Acute and Chronic Complications in Partially Treated Steroid-Resistant Nephrotic Syndrome in Resource-Limited Settings: An Evidence-Based Case Report

Introduction. Steroid-resistant nephrotic syndrome (SRNS) is a major cause of chronic kidney disease (CKD) in children and later in adolescents. The proper management involves pediatrician, nephrologist, nurses, family, health insurance, and family. Every region in Indonesia has a specific challenges in managing SRNS. The present case is a portrait of some difficulties in treating SRNS in some province referral hospital in Indonesia. Case report. We report the children with SRNS, accompanied by some difficulties that are harmful for his present, and also future. Comprehensive approach is absolutely needed in achieving better prognosis. We provide some evidence-based approach in managing the patient. Conclusion. Proper SRNS treatment from the clinician, collaborative support from the family, government, and health-insurance is very essential.