Renal infarction due to lupus vasculopathy

B Varalaxmi, P Sandeep, A Sridhar, P Raveendra… - Lupus, 2015 - journals.sagepub.com
B Varalaxmi, P Sandeep, A Sridhar, P Raveendra, CK Kishore, R Ram, VS Kumar
Lupus, 2015journals.sagepub.com
In the ISN/RPS 2003 classification of lupus nephritis (LN) renal vascular lesions are not
mentioned. We present a patient with postpartum lupus vasculopathy. The renal biopsy in
our patient showed concentric intimal thickening with narrowed lumen. No inflammatory
changes were found. It also revealed immunoglobulin and complement deposition on the
wall of the arteriole. These changes indicate lupus vasculopathy. The glomeruli revealed
diffuse proliferative glomerulonephritis, with wire loops and cellular crescent in one …
In the ISN/RPS 2003 classification of lupus nephritis (LN) renal vascular lesions are not mentioned. We present a patient with postpartum lupus vasculopathy. The renal biopsy in our patient showed concentric intimal thickening with narrowed lumen. No inflammatory changes were found. It also revealed immunoglobulin and complement deposition on the wall of the arteriole. These changes indicate lupus vasculopathy. The glomeruli revealed diffuse proliferative glomerulonephritis, with wire loops and cellular crescent in one glomerulus. The patient showed improvement with immunosuppression.
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