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The management of l...
The management of lupus nephritis as proposed by EULAR/ERA 2019 versus KDIGO 2021
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- Anders, Hans Joachim (author)
- University Hospital Munich,Klinikum Univ, Germany
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- Loutan, Jerome (author)
- University Hospital Munich,Klinikum Univ, Germany
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- Bruchfeld, Annette (author)
- Linköpings universitet,Karolinska Institutet,Linköping University,Karolinska Institute,Avdelningen för diagnostik och specialistmedicin,Medicinska fakulteten,Region Östergötland, Njurmedicinska kliniken US,Karolinska Inst, Sweden
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- Fernández-Juárez, Gema M. (author)
- Hospital Universitario Fundación Alcorcón,Hosp Univ Fdn Alcorcon, Spain
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- Floege, Jürgen (author)
- Universitätsklinikum der RWTH Aachen,RWTH Aachen Univ Hosp, Germany
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- Goumenos, Dimitrios (author)
- University General Hospital of Patras,Patras Univ Hosp, Greece
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- Turkmen, Kultigin (author)
- Necmettin Erbakan University,Necmettin Erbakan Univ, Turkey
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- van Kooten, Cees (author)
- Leiden University Medical Centre,Leiden Univ, Netherlands
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- Frangou, Eleni (author)
- Limassol General Hospital,Limassol Gen Hosp, Cyprus
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- Stevens, Kate I. (author)
- Queen Elizabeth University Hospital, Glasgow,Queen Elizabeth Univ Hosp, Scotland
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- Kronbichler, Andreas (author)
- Univ Cambridge, England
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- Segelmark, Mårten (author)
- Karolinska Institute,Lund University,Lunds universitet,Njurmedicin,Sektion II,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Nephrology,Section II,Department of Clinical Sciences, Lund,Faculty of Medicine,Skåne University Hospital,Karolinska Inst, Sweden; Lund Univ, Sweden; Skane Univ Hosp, Sweden
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- Tesar, Vladimir (author)
- General University Hospital in Prague,Charles Univ Prague, Czech Republic; Gen Univ Hosp, Czech Republic
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(creator_code:org_t)
- 2021-12-09
- 2023
- English 11 s.
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In: Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association. - : Oxford University Press (OUP). - 1460-2385 .- 0931-0509. ; 38:3, s. 551-561
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Abstract
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- In 2019 and 2021, the European League for Rheumatism (EULAR) jointly with the European Renal Association (ERA) and the Kidney Disease: Improving Global Outcomes (KDIGO), respectively, released updated guidelines on the management of lupus nephritis (LN). The Immunology Working Group of the ERA reviewed and compared both updates. Recommendations were either consistent or differences were of negligible clinical relevance for: indication for kidney biopsy, kidney biopsy interpretation, treatment targets, hydroxychloroquine dosing, first-line initial immunosuppressive therapy for active class III, IV (±V) LN, pregnancy in LN, LN in paediatric patients and LN patients with kidney failure. Relevant differences in the recommended management relate to the recognition of lupus podocytopathies, uncertainties in steroid dosing, drug preferences in specific populations and maintenance therapy, treatment of pure class V LN, therapy of recurrent LN, evolving alternative drug options and diagnostic work-up of thrombotic microangiopathy. Altogether, both documents provide an excellent guidance to the growing complexity of LN management. This article endeavours to prevent confusion by identifying differences and clarifying discrepancies.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Urologi och njurmedicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Urology and Nephrology (hsv//eng)
Keyword
- autoimmunity
- glomerulonephritis
- inflammation
- lupus
- standards
- autoimmunity; glomerulonephritis; inflammation; lupus; standards
Publication and Content Type
- art (subject category)
- ref (subject category)
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- By the author/editor
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Anders, Hans Joa ...
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Loutan, Jerome
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Bruchfeld, Annet ...
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Fernández-Juárez ...
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Floege, Jürgen
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Goumenos, Dimitr ...
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show more...
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Turkmen, Kultigi ...
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van Kooten, Cees
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Frangou, Eleni
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Stevens, Kate I.
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Kronbichler, And ...
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Segelmark, Mårte ...
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Tesar, Vladimir
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Urology and Neph ...
- Articles in the publication
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Nephrology, dial ...
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Nephrology Dialy ...
- By the university
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Lund University
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Karolinska Institutet
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Linköping University