The clinical manifestations and response to treatment in South Africans with lupus nephritis

The clinical manifestations and response to treatment in South Africans with lupus nephritis
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DOI:
10.1177/0961203318770024
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发表时间:
2018-06-01
期刊:
影响因子:
2.6
通讯作者:
Assounga, A.
Assounga, A.
中科院分区:
医学4区
文献类型:
--
作者:
Mody, P. G.;Mody, G. M.;Assounga, A.

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There are varying observations on the influence of ethnicity on the clinical spectrum and response to treatment in lupus nephritis (LN). We studied a multiethnic South African LN cohort to determine the clinical manifestations, histological involvement and response to therapy. We reviewed the records of LN patients at Inkosi Albert Luthuli Central Hospital in Durban. There were 105 patients, 92.5% females and they comprised 49.1% Indians and 45.3% African Blacks. The mean age was 31.3 +/- 12.5 years, and 41.5% had LN at first presentation of lupus. The most common histological classes were Class V alone in 34.9%, Class IV (+/- Class V) in 25.5% and Class III (+/- Class V) in 22.6%. The estimated glomerular filtration rate was reduced (