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Renal involvement in systemic lupus erythematosus: additional histopathological lesions
 
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1
Department of Nephrology, Presidente Dutra Universitary Hospital, University of Maranhão (UFMA), São Luís, MA, Brazil
2
Department of Nephrology, Onofre Lopes Universitary Hospital, Federal University of Rio Grande do Norte (UFRN), Natal, RN, Brazil
3
Department of Internal Medicine, Ribeirão Preto Medical School, University of São Paulo (FMRPUSP), Ribeirão Preto, SP, Brazil
Submission date: 2020-01-16
Final revision date: 2020-05-21
Acceptance date: 2020-05-21
Online publication date: 2020-06-23
 
 
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ABSTRACT
A common criticism of the classification of lupus nephritis is the relative scarcity of information regarding tubular, interstitial, and vascular changes compared to the available information regarding glomerular changes, even though their potential for independent progression is known. This study reviewed the importance of less explored lesions by the current and widely used 2003 classification of lupus nephritis of the International Society of Nephrology/Renal Pathology Society (ISN/RPS), with emphasis on the tubulointerstitial, podocyte, and vascular lesions, increasingly recognised as being important in the pathogenesis and prognosis of the disease. Recognition of these lesions can help with therapeutic decision-making, thereby allowing better results for patients with systemic lupus erythematosus.
eISSN:1896-9151
ISSN:1734-1922