Rapidly progressive lupus glomerulonephritis and concomitant microangiopathy in an adolescent

J. S. Blake, Lavjay Butani

Research output: Contribution to journalArticle

7 Scopus citations

Abstract

We describe our experience managing a 16-year-old girl with systemic lupus erythematosus (SLE) who presented concomitantly with rapidly progressive glomerulonephritis (RPGN) and a thrombotic microangiopathic hemolytic anemia (TMAHA). Her renal biopsy showed evidence of diffuse proliferative glomerulonephritis without glomerular microthrombi. The patient was treated with a combination of intravenous corticosteroids and cyclophosphamide, as well as plasmapheresis, with an excellent response resulting in complete disease remission. The purpose of our report is to make health professionals more aware of TMAHA as a complication of SLE, since the occurrence of TMAHA may confuse the clinical picture, and since its treatment with plasmapheresis is life saving, if performed early.

Original languageEnglish (US)
Pages (from-to)533-535
Number of pages3
JournalLupus
Volume11
Issue number8
DOIs
StatePublished - 2002

    Fingerprint

Keywords

  • Glomerulonephritis
  • Hemodialysis
  • Lupus
  • Microangiopathic-hemolytic anemia
  • Plasmapheresis
  • Renal failure

ASJC Scopus subject areas

  • Immunology
  • Rheumatology

Cite this