Telitacicept combined with glucocorticoids in adult-onset IgA vasculitis nephritis: A case report.
Shunian Guo, Meng He, Hanyu Meng et al.
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Case in brief
A 45-year-old male with biopsy-confirmed IgA vasculitis nephritis presented with progressive renal impairment and significant proteinuria. He was treated with weekly telitacicept and oral prednisone. Over six months, proteinuria decreased by 78.7%, renal function stabilized, and prednisone was successfully tapered without relapse, indicating a potential steroid-sparing effect of telitacicept.
Diagnostic / clinical pearl
Telitacicept may offer a novel therapeutic approach for adult-onset IgA vasculitis nephritis, demonstrating significant improvement in proteinuria and renal function.