Children with nephrotic syndrome children can play a preventive (or oral vaccine)?

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Patient: description of the disease (time of onset, the main symptoms, hospital etc.): Hello Doctor Yang: my son is August 2008 suffering fr

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Patient: description of the disease (time of onset, the main symptoms, hospital etc.): Hello Doctor Yang: my son is August 2008 suffering from infantile nephrotic syndrome, in the treatment of a month in hospital outside the hospital, was discharged after normal proteinuria. After discharge hormone 1 years, gradually reduced to stop drug. Proteinuria has been negative for 1 years after withdrawal. My child has not been vaccinated for 2 years (when the doctor told him to stop the drug after the injection of the vaccine for 1 years, plus medication for a period of 1 years). I would like to consult, can now be vaccinated? Avoid those vaccines? I hope Dr. Yang can take the time to reply, thank you!

Department of Nephrology, Guangzhou children's Hospital, Yang Huabin: the issue of children with nephrotic syndrome in the current academic opinion has not yet unified. Because of facing the dilemma: on the one hand, vaccination may cause relapse or exacerbation (especially for children with pathological diagnosis of lesions); on the other hand is to give up the children with nephrotic syndrome or excessive delay vaccination, suffer from some serious (and fatal) increased risk of infectious disease, and these diseases should be vaccinated by effective prevention! Our current approach is: 1 in nephrotic syndrome in remission (or "cured") may consider vaccination after half a year; 2 in the application of large dose of hormone and (or) the use of immunosuppressive agents, should avoid vaccination; 3 to avoid the live vaccine (such as: BCG, measles and polio vaccine). Just listed soon the vaccine (application experience is not enough), it is best not vaccinated. It is important to note that in nephrotic syndrome (or cure steroid for 1 years or more), can according to the normal procedures for vaccination, but the same as normal children, there will be some possible such as fever, diarrhea and other side effects, according to the conventional treatment is. At the same time, there may be a risk of recurrence of induced nephropathy. The above opinion, for reference only.

 

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