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Rapidly Progressive Glomerulonephritis
Alternate Names : RPGN, Crescentic Glomerulonephritis
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What are the treatments for the disease?
Treatment of RPGN depends on the underlying cause. Corticosteroids or other
medications that suppress the immune system may be used. Plasmapharesis, or
blood filtering, may be done. The person may need bed rest and restricted fluid and salt intake, to give the kidneys a chance to heal. Treatment for the
underlying cause, such as antibiotics for a strep infection, may also be
needed.
What are the side effects of the treatments?
Corticosteroids can cause fluid retention, swelling, weight gain, and increased
risk of infection. Taking corticosteroids for a long time can cause osteoporosis, or bone thinning. Some of the
more aggressive medication treatments may increase the risk of infections and
cancer.
What happens after treatment for the disease?
Early treatment of RPGN is essential to avoid kidney damage. Severe RPGN can
result in end-stage renal disease.
How is the disease monitored?
Close follow-up with the healthcare provider is needed. Regular blood tests can
help monitor for recurrences of RPGN. Kidney function should also be monitored
regularly. Any new or worsening symptoms should be reported to the healthcare
provider.
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Author: Crystal R. Martin, MD Reviewer: Eileen McLaughlin, RN, BSN Date Reviewed: 07/02/01
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