Open AccessVasculitis and vasculopathy in Lupus Nephritis: Clinical variability, outcome, and new insight into treatment
Author(s) -
Anupama Kaul,
Vikas Agrawal,
Dharmendra Bhaduaria,
Vikas Agrawal,
Narayan Prasad,
Amit Gupta,
Raj Kumar Sharma
Publication year - 2017
Publication title -
saudi journal of kidney diseases and transplantation/našrat amraḍ wa zira'aẗ al-kulaẗ
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.268
H-Index - 30
eISSN - 2320-3838
pISSN - 1319-2442
DOI - 10.4103/1319-2442.202777
Subject(s) - medicine , lupus nephritis , vasculitis , nephritis , pathology , renal pathology , presentation (obstetrics) , disease , systemic lupus erythematosus , incidence (geometry) , kidney , surgery , physics , optics
More than 50% of patients with systemic lupus erythematosus (SLE) have renal involvement at presentation or during their illness. Lupus nephritis (LN) encompasses several patterns of renal disease, including glomerular, tubulointerstitial, and vascular pathologies. The presence and significance of renal vascular lesions (VLs) are often overlooked. VLs in LN are not rare with an incidence of 10%-40% on renal biopsies from various studies and their presence is often labeled as poor prognostic markers. The current treatment protocol for LN is mainly based on the glomerular pathology, and no guidelines/consensus exists for treatment of LN with VLs. We describe the clinical presentation, course, response to therapy, and outcomes in five patients with SLE with histological evidence of renal VLs.