{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T22:06:19Z","timestamp":1788818779832,"version":"build-2803163510"},"reference-count":32,"publisher":"Oxford University Press (OUP)","issue":"8","license":[{"start":{"date-parts":[[2022,5,6]],"date-time":"2022-05-06T00:00:00Z","timestamp":1651795200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,7,23]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Several cases of idiopathic nephrotic syndrome (INS) relapse following the administration of coronavirus disease 2019 (COVID-19) vaccines have recently been reported, raising questions about the potential relationship between the immune response to COVID-19 vaccination and INS pathogenesis.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>We performed a retrospective multicentre survey describing the clinical and biological characteristics of patients presenting a relapse of INS after COVID-19 vaccination, with an assessment of outcome under treatment.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>We identified 25 patients (16 men and 9 women) presenting a relapse within 1 month of a COVID-19 vaccine injection. The glomerular disease was of childhood onset in half of the patients and most patients (21\/25) had received at least one immunosuppressive drug in addition to steroids for frequently relapsing or steroid-dependent nephrotic syndrome (NS). All patients were in a stable condition at the time of injection and 11 had no specific treatment. In five patients, the last relapse was reported &amp;gt;5 years before vaccine injection. The Pfizer-BioNTech (BNT162b2) vaccine was used in 80% of the patients. In 18 cases, INS relapse occurred after the first injection, a mean of 17.5 days after vaccination. A second injection was nevertheless administered in 14 of these patients. Five relapses occurred after administration of the second dose and two relapses after the administration of the third dose. All but one of the patients received steroids as first-line treatment, with an additional immunosuppressive agent in nine cases. During follow-up, complete remission was achieved in 21 patients, within 1 month in 17 cases. Only one patient had not achieved at least partial remission after 3 months of follow-up.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>This case series suggests that, in rare patients, COVID-19 vaccination may trigger INS relapse that is generally easy to control. These findings should encourage physicians to persuade their patients to complete the COVID-19 vaccination schedule.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ckj\/sfac134","type":"journal-article","created":{"date-parts":[[2022,5,3]],"date-time":"2022-05-03T19:15:57Z","timestamp":1651605357000},"page":"1574-1582","source":"Crossref","is-referenced-by-count":15,"title":["Idiopathic nephrotic syndrome relapse following COVID-19 vaccination: a series of 25 cases"],"prefix":"10.1093","volume":"15","author":[{"given":"Aur\u00e9lie","family":"Hummel","sequence":"first","affiliation":[{"name":"Assistance Publique des H\u00f4pitaux de Paris (AP-HP), H\u00f4pital Universitaire Necker-Enfants Malades, Service de N\u00e9phrologie et Transplantation, Centre de R\u00e9f\u00e9rence Maladie Rare \u201cSyndrome N\u00e9phrotique Idiopathique\u201d (SNI) , Paris , France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julie","family":"Oniszczuk","sequence":"additional","affiliation":[{"name":"AP-HP, H\u00f4pitaux Universitaires Henri Mondor, Service de N\u00e9phrologie et Transplantation, Centre de R\u00e9f\u00e9rence Maladie Rare SNI , Cr\u00e9teil , France"},{"name":"Universit\u00e9 Paris Est Cr\u00e9teil, Institut National de la Sant\u00e9 et de la Recherche M\u00e9dicale (INSERM) U955, Institut Mondor de Recherche Biom\u00e9dicale , Equipe 21, Cr\u00e9teil , France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Delphine","family":"Kervella","sequence":"additional","affiliation":[{"name":"Institut de Transplantation Urologie N\u00e9phrologie, Centre Hospitalo Universitaire (CHU) Nantes , Nantes , France"},{"name":"Centre de Recherche en Transplantation et Immunologie, Unit\u00e9 Mixte de Recherche 1064, INSERM, Universit\u00e9 de Nantes , Nantes , 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