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Are steroids required for induction therapy and relapses in lupus nephritis?
  1. Carlos Abud-Mendoza1,
  2. Roberto González-Amaro2
  1. 1Regional Unit of Rheumatology and Osteoporosis, Central Hospital Dr. Ignacio Morones Prieto, Universidad Autónoma de San Luis Potosí, Mexico, San Luis Potosí, Mexico
  2. 2Department of Immunology Universidad Autónoma de San Luis Potosí, San Luis Potosí, S.L.P., Mexico
  1. Correspondence to Dr Carlos Abud-Mendoza, 1. Regional Unit of Rheumatology and Osteoporosis, Central Hospital Dr. Ignacio Morones Prieto, Universidad Autónoma de San Luis Potosí, Mexico, San Luis Potosí 78240, Mexico; c_abud{at}hotmail.com

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‘A finger in the wound’, is an expression by Condon et al1 used in their very interesting paper treating severe lupus nephritis with rituximab and mycophenolate, additionally to intravenous methyl-prednisolone, but not long-term oral steroids, achieving a good clinical response in most patients.

Rheumatologists and nephrologists have the notion that glucocorticoids are the cornerstone for the treatment of autoimmune diseases, particularly lupus nephritis, where steroids …

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