PMID- 9711884 OWN - NLM STAT- MEDLINE DCOM- 19981006 LR - 20190516 IS - 0918-2918 (Print) IS - 0918-2918 (Linking) VI - 37 IP - 7 DP - 1998 Jul TI - Methylprednisolone pulse therapy in two clinical types of crescentic glomerulonephritis. PG - 585-91 AB - To clarify the effectiveness of methylprednisolone pulse therapy on crescentic glomerulonephritis (CresGN), data of 46 patients was retrospectively studied. According to the slope of reciprocals of serum creatinine (s-Cr) the patients were divided into acute and insidious types, and each type was further divided into pulse (P) and conventional (C) therapy groups. In group C, s-Cr improved more frequently in the acute type (8/10) than in the insidious type (1/9, p<0.05), and the renal survival rate was somewhat higher in the former (p=0.09). In the acute type there was no difference in the improvement rate of s-Cr between the two therapy groups, whereas in the insidious type, the improvement rate was higher in group P (9/15) than in group C (1/9, p<0.05) and the renal survival rate was higher in the former (p<0.01). These results suggest that methylprednisolone pulse therapy may be highly effective for the insidious type of CresGN. FAU - Takeda, S AU - Takeda S AD - Internal Medicine of Kurobe City Hospital, Toyama. FAU - Kida, H AU - Kida H FAU - Yokoyama, H AU - Yokoyama H FAU - Takazakura, E AU - Takazakura E FAU - Kobayashi, K AU - Kobayashi K LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Japan TA - Intern Med JT - Internal medicine (Tokyo, Japan) JID - 9204241 RN - 0 (Glucocorticoids) RN - AYI8EX34EU (Creatinine) RN - X4W7ZR7023 (Methylprednisolone) SB - IM CIN - Intern Med. 1998 Aug;37(8):651. PMID: 9745848 MH - Acute Disease MH - Adult MH - Aged MH - Creatinine/blood MH - Female MH - Glomerulonephritis/blood/*drug therapy/physiopathology MH - Glucocorticoids/*administration & dosage MH - Humans MH - Kidney/drug effects/physiopathology MH - Male MH - Methylprednisolone/*administration & dosage MH - Middle Aged MH - Retrospective Studies MH - Treatment Outcome EDAT- 1998/08/26 00:00 MHDA- 1998/08/26 00:01 CRDT- 1998/08/26 00:00 PHST- 1998/08/26 00:00 [pubmed] PHST- 1998/08/26 00:01 [medline] PHST- 1998/08/26 00:00 [entrez] AID - 10.2169/internalmedicine.37.585 [doi] PST - ppublish SO - Intern Med. 1998 Jul;37(7):585-91. doi: 10.2169/internalmedicine.37.585.