A 9 year old boy has steroid dependent nephrotic syndrome for the last 5 year. The patient is markedly cushingoid with blood pressure of 120/86 mmHg and small subcapsular cataracts. The most appropriate therapy of choice is –
(A) Longterm frusemide with enalapril (B) Cyclophosphamide (C) Intravenous immunoglobulin (D) Intravenous pulse corticosteroids
(B) If a steroid dependent patient develops severe corticosteroid toxicity (Cushingoid toxicity, hypertension cataracts and or growth failure), then alternatives available are
a) Cyclophosphamide        
b) Cyclosporine                                                                                                                                                                                                                         
c) Tacrolimus             
d) Mycophenolate 
e) Levamisole
Treatment of Nephrotic syndrome