Lupus nephritis classification: Difference between revisions
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* Hypertension | * Hypertension | ||
* Uniform involvement on immunofluorescence<ref name="pmid3656940">{{cite journal |vauthors=Schwartz MM, Kawala KS, Corwin HL, Lewis EJ |title=The prognosis of segmental glomerulonephritis in systemic lupus erythematosus |journal=Kidney Int. |volume=32 |issue=2 |pages=274–9 |date=August 1987 |pmid=3656940 |doi= |url=}}</ref> | * Uniform involvement on immunofluorescence<ref name="pmid3656940">{{cite journal |vauthors=Schwartz MM, Kawala KS, Corwin HL, Lewis EJ |title=The prognosis of segmental glomerulonephritis in systemic lupus erythematosus |journal=Kidney Int. |volume=32 |issue=2 |pages=274–9 |date=August 1987 |pmid=3656940 |doi= |url=}}</ref> | ||
* Subendothelial immune and mesangial deposits on electron microscopy | * Subendothelial immune and mesangial deposits on electron microscopy<ref name="pmid14747370">{{cite journal |vauthors=Weening JJ, D'Agati VD, Schwartz MM, Seshan SV, Alpers CE, Appel GB, Balow JE, Bruijn JA, Cook T, Ferrario F, Fogo AB, Ginzler EM, Hebert L, Hill G, Hill P, Jennette JC, Kong NC, Lesavre P, Lockshin M, Looi LM, Makino H, Moura LA, Nagata M |title=The classification of glomerulonephritis in systemic lupus erythematosus revisited |journal=J. Am. Soc. Nephrol. |volume=15 |issue=2 |pages=241–50 |date=February 2004 |pmid=14747370 |doi= |url=}}</ref> | ||
=== Diffuse lupus nephritis (class IV) === | === Diffuse lupus nephritis (class IV) === |
Revision as of 18:42, 11 July 2018
Lupus nephritis Microchapters |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
Overview
There is no established system for the classification of [disease name].
OR
[Disease name] may be classified according to [classification method] into [number] subtypes/groups: [group1], [group2], [group3], and [group4].
OR
[Disease name] may be classified into [large number > 6] subtypes based on [classification method 1], [classification method 2], and [classification method 3]. [Disease name] may be classified into several subtypes based on [classification method 1], [classification method 2], and [classification method 3].
OR
Based on the duration of symptoms, [disease name] may be classified as either acute or chronic.
OR
If the staging system involves specific and characteristic findings and features: According to the [staging system + reference], there are [number] stages of [malignancy name] based on the [finding1], [finding2], and [finding3]. Each stage is assigned a [letter/number1] and a [letter/number2] that designate the [feature1] and [feature2].
OR
The staging of [malignancy name] is based on the [staging system].
OR
There is no established system for the staging of [malignancy name].
Classification
The Renal Pathology Society/International Society of Nephrology (RPS/ISN) classification:
Minimal mesangial lupus nephritis (class I)
- Very rare.
- No microscopic finding.
- Identified on electron microscopy and immunofluorescence.
Mesangial proliferative lupus nephritis (class II)
- Microscopic Hematuria
- Proteinuria
- Hypercellularity in mesangium
- Light microscopy shows subendothelial deposits or segmental scars
- Immunofluorescence shows subepithelial or subendothelial deposits
- Good prognosis
Focal lupus nephritis (class III)
- Less than 50% glomeruli involved
- Hematuria
- Proteinuria
- Hypertension
- Uniform involvement on immunofluorescence[1]
- Subendothelial immune and mesangial deposits on electron microscopy[2]
Diffuse lupus nephritis (class IV)
Lupus membranous nephropathy (class V)
Advanced sclerosing lupus nephritis (class VI)
OR
- [Disease name] may be classified according to [classification method] into [number] subtypes/groups:
- [Group1]
- [Group2]
- [Group3]
- [Group4]
OR
- [Disease name] may be classified into [large number > 6] subtypes based on:
- [Classification method 1]
- [Classification method 2]
- [Classification method 3]
- [Disease name] may be classified into several subtypes based on:
- [Classification method 1]
- [Classification method 2]
- [Classification method 3]
OR
- Based on the duration of symptoms, [disease name] may be classified as either acute or chronic.
OR
- If the staging system involves specific and characteristic findings and features:
- According to the [staging system + reference], there are [number] stages of [malignancy name] based on the [finding1], [finding2], and [finding3]. Each stage is assigned a [letter/number1] and a [letter/number2] that designate the [feature1] and [feature2].
OR
- The staging of [malignancy name] is based on the [staging system].
OR
- There is no established system for the staging of [malignancy name].
References
- ↑ Schwartz MM, Kawala KS, Corwin HL, Lewis EJ (August 1987). "The prognosis of segmental glomerulonephritis in systemic lupus erythematosus". Kidney Int. 32 (2): 274–9. PMID 3656940.
- ↑ Weening JJ, D'Agati VD, Schwartz MM, Seshan SV, Alpers CE, Appel GB, Balow JE, Bruijn JA, Cook T, Ferrario F, Fogo AB, Ginzler EM, Hebert L, Hill G, Hill P, Jennette JC, Kong NC, Lesavre P, Lockshin M, Looi LM, Makino H, Moura LA, Nagata M (February 2004). "The classification of glomerulonephritis in systemic lupus erythematosus revisited". J. Am. Soc. Nephrol. 15 (2): 241–50. PMID 14747370.