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Abstract Nephrotic syndrome is a disease characterized by proteinuria, hypoalbuminemia, hypercholesterolemia and edema. The nephrotic syndrome is usually involving children between ages of 2 – 10 years. Primary nephrotic syndrome is more common in children less than six years of age (80% of cases) while secondary nephrotic syndrome predominates for patients older than six years old. The present study was conducted in Abo El Reish pediatric hospital and Beni Suef university hospital, aiming to study the role of ACE-Is and ARBs and statin in reduction of proteinuria and hyperlipidemia as a total management of nephritic patients . The study was designed as studied cases and control cases, each group included 20 nephritic children cases was collected randomly. 229 ENGLISH SUMMARY Study group was treated with triple therapy of ramipril and losartan and atorvastatin in addition to prednisolone and control group treated with captopril and prednisolone only. Both studied and control cases were subjected to general examination including blood pressure, clinical examination including edema and laboratory investigations including serum albumin, serum cholesterol, albumin in urine and P/C ratio, LDL-level in blood . The results of our study showed that studied cases that were treated with triple therapy led to management of proteinuria and hyperlipidemia , decreasing of corticosteroid doses and avoid its side effects as weight and hypertension. Also this study showed that capsule dosage form was rapidely absorbed and more bioavailable than tablet dosage form in treatment of nephrotic children patients. |