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171397

Predictors of Remission in Lupus Nephritis Pati

Article

Last updated: 03 Jan 2025

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Abstract

Background: Lupus nephritis (LN) is a common and serious manifestation of SLE, occurring in more than half of patients with SLE during their course of illness, in 10–25% of such patients, kidney disorder progresses to end-stage renal disease (ESRD). Objective: To determine the predictors of remission in patients with biopsy-proven lupus nephritis, and to assess the long-term renal remission rate in our lupus nephritis patients. Patients and Methods: This is a retrospective observational study carried out at the Rheumatology and Nephrology Units, Internal Medicine Department, Menoufia and Mansoura Universities Hospitals, Egypt for a 1-year duration between 1 June 2019 and 1 June 2020. A total of 60 patients with biopsy-proven LN were studied. Results: In the current study, after six months of follow-up, about two-thirds of patients achieved remission. The urinary protein creatinine ratio (UPCR) of 4.9 g/g, systemic lupus erythematosus disease activity index (SLEDAI) of 20 and Hb of 8.8 g/dl at the third month are valuable for predicting remission at the sixth month in active lupus nephritis. On multivariate analysis, serum creatinine (SCr) at the time of diagnosis is the only independent predictor of remission (complete or partial) at 6 months. According to the receiver operating characteristic curve, the cut-off value of SCr ≤ 2.9 mg/dL with 100% specificity and 98 % sensitivity was a predictor for renal remission. Conclusion:The UPCR of 4.9 g/g, SLEDAI of 20 and Hb of 8.8 g/dl at the third month are valuable for predicting remission at the sixth month in active lupus nephritis. Serum creatinine level ≤2.9 mg/dL at the time of diagnosis was the only independent predictor of complete remission at 6 months.  

DOI

10.21608/ejhm.2021.171397

Keywords

Lupus nephritis, predictors, Remission

Authors

First Name

Emad Mohamed

Last Name

El-Shebiney

MiddleName

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Affiliation

Clinical Immunology and Rheumatology Unit, Internal Medicine Department, Menoufia University, Egypt

Email

emanhamdiabdelatty@gmail.com

City

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Orcid

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First Name

Enas Sobhy

Last Name

Zahran

MiddleName

-

Affiliation

Clinical Immunology and Rheumatology Unit, Internal Medicine Department, Menoufia University, Egypt

Email

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City

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Orcid

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First Name

Alaa Efat

Last Name

Abd EL-Hamid

MiddleName

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Affiliation

Hematology and BMT Unit, Internal Medicine Department, Menoufia University, Egypt

Email

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City

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Orcid

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First Name

Eman Hamdi

Last Name

Abdelatty

MiddleName

-

Affiliation

Nephrology and Dialysis Unit, Ahmad Maher Teaching Hospital

Email

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City

-

Orcid

-

First Name

Samar

Last Name

Tharwat

MiddleName

-

Affiliation

Rheumatology and Immunology Unit, Internal Medicine Department, Mansoura University, Egypt

Email

-

City

-

Orcid

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Volume

83

Article Issue

1

Related Issue

23025

Issue Date

2021-04-01

Receive Date

2021-05-22

Publish Date

2021-04-01

Page Start

1,520

Page End

1,526

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_171397.html

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https://ejhm.journals.ekb.eg/service?article_code=171397

Order

110

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Predictors of Remission in Lupus Nephritis Pati

Details

Type

Article

Created At

22 Jan 2023