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Pediatrics General 5a5dcbce

A 9 year old boy has steroid dependent nephrotic syndrome for the last 5 year. The patient is markedly cushingoid with blood pressure of 120/86 mmHg and small subcapsular cataracts. The most appropriate therapy of choice is –

A
Longterm frusemide with enalapril
B
Cyclophosphamide
C
Intravenous immunoglobulin
D
Intravenous pulse corticosteroids
High-Yield Explanation
If a steroid dependent patient develops severe corticosteroid toxicity (Cushingoid toxicity, hypertension cataracts and or growth failure), then alternatives available are a) Cyclophosphamide         b) Cyclosporine                                                                                                                                                                                                                         c) Tacrolimus             d) Mycophenolate  e) Levamisole Treatment of Nephrotic syndrome

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