Lupus & antiphospholipid syndrome

Association of low-grade proteinuria with changes of lupus nephritis in kidney biopsy in SLE patients

LupusPublished Retrospective cohort study

Authors' conclusion

We identified patients with proteinuria ≤500 mg/g who had lupus nephritis, with the majority ranging from Class III to V with only one class II.

Study context

Population
Patients with SLE with proteinuria ≤500 mg/g who underwent a kidney biopsy at Johns Hopkins
Participants
27 biopsies
Outcome
Histopathologic findings (LN) in kidney biopsy
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

LN on kidney biopsy
Evidence of LN
23 (85.1%)
Class III
33%
Class V
30%
Class III/V
7%
Class II
4%
Class I
11%

Observational data: associations, not effects.

Further findings

Biopsy findings in patients with UPCR ≤200 mg/g (subgroup, n = 9)

No signs of LN
22%
Class V LN
44%
Class I and III LN
11%

Safety

No post-biopsy complications
93%
  • Well tolerated

Original publication

Association of low-grade proteinuria with changes of lupus nephritis in kidney biopsy in SLE patients. Lupus. Published 21 February 2025. doi:10.1177/09612033251321655

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