Open AccessNine years old child with nephrotic syndrome: a case of biopsy proven lupus nephritis in tertiary level medical college hospital in Mymensingh, Bangladesh
Author(s) -
Mahmud Javed Hasan,
Nitai Chandra Ray,
Asm Ruhul Quddus
Publication year - 2018
Publication title -
community based medical journal
Language(s) - English
Resource type - Journals
eISSN - 2408-848X
pISSN - 2226-9290
DOI - 10.3329/cbmj.v7i1.54804
Subject(s) - medicine , lupus nephritis , nephrotic syndrome , renal biopsy , pericardial effusion , pleural effusion , nephritis , renal function , systemic lupus erythematosus , gastroenterology , biopsy , dermatology , pediatrics , disease
We observed a case of a 9 years old female patient who presented with nephrotic syndrome and impaired renal function diagnosed to have Systemic Lupus Erythematosus (SLE). Lupus nephritis (LN) is a common major organ manifestation of SLE and causes significantly increased morbidity and mortality. Thus, all patients with SLE should be regularly screened for LN. This patient presented with nephrotic syndrome, pleural effusion and pericardial effusion which depicts the multisystem effects of SLE. This patient was treated with Oral Mycophenolate Mofetilin combination with steroid as induction therapy and attained remission after a month of treatment. Systemic lupus erythematosus should be considered in patients with nephrotic syndrome and these patients should have renal biopsy to determine renal involvement.
CBMJ 2018 January: Vol. 07 No. 01 P: 40-44