A three-year-old girl, the only child, born to a young couple was diagnosed as Nephrotic syndrome at one and half years of age. No consanguinity, no family history of kidney disorders. Antenatal natal, postnatal developmental history all normal. Was treated by an "adult nephrologist" with daily treatment. A different schedule was used (Not ISKDC) Daily treatment with prednisolone 2 mg/kg once a day till remission and lower dose continuation. Total duration was two months.

She came to remission in the first episode. She had relapses many times during this one and half years. She was on daily steroid throughout. Increasing doses while on proteinuria, but continuing daily treatment the dose was almost one mg per kg throughout. Later she was put on cyclophosphamide orally 2.5 mg /kg for three months last year she was on Tab levamisole 2.5 mg per kg thrice a day for six months. She is now on…