Collapsing focal segmental glomerulosclerosis following long-term treatment with oral ibandronate: case report and review of literature.

Abstract:

BACKGROUND:Renal toxicity has been reported with bisphosphonates such as pamidronate and zolidronate but not with ibandronate, in the treatment of breast cancer patients with bone metastasis. One of the patterns of bisphosphonate-induced nephrotoxicity is focal segmental glomerulosclerosis (FSGS) or its morphological variant, collapsing focal segmental glomerulosclerosis (CFSGS). CASE PRESENTATION:We describe a breast cancer patient who developed heavy proteinuria (protein/creatinine ratio 9.1) and nephrotic syndrome following treatment with oral ibandronate for 29 months. CFSGS was proven by biopsy. There was no improvement 1 month after ibandronate was discontinued. Prednisone and tacrolimus were started and she experienced a decreased in proteinuria. CONCLUSION:In patient who develops ibandronate-associated CFSGS, proteinuria appears to be at least partially reversible with the treatment of prednisone and/or tacrolimus if the syndrome is recognized early and ibandronate is stopped.

journal_name

BMC Cancer

journal_title

BMC cancer

authors

Jia N,Cormack FC,Xie B,Shiue Z,Najafian B,Gralow JR

doi

10.1186/s12885-015-1536-y

subject

Has Abstract

pub_date

2015-07-22 00:00:00

pages

535

issn

1471-2407

pii

10.1186/s12885-015-1536-y

journal_volume

15

pub_type

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