Clinical aspects and risk factors of lupus nephritis: a retrospective study of 156 adult patients
Clinical aspects and risk factors of lupus nephritis: a retrospective study of 156 adult patients
复制标题
狼疮性肾炎的临床表现和危险因素：156 名成年患者的回顾性研究
DOI：
10.1177/0300060519871812
复制
发表时间：
2019-09-12
影响因子：
1.6
通讯作者：
You, Yanwu
中科院分区：
文献类型：
--
作者：
Yuan, Fang;Wei, Fenghua;You, Yanwu
Objective To analyze the clinical manifestations, laboratory indexes, disease activity, and pathological types of lupus nephritis (LN) in adult patients. Methods We retrospectively analyzed the clinical manifestations, laboratory indexes, and pathological classifications of 156 adult patients first diagnosed with LN between July 2013 and November 2017. Patients were categorized according to the following criteria: active or inactive LN, LN with or without renal damage, and mild or severe LN. Results Immunoglobulin G and A levels, 24-hour proteinuria, and anti-dsDNA, anti-Sm, and anti-ribosomal P protein antibody positivity rates were all significantly increased in patients with active LN compared with inactive LN. Anti-dsDNA antibody positivity and 24-hour proteinuria were significantly increased, whereas hemoglobin, serum albumin, and C3 and C4 levels were significantly decreased in patients with LN and renal damage compared with those without renal damage. Anti-dsDNA and anti-Sm antibody positivity rates and 24-hour proteinuria were significantly increased, while hemoglobin, serum albumin, C3 and C4 levels, and estimated glomerular filtration rate were significantly decreased in patients with severe LN compared with patients with mild LN. Conclusions LN can display various clinical manifestations, laboratory indexes, levels of disease activity, and pathological types in adult patients.
