SURVEY CHANGES OF PLASMA TNF - ALPHA, INTERLEUKIN 6 LEVELS IN PATIENTS WITH LUPUS NEPHRITIS BEFORE AND AFTER 6 MONTHS OF TREATMENT
Main Article Content
Abstract
Objectives: To Investigate changes in plasma TNF-alpha, IL-6 levels and its relationship with renal response in pediatric lupus nephritis before and after 6 months of treatment. Patients and Methods: Prospective description compared with the healthy children group, longitudinal follow-up of 75 patients (45 children with lupus nephritis with longitudinal follow-up after 6 months of treatment and 30 healthy children) from 9/2019 to 9/2022 at National Children's Hospital. Results: Plasma TNF-alpha, IL-6 levels after treatment were lower than before treatment, plasma TNF-alpha levels were not different from the control group, p > 0.05. The level of plasma IL-6 after treatment was lower than before, but still higher than the control group, p<0.001. The levels of TNF-alpha, IL-6 have predictive values in pediatric lupus nephritis who do not renal response, with AUC: 0.764; 0.901, p< 0.001. Conclusion: The plasma levels of TNF alpha and IL6 after treatment decrease but do not return to normal completely, but can predict no renal response in patients with lupus nephritis.
Article Details
Keywords
Lupus nephritis, The plasma TNF-alpha, IL-6. predicting the outcome of treatment
References
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