Dear patients and specialists,
I am currently working and living in the UK and my mother has been diagnosed as GPA vacuities on November in China. Furthermore, she also has kidney failure into some extent. Her creatinine was up to 500mmol/L when she was taken to the hospital. The renopuncture results shows her kidney has 50% failure. After one month treatment including 4 times hemodialysis and 2 times blood replacement and medicine (prednisolone 40mg per day plus cyclophosphamide 40mg per two weeks). She looks getting better and the creatinine is dropped to 212mmol/L at the moment.
Her early symptoms were ears infection and bleeding nose for about two years. She has been diagnosed until she lost the appetite and ached muscles. She vomited and the renal test shows her creatinine was far over the standard.
Could I please ask whether the treatment is effective? How much amount of cyclophosphamide to be needed to put the vacuities into Remission? Once the vacuities into remission, do we need to change to azathioprine?
Thank you very much.