Lupus Nephritis

Do you think patients with lupus nephritis can be good renal transplant candidates if their disease has been quiescent for at least one year?

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In a recent study researchers examined transplant outcomes in patients with lupus nephritis who had no clinical evidence of disease in the year prior.

Lupus Nephritis Need Not Prevent Renal Transplants

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Lupus nephritis patients can be good candidates if their disease is quiescent for at least one year prior to surgery.

A Clue to Black Lupus Patients' Higher Risk for ESRD

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Genetic changes may partly explain why African-Americans with lupus are up to five times more likely develop end-stage kidney disease.

Systemic Lupus Erythematosus Flares Occur Despite Dialysis

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SLE patients with renal failure often continue to experience flares, but most commonly these are serologic rather than clinical.

Abnormal SLE Serology Need Not Bar Pregnancy

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If a lupus patient has never had renal disease, pregnancy, in and of itself, is not likely to increase that risk.

Proteinuria Recovery Heads Off LN Comorbidities

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Even partial recovery in lupus nephritis patients lowers the risk of needing dialysis or a kidney transplant.

Lupus Nephritis Patient Genotype May Not Predict MMF Response

Lupus Nephritis Patient Genotype May Not Predict MMF Response By

Effects of MMF may be influenced by the pathogenesis and/or cellular micro-environments unique to each disease process.

An Update on the Management of Lupus Nephritis

Approximately 30%-50% of SLE patients have clinically evident renal disease at ­presentation, but renal involvement occurs in up to 60% of patients overall.

New Lupus Nephritis Guidelines Issued

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The American College of Rheumatology (ACR) has issued new guidelines for screening, treating, and managing lupus nephritis (LN), including methods of identifying kidney disease, newer therapies, and pregnant patient care.

Rituximab Ineffective as Lupus Nephritis Add-On Therapy

Rituximab Ineffective as Lupus Nephritis Add-On Therapy By

Adding rituximab to mycophenolate mofetil and corticosteroids does not improve outcomes in patients with lupus nephritis (LN), according to a study.

Black Race Worsens Transplant Outcomes

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Black race is associated with worse renal transplant outcomes among patients with lupus nephritis and focal segmental glomerulosclerosis (FSGS), according to two studies presented at Kidney Week, the annual meeting of the American Society of Nephrology.

MMF Found Superior for Lupus Nephritis

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Mycophenolate mofetil (MMF) is more effective than azathioprine as maintenance therapy for patients with active lupus nephritis (LN) who responded to induction therapy, researchers reported.

Abatacept May Benefit Some Lupus Nephritis Patients

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CHICAGO—Adding abatacept to mycophenolate mofetil (MMF) and steroids does not significantly improve the time to complete renal response in patients with lupus nephritis (LN), according to the findings of a 12-month study presented at the 2011 American College of Rheumatology annual meeting.

Vascular Biomarkers May Help Predict Lupus Nephritis Flares

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CHICAGO—Vascular biomarkers may forecast impending flare or flare outcome in patients with lupus nephritis (LN), according to researchers in New York.

Biopsies May Predict Renal Outcomes in Patients with Lupus Nephritis

Biopsies May Predict Renal Outcomes in Patients with Lupus Nephritis By

CHICAGO—Certain features at the time of renal biopsy are associated with a particular class of lupus nephritis (LN) and may independently predict good renal outcomes, according to a new Canadian study presented at the 2011 American College of Rheumatology Annual Scientific Meeting.

Prolonged Immunoadsorption Eases Lupus Nephritis

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ATLANTA—Prolonged immunoadsorption (IAS) decreases proteinuria and leads to sustained stabilization of lupus nephritis in patients with highly active systemic lupus erythematosus (SLE), according to long-term results of a small Austrian study. The treatment did not result in tumors, anaphylaxis, or orthostatic events.

Big Drop in Lupus Nephritis Deaths Documented

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ATLANTA—Mortality rates from lupus nephritis have decreased significantly since 1975 but have leveled off over the past 10 years, British researchers found.

Earlier Rituximab Better for Lupus Nephritis Patients

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ATLANTA—Lupus nephritis patients who receive rituximab earlier in the course of their disease rather than later have better outcomes, new findings suggest.

Regimen May Improve Lupus Nephritis Care

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ATLANTA—Enteric-coated mycophenolate sodium (EC-MPS) in combination with steroids is a viable therapy for lupus nephritis, according to an Italian study presented at the American College of Rheumatology annual meeting.

Low-Dose Combination May Be Effective for Refractory Lupus Nephritis

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ATLANTA—A low-dose combination of mycophenolate mofetil (MMF) and tacrolimus (TAC) may be a viable option for treating refractory lupus nephritis, according to a new study by Chinese investigators.

Kidney Transplants Generally Safe for Lupus Patients

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Contrary to previous studies, lupus patients who receive kidney transplants rarely develop lupus nephritis in their new allograft, according to a study presented at ASN's Renal Week conference.

Rituximab Eases Lupus Nephritis

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Rituximab is an effective treatment for lupus nephritis that enables reductions in maintenance steroids, data show.

Fatal Infections Probed in Pediatric LN Patients

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Prior history of treatment with pulse methylprednisolone may increase the risk of fatal infection in pediatric lupus nephritis (LN) patients treated with IV cyclophosphamide (IVCY), researchers reported.

Active Lupus Nephritis Raises Pregnancy Risks

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Pregnant patients with active lupus nephritis have a higher incidence of maternal and fetal complications compared with patients who have systemic lupus erythematosus (SLE) without renal involvement, researchers reported in Lupus (2009;18:342-347).

In SLE, Renal Damage Is No. 1 Death Predictor

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SAN FRANCISCO—Preventing renal damage in patients with systemic lupus erythematosus (SLE) may be critical to lowering their mortality rate, according to a new report.

Drugs Comparable for Adolescent Lupus Nephritis

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SAN FRANCISCO—Lupus nephritis (LN) in adolescents responds similarly to mycophenolate mofetil (MMF) and IV cyclophosphamide, according to data reported at the American College of Rheumatology (ACR) annual meeting here.

Renal Flares Can Hike Medical Costs

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SAN FRANCISCO—Patients with lupus nephritis (LN) who experience renal flares incur nearly double the direct medical costs over one year compared with those who not have flares, data suggest.

Incidence of Lupus-Nephritis-Related ESRD Highest in Blacks

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SAN FRANCISCO—The incidence of end-stage renal disease (ESRD) due to lupus nephritis (LN) rose significantly in the United States from 1995 to 2004, according to new study data presented here at the American College of Rheumatology annual meeting. The incidence was significantly higher among African Americans and women.

Lupus Nephritis Recurrence After Renal Transplant

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SAN FRANCISCO—Lupus nephritis recurrence (LNR) in renal transplant recipients with systemic lupus erythematosus (SLE) does not have an adverse impact on allograft or patient survival rates, according to the largest analysis of its kind to be reported.

Anti-Malaria Drug May Prevent SLE Renal Damage

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SAN FRANCISCO—Hydroxychloroquine, a low-risk and inexpensive generic drug originally used to treat malaria, may help prevent kidney damage in patients with systemic lupus erythematosus (SLE), according to new study findings presented here at the American College of Rheumatology (ACR) annual scientific meeting.