expert type icon EXPERT

Dr. Kelly V. Liang, M.D.

Nephrologist (Kidney Specialist)

Dr. Kelly Liang is a nephrologist practicing in Pittsburgh, PA. Dr. Liang specializes in the care and treatment of the kidneys. As a nephrologist, Dr. Liang most typically treats conditions like kidney stones, chronic kidney disease, acute renal failure, polycystuc kidney disease, high blood pressure and more. Nephrologists are also experts on kidney transplantation and dialysis. They are usually referred to by primary care physicians for problems related to the kidneys, and while they can perform tests to diagnose kidney disorders, they do not perform surgeries.
16 years Experience
Dr. Kelly V. Liang, M.D.
  • Pittsburgh, PA
  • Sidney Kimmel Medical College at Thomas Jefferson University
  • Accepting new patients

My mother has been diagnosed with glomerular disease. How is it treated?

The treatment for glomerular disease depends on what specific type of glomerulonephritis (GN) she has. Did she have a kidney biopsy that confirmed the glomerular disease? Most READ MORE
The treatment for glomerular disease depends on what specific type of glomerulonephritis (GN) she has. Did she have a kidney biopsy that confirmed the glomerular disease? Most GN's are treated with high-dose corticosteroids and immunosuppressive medications (either given IV or orally). If there is active inflammation in the kidneys, she will probably need to be admitted to the hospital for IV steroids given for 3 days, followed by initiation of another immunosuppressant medication. These meds increase risk for infections, but are critical for reducing the damage that inflammation is doing in the kidneys. The high dose steroids will be tapered gradually after she starts the alternative immunosuppressant medication, typically over months, depending on the disease response. She will likely need to take a special antibiotic for prevention of a rare pneumonia that people on immunosuppressants are at increased risk for, as well as Ca + Vit D supplements to prevent osteoporosis from steroids. She will need very close monitoring of labs and follow-up in the clinic at least every 3 months (possibly more often initially). Without knowing more details of the case, I cannot comment on exactly what to expect, but these are general guidelines assuming this is an active GN. 
Best wishes to you and your mother for a successful treatment outcome!

Sincerely,

Kelly Liang, MD, MS, FASN