The Kidney Biopsy in Lupus Nephritis: Is It Still Relevant?

被引:33
|
作者
Rovin, Brad H. [1 ]
Parikh, Samir V. [1 ]
Alvarado, Anthony [1 ]
机构
[1] Ohio State Univ, Wexner Med Ctr, Dept Internal Med, Div Nephrol, Columbus, OH 43210 USA
关键词
Lupus nephritis; Kidney biopsy; Systemic lupus erythematosus; RENAL BIOPSY; C1Q DEFICIENCY; ERYTHEMATOSUS; DISEASE; GLOMERULONEPHRITIS; NEPHROPATHY; BIOMARKERS; MARKERS; PATHOGENESIS; ASSOCIATION;
D O I
10.1016/j.rdc.2014.04.004
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The kidney biopsy is the standard of care for diagnosis of lupus nephritis and remains necessary to ensure accurate diagnosis arid guide treatment. Repeat biopsy should be considered when therapy modifications are necessary, as in cases with incomplete or no response, or when stopping therapy for those in remission. There are several promising biomarkers of kidney disorders; however, these markers need to be validated in a prospective clinical trial before being applied clinically. Molecular analysis may provide the information presently lacking from current evaluation of kidney disorders and may better inform on prognosis and treatment considerations.
引用
收藏
页码:537 / +
页数:17
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