TY - CHAP M1 - Book, Section TI - Nephritic Spectrum Glomerular Diseases A1 - Dirkx, Tonja C. A1 - Woodell, Tyler B. A2 - Papadakis, Maxine A. A2 - McPhee, Stephen J. A2 - Rabow, Michael W. A2 - McQuaid, Kenneth R. PY - 2022 T2 - Current Medical Diagnosis & Treatment 2022 AB - Key Clinical Updates in Nephritic Spectrum Glomerular DiseasesPrior trials suggested that corticosteroids reduced proteinuria when administered to patients with GFR > 50 mL/min/1.73 m2 and persistent proteinuria > 1 g. However, more recent data failed to demonstrate slowing of GFR loss with corticosteroid therapy compared with use of ACE inhibitor or ARB alone; enthusiasm for glucocorticoid therapy therefore has waned.Trials using the complement inhibitor avacopan in place of glucocorticoids in cyclophosphamide- or rituximab-based regimens are ongoing and appear promising. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/18 UR - accessmedicine.mhmedical.com/content.aspx?aid=1184183309 ER -