Abstract
We have studied the effect of HLA-DRB1 alleles on the clinical presentation of 61 Kuwaiti Arab children with idiopathic nephrotic syndrome. DR7(*0701) was the most prevalent DR allele, found in 41/61 patients (67%) compared with 10/59 healthy controls (17%) (p<0.001). DR3(*0301–0308) allele was the second most common, found in 25% of patients compared with 26% of controls (not significant). There was no significant difference between DRB1*0701(DR7)-positive and DRB1*0701-negative patients in terms of steroid sensitivity, steroid dependency, or steroid resistance. Nevertheless, the former group had a significantly lower mean age of onset (35 months vs 53 months) and a shorter remission period following treatment with cyclophosphamide or chlorambucil (8 months vs 29 months). Our data highlight the role of the DRB1*0701 allele in predisposing Kuwaiti Arab children with idiopathic nephrotic syndrome to a more prolonged course of the disease.
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Received: 2 July 1999 / Revised: 20 April 2000 / Accepted: 23 April 2000
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Al-Eisa, A., Haider, M. & Srivasta, B. HLA-DRB1 alleles in Kuwaiti children with idiopathic nephrotic syndrome. Pediatr Nephrol 15, 79–81 (2000). https://doi.org/10.1007/s004670000416
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DOI: https://doi.org/10.1007/s004670000416