Lupus & antiphospholipid syndrome

Responsive and monophasic lupus nephritis: prevalence, associations and outcomes

Rheumatology (Oxford)Published Retrospective cohort study

Authors' conclusion

Approximately 26% of LN patients exhibit a responsive and monophasic course.

Study context

Population
SLE patients from an observational cohort who developed LN at or after clinic entrymedian follow-up 10.6 years
Participants
374 patients
Outcome
Responsive and monophasic course: complete proteinuria recovery within 1 year (subnephrotic) or 2 years (nephrotic-range proteinuria), without subsequent renal flares
Methodological detailsobservational cohort, univariable and multivariable logistic regression, Cox regression
  • Observational cohort
  • Univariable and multivariable logistic regression
  • Cox regression

Main finding

As reported in the abstract

Responsive and monophasic LN course (proportion)

Patients with a responsive and monophasic course

96

25.7%

Observational data: associations, not effects.

Further findings

Baseline characteristics at LN onset associated with responsive and monophasic course

Older age, OR
1.04 (1.01-1.07) (95% CI)
Shorter SLE duration, OR
0.91 (0.86-0.97) (95% CI)

Long-term adverse composite outcome (end-stage kidney disease, sustained ≥30% estimated glomerular filtration rate (eGFR) decline, or death), Cox model

Patients with a responsive and monophasic course who still experienced adverse events
18.8%
Timely recovery of proteinuria and absence of subsequent LN flares associated with reduced risk

Original publication

Responsive and monophasic lupus nephritis: prevalence, associations and outcomes. Rheumatology (Oxford). Published 8 April 2025. doi:10.1093/rheumatology/keaf187

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