[Lupus-nephritis--diagnosis and treatment]. / Lupusnefritt--diagnostikk og behandling.
Tidsskr Nor Laegeforen
; 130(11): 1140-4, 2010 Jun 03.
Article
em Nor
| MEDLINE
| ID: mdl-20531500
ABSTRACT
BACKGROUND:
Systemic lupus erythematosus (SLE) is an autoimmune, multiorgan disease that usually affects young women. The kidneys are affected (lupus nephritis) in close to one fifth of the patients. Over the past decade earlier diagnosis and improved treatment of lupus nephritis has resulted in substantial improvement of renal function and patient survival. Despite these advances, 10 - 15 % of SLE patients with lupus nephritis progress to end-stage renal disease, requiring dialysis or renal transplantation. The article outlines main principles for diagnosing and treating lupus nephritis, according to current practice at Oslo University Hospital. MATERIAL ANDMETHODS:
National and international guidelines (on treatment of lupus nephritis), literature identified through a non-systematic search in PubMed and our own clinical experience form the basis for the article.RESULTS:
In lupus nephritis, low-dose cyclophosphamide and corticosteroids are topical treatment for induction therapy, and mycophenolate mofetil is an alternative treatment. We recommend maintenance treatment with azathioprine or mycophenolate mofetil for at least two years. Treatment with rituximab may be considered in patients with refractory lupus nephritis.INTERPRETATION:
Subtypes and activity of the renal disease are decisive for choice of treatment.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Nefrite Lúpica
Tipo de estudo:
Diagnostic_studies
/
Guideline
/
Prognostic_studies
Limite:
Female
/
Humans
Idioma:
Nor
Ano de publicação:
2010
Tipo de documento:
Article