Rescue of renal function in a 3-year-old @entity1 with XXXX with a brief review of literature.

@entity1 @entity644 @entity4688 @entity417 @entity101 @entity1009 @entity786 @entity177 @entity618 @entity7860 @entity1011 @entity230 @entity631
@entity7860 has been documented in only a handful of @entity1 under the age of four. We describe a 3-year-old @entity1 presenting with @entity417 and @entity177 whose kidney biopsy showed @entity631 ( @entity631 ) disease. She was treated aggressively with pulse @entity230 , plasmapheresis and monthly infusions of @entity786 . After months of aggressive immunosuppression, her renal function normalized, and her anti- @entity631 antibody disappeared. A year after the onset, she underwent a second kidney biopsy for persistent @entity644 and @entity101 that surprisingly showed focal sclerosing @entity631 , an unreported finding at this age. The biopsy showed deposition of antibody on the @entity631 despite the fact that anti- @entity631 antibody had normalized in the serum 5 months earlier. @entity618 was added to the immunosuppression at that point. At her 3-year follow-up, @entity1011 clearance was 88.4 mL/ @entity1009 .73 m(2), @entity644 was 408 mg/day and blood pressure was controlled with @entity4688 0.2 mg/kg/day. She has not had a relapse or abnormal anti- @entity631 antibody for 30 months, but her renal prognosis remains guarded. To our knowledge, this is the youngest @entity1 to have a successful rescue of renal function after isolated @entity7860 .
