Lupus & antiphospholipid syndrome

Disease characteristics and outcomes of lupus nephritis in Saudi Arabia: A systematic review

LupusPublished Systematic review

Authors' conclusion

LN is highly prevalent in lupus Saudi patients, with Class IV LN being the most common and associated with poor outcomes. Although survival has improved, many patients still progress to ESRD.

Study context

Population
Patients with LN in Saudi Arabia; MEDLINE, ScienceDirect, Embase, Cochrane and PubMed searched up to April 202436 studies
Outcome
Disease characteristics and outcomes of LN in Saudi Arabia

Pooled result

As reported in the abstract

Prevalence of LN among systemic lupus erythematosus (SLE) patients
19% to 55%
Biopsy-proven LN
11% to 42.7%
Females
66% to 94.9%
Mean age at diagnosis (years)
23.8 and 39.7
Hypertension
45.8% to 62.9%
Nephrotic-range proteinuria
20.7% to 58.5%
Mean serum creatinine (µmol/L)
60 and 112.68
Class IV LN, the most common histopathological finding
up to 72%
Complete remission within 12 months (lower in proliferative LN)
up to 81.5%
End-stage renal disease (ESRD) rates (predictors: proliferative LN, older age, hypertension)
5.5% to 30.7%
Five-year survival
92% to 96%
10-year survival
95%

Original publication

Disease characteristics and outcomes of lupus nephritis in Saudi Arabia: A systematic review. Lupus. Published 18 July 2025. doi:10.1177/09612033251360628

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