Evidence map›Paper›PMID 29546599›Full record

ArticlePediatric nephrology (Berlin, Germany)2018

Idiopathic membranous nephropathy in children treated with rituximab: report of two cases.

Rossana Malatesta-Muncher, Karen W Eldin, Laurence H Beck, Mini Michael

Abstract readCase Reports
PubMed Publisher
In one paragraph

Article in Pediatric nephrology (Berlin, Germany), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.3field-weighted citation impact, top 23% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 16 citations in OpenAlex.

  1. Observational
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  9. Article
  10. Proteinuria in a patient with Graves' disease: Answers.Pediatric nephrology (Berlin, Germany) · 2019
    Article
  11. Proteinuria in a patient with Graves' disease: Questions.Pediatric nephrology (Berlin, Germany) · 2019
    Article
  12. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Rossana Malatesta-MuncherDivision of Nephrology, Department of Pediatrics, Texas Children's Hospital/Baylor College of Medicine, 1102 Bates Avenue, Suite 245, Houston, TX, 77030, USA. rxmalate@texaschildrens.org.ORCID 0000-0002-4181-8744
Karen W EldinDepartment of Pathology and Immunology, Baylor College of Medicine, Houston, TX, USA.
Laurence H BeckDivision of Nephrology, Department of Medicine, Boston University School of Medicine, Boston, MA, USA.
Mini MichaelDivision of Nephrology, Department of Pediatrics, Texas Children's Hospital/Baylor College of Medicine, 1102 Bates Avenue, Suite 245, Houston, TX, 77030, USA.
Baylor College of Medicine · USBoston University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIdiopathic membranous nephropathy is an uncommon cause of nephrotic syndrome in children and can present treatment challenges. The current treatment options of steroids and cyclophosphamide, cyclosporine, or mycophenolate require prolonged treatment durations and the associated side effects may result in nonadherence in children, especially in adolescents. CASE-DIAGNOSIS: We report two adolescent patients with idiopathic membranous nephropathy with nephrotic range proteinuria and elevated anti-phospholipase A2 receptor levels who did not achieve remission with steroids and were later treated with rituximab. Both patients received two doses of rituximab and responded with remission. In addition, anti-PLA2R antibody levels normalized and/or significantly improved.

conclusionsRituximab seems to be a safe and effective treatment option in children with idiopathic membranous nephropathy due to anti-PLA2R. Further studies are needed to evaluate this effectiveness.

Indexed as

AdolescentFemaleGlomerulonephritis, MembranousHumansImmunosuppressive AgentsKidneyMaleNephrotic SyndromeReceptors, Phospholipase A2RituximabImmunosuppressive AgentsPLA2R1 protein, humanReceptors, Phospholipase A2RituximabAnti-phospholipase A2 receptor (anti-PLA2R)ChildrenIdiopathic membranous nephropathyRituximab

Identifiers

PMID29546599
OpenAlexW2793261888

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.