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A 60yo otherwise healthy woman develops #nephrotic syndrome. Only putative trigger: first vaccination w/ Comirnaty 10 days before.
Biopsy shows IgAN with a podocytopathy resembling #FSGS.
Steroids and CNI are not tolerated.
1) how would you label the disease? Primary or secondary FSGS?
2) next treatment? Ritux?
MD @BavariaNephro vitamin R is not a bad idea
Seems like an immune mediated mechanism so I would favour knocking those B cells off
@hswapnil never heard the term “vitamin R” before - and even though I guess I might be very late to this party: I’m lovin’ it! 