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Sensitivity and Specificity of Pathologic Findings to Diagnose Lupus Nephritis
Author(s) -
Satoru Kudose,
Dominick Santoriello,
Andrew S. Bomback,
Michael B. Stokes,
Vivette D. D’Agati,
Glen S. Markowitz
Publication year - 2019
Publication title -
clinical journal of the american society of nephrology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.755
H-Index - 151
eISSN - 1555-905X
pISSN - 1555-9041
DOI - 10.2215/cjn.01570219
Subject(s) - lupus nephritis , medicine , glomerulopathy , glomerulonephritis , systemic lupus erythematosus , pathology , nephritis , biopsy , renal biopsy , immunology , kidney , disease
In 2012, the Systemic Lupus International Collaborating Clinics proposed that lupus nephritis, in the presence of positive ANA or anti-dsDNA antibody, is sufficient to diagnose SLE. However, this "stand-alone" kidney biopsy criterion is problematic because the ISN/RPS classification does not specifically define lupus nephritis. We investigated the combination of pathologic features with optimal sensitivity and specificity for the diagnosis of lupus nephritis.

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