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54th ERA-EDTA Congress

 

3rd-6th June 2017 Madrid
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Discussion forum - 54th ERA-EDTA Congress
    Topic - Glomerulonephritis II

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Poster: 222
Visits: 4
Title: A RENAL BIOPSY SHOULD NOT DELAY TREATMENT INTIATION IN SUSPECTED LUPUS NEPHRITIS
Authors: Astrid Baumann , Astrid Baumann1, Angela Pakozdi2, Andi Cove-Smith1, Dev Pyne2, Michael Sheaff3, Ravindra Rajakariar1, 1Barts Health NHS Trust, Nephrology, London, 2Barts Health NHS Trust, Rheumatology, London, 3Barts Health NHS Trust, Histopathology, London.
Centre: Royal London Hospital

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A RENAL BIOPSY SHOULD NOT DELAY TREATMENT INTIATION IN SUSPECTED LUPUS NEPHRITIS

Astrid Baumann
Thread initiator
Subspeciality
Reg: 5/21/2017 7:50:00 PM
Comment# 1
Current guidelines strongly recommend performing a kidney biopsy in every patient presenting with suspected LN. Our findings indicate that in patients with preserved renal function and significant proteinuria, treatment decision is not influenced by biopsy result. We therefore propose, that induction treatment with MMF should not be delayed until a renal biopsy result is available. This study also questions the necessity of baseline histology in LN patients with preserved renal function, as the majority respond to standard therapy, and raises the possibility that biopsy could be reserved for patients who are resistant to induction therapy.Wed be happy to discuss our findings with you.

Comment added on 5/21/2017 7:50:00 PM 
     
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Title: SLOWLY PROGRESSIVE GLOMERULONEPHRITIS IN PATIENTS WITH ANCA ASSOCIATED VASCULITIS (AAV)
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Centre: Azienda Ospedaliero Universitaria di Parma


 




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