Lupus & antiphospholipid syndrome

Urinary CD163 is a marker of active kidney disease in childhood-onset lupus nephritis

Rheumatology (Oxford)Published Diagnostic accuracy study

Authors' conclusion

Urine CD163 emerges as a promising marker for identifying cSLE patients with active kidney disease.

Study context

Population
Pediatric patients fulfilling four or more ACR criteria for SLE (childhood-onset SLE) and healthy controls60 cSLE patients + 20 controls
Comparison
Urine CD163 in active LN vs inactive SLE and healthy controls
  • Healthy controlsn = 20reference
Outcome
Utility of urine CD163 (ELISA) for detecting disease activity in cSLE
Methodological detailsconsecutive recruitment
  • Consecutive recruitment

Performance

As reported in the abstract

Urine CD163, active LN vs inactive SLE and healthy controls

ROC AUC range

0.93 to 0.96

Further findings

Correlations of urine CD163

Significantly correlated with SLEDAI, renal SLEDAI, urinary protein excretion and C3 levels
Associated with high renal pathology activity and chronicity index; strong correlation with interstitial inflammation and interstitial fibrosis on concurrent kidney biopsies

Original publication

Urinary CD163 is a marker of active kidney disease in childhood-onset lupus nephritis. Rheumatology (Oxford). Published 12 August 2022. doi:10.1093/rheumatology/keac465

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