A Young Woman with Diffuse Proliferative Glomerulonephritis

A 23-year-old Asian-American woman was diagnosed with systemic lupus erythematosus (SLE) a few months earlier. Her lupus symptoms at time of diagnosis included a malar rash, mild alopecia, and intermittent arthralgias in the hands. On exam, she had a blood pressure of 140/90 mm Hg, a faint erythematous facial rash with nasolabial sparing, evident mild alopecia, and no oral ulcers. ...