Case 1, presented by Nancy Pan, MD, a recent graduate of our Pediatric Rheumatology Training Program, Kyriakos A. Kirou, MD, and their colleagues, describes a woman with lupus nephritis who developed a dramatic exacerbation of her disease, including life-threatening hypertension and massive proteinuria. Two renal biopsies, performed during two distinct flares, demonstrated the evolution of changes consistent with chronic damage. Aggressive immunosuppressive and antihypertensive therapy, using multiple agents, resulted in significant clinical improvement.
Read full case details in Volume 3, Issue 3 of Grand Rounds - Complex Cases.
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