© 2003 by BMJ Publishing Group & European League Against Rheumatism
LEADER
Lupus nephritis
Lupus nephritis: current issues
H M Moutsopoulos, Department of Pathophysiology, School of Medicine, National University of Athens, Greece
Correspondence to:
Correspondence to:
Professor H M Moutsopoulos, Department of Pathophysiology, Medical School, University of Athens, 75 M Asias Street, 115 27 Athens, Greece;
hmoutsop@med.uoa.gr
The best approach to treatment of renal disease in systemic lupus erythematosus remains unresolved
Keywords: cytotoxicity; glomerulonephritis; immunosuppressive drugs; toxicities
| The first 150 words of the full text of this article appear below. |
Systemic lupus erythematosus (SLE), the prototype of systemic autoimmune disorders, has been considered for many years a classic model of immune complex mediated disease. However, earlier data demonstrate that multilevel dysfunction of cellular and humoral immunity underlie the pathophysiology of the disorder.1,2 The expression and clinical course of SLE vary enormously from very mild, with arthralgias and skin rashes, to life threatening, when the renal and central nervous system function are severely compromised; from complete quiescence to full blown expression of the disease. Coexistence or even evolution into other types of autoimmune disorders, such as Sjögrens syndrome and mixed connective tissue disease can also occur. Finally, subsets of SLE were early recognised: distinct clinical entities such as antiphospholipid syndrome (APS) or subacute lupus erythematosus are considered to be part of the "SLE" clinical spectrum.1
Among the various organs affected in SLE, the kidney appears to be one of
This article has been cited by other articles:
-
Masood, S, Jayne, D, Karim, Y
(2009). Beyond immunosuppression - challenges in the clinical management of lupus nephritis. Lupus
18: 106-115
[Abstract]
Register for free content
The full back archive is now available for all BMJ Journals. Institutional subscribers may access the entire archive as part of their subscription. Personal subscribers will also have access to all content when logged in. Non-subscribers who register have free access to all articles published before 2006 right back to volume 1 issue 1. Register here to access the free archive of all BMJ Journals.
Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.
