Expert Perspective: An Approach to Refractory Lupus Nephritis.
Expert Perspective: An Approach to Refractory Lupus Nephritis.
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专家观点：难治性狼疮肾炎的方法。
DOI：
10.1002/art.42092
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发表时间：
2022-06
影响因子：
13.3
通讯作者：
Rovin, Brad H.
中科院分区：
文献类型：
--
作者：
Arora, Swati;Rovin, Brad H.
Systemic lupus erythematosus affects the kidneys in ~50% of all patients, and lupus nephritis (LN) is the most common manifestation of kidney involvement. Despite prompt diagnosis and treatment with aggressive immunosuppression, a significant proportion of LN patients do not respond to treatment and are considered to have refractory LN. Several factors other than drug resistance, such as nonadherence to treatment, undertreatment with conventional drugs, the effects of accumulated chronic damage, and genetic factors, may contribute to a poor response to treatment and should be considered. We define refractory LN as no change in (or worsening of) proteinuria and/or estimated glomerular filtration rate in response to 2 different standard‐of‐care induction regimens after 4–6 months in patients who are adherent to treatment. For patients who have LN that is truly refractory to standard of care, B cell–targeted therapy, specifically rituximab (RTX), is the most common next step. There is limited evidence available on alternative rescue therapies that may be used when there is no response to RTX. These include anti‐CD38, leflunomide, intravenous immunoglobulin, plasma exchange, autologous stem cell transplantation, chimeric antigen receptor T cell therapy, anticomplement therapy, and interleukin‐2 therapy.
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影响因子：
2.6
作者：
Alvarado, A. S.;Malvar, A.;Rovin, B. H.
通讯作者：
Rovin, B. H.
影响因子：
--
作者：
Houssiau, FA;Vasconcelos, C;Cervera, R
通讯作者：
Cervera, R
影响因子：
13.8
作者：
Barmettler, Sara;Ong, Mei-Sing;Walter, Jolan
通讯作者：
Walter, Jolan
影响因子：
4.7
作者：
Feldman, Candace H.;Collins, Jamie;Costenbader, Karen H.
通讯作者：
Costenbader, Karen H.
影响因子：
27.4
作者：
Furie RA;Aroca G;Cascino MD;Garg JP;Rovin BH;Alvarez A;Fragoso-Loyo H;Zuta-Santillan E;Schindler T;Brunetta P;Looney CM;Hassan I;Malvar A
通讯作者：
Malvar A