doctor's answer:

Immunosuppressive therapy depends on the degree of proteinuria, its duration, and the status of renal function. It is generally considered that patients with proteinuria > 3.5 g/day accompanied by declining renal function, or high-risk patients with proteinuria > 8 g/day, should be treated with immunosuppression.

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