Update on new guidelines for lupus nephritis
Main Article Content
Keywords
Lupus nephritis, guidelines, common complication
Abstract
Lupus nephritis is a common complication of systemic lupus erythematosus and patients can develop chronic kidney disease, end-stage renal disease and increase mortality rate. The current guidelines focus on early diagnosis, accurate classification and individualized care for lupus nephritis patients. Kidney biopsy is necessary for diagnosis, treatment and prognosis of the disease. For proliferative lupus nephritis, the decision tree recommends induction and maintenance therapy. Multi target therapy and B-cell depletion medications are suggested for cases with refractory of treatment.
Article Details
References
1. Wilhelmus S, Bajema IM, Bertsias GK et al (2016. Lupus nephritis management guidelines compared. Nephrol Dial Transplant 31(6): 904-913.
2. Parikh SV, Almaani S, Brodsky S et al (2020) Update on lupus nephritis: Core curriculum 2020. Am J Kidney Dis 76(2): 265-281.
3. Almaani S, Meara A, Rovin BH (2017) Update on lupus nephritis. CJASN 12(5): 825-835.
4. Hahn BH, McMahon MA, Wilkinson A et al (2012) American college of rheumatology guidelines for screening, treatment, and management of lupus nephritis. Arthritis Care Res (Hoboken) 64(6): 797-808.
5. Fanouriakis A, Kostopoulou M, Cheema K et al (2020) 2019 update of the joint european league against rheumatism and european renal association-european dialysis and Transplant Association (EULAR/ERA-EDTA) recommendations for the management of lupus nephritis. Ann Rheum Dis 79(6): 713-723.
6. Wenderfer SE, Eldin KW (2019) Lupus nephritis. Pediatric Clinics of North America 66(1): 87–99.
7. Kostopoulou M, Adamichou C, Bertsias G (2020) An update on the diagnosis and management of lupus nephritis. Curr Rheumatol Rep 22(7): 30.
2. Parikh SV, Almaani S, Brodsky S et al (2020) Update on lupus nephritis: Core curriculum 2020. Am J Kidney Dis 76(2): 265-281.
3. Almaani S, Meara A, Rovin BH (2017) Update on lupus nephritis. CJASN 12(5): 825-835.
4. Hahn BH, McMahon MA, Wilkinson A et al (2012) American college of rheumatology guidelines for screening, treatment, and management of lupus nephritis. Arthritis Care Res (Hoboken) 64(6): 797-808.
5. Fanouriakis A, Kostopoulou M, Cheema K et al (2020) 2019 update of the joint european league against rheumatism and european renal association-european dialysis and Transplant Association (EULAR/ERA-EDTA) recommendations for the management of lupus nephritis. Ann Rheum Dis 79(6): 713-723.
6. Wenderfer SE, Eldin KW (2019) Lupus nephritis. Pediatric Clinics of North America 66(1): 87–99.
7. Kostopoulou M, Adamichou C, Bertsias G (2020) An update on the diagnosis and management of lupus nephritis. Curr Rheumatol Rep 22(7): 30.