The Various Forms of Nephrotic Syndrome in a Patient with Systemic Lupus Erythematosus

Kidney involvement is frequent in patients with systemic lupus erythematosus (SLE), although it may not be present from disease onset. Renal lupus itself is highly heterogenous with respect to the combination and/or severity of clinical and/or laboratory manifestations. This is a case of a 45-year-o...

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Main Authors: Sophia Lionaki, George Liapis, Kalliope Vallianou, Chrysovalantis Vergadis, Ioannis Boletis
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Case Reports in Nephrology
Online Access:http://dx.doi.org/10.1155/2020/7869216
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author Sophia Lionaki
George Liapis
Kalliope Vallianou
Chrysovalantis Vergadis
Ioannis Boletis
author_facet Sophia Lionaki
George Liapis
Kalliope Vallianou
Chrysovalantis Vergadis
Ioannis Boletis
author_sort Sophia Lionaki
collection DOAJ
description Kidney involvement is frequent in patients with systemic lupus erythematosus (SLE), although it may not be present from disease onset. Renal lupus itself is highly heterogenous with respect to the combination and/or severity of clinical and/or laboratory manifestations. This is a case of a 45-year-old Caucasian female with an established diagnosis of SLE, who presented four times with new onset of proteinuria during a follow-up time of ten years, since the diagnosis of SLE. Specifically, she experienced two episodes of lupus membranous nephropathy, and after she achieved remission, she developed twice overt nephrotic syndrome associated with new and biopsy proven lupus podocytopathy. All these episodes of nephrotic syndrome were combined with systemic symptoms, attributed to lupus itself, while serological activity of lupus was also noted. This case highlights the importance of performing a kidney biopsy in all patients with SLE who have new renal manifestations, including nephrotic proteinuria.
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spelling doaj-art-69db4ef2b03540129b60ec0177bd09612025-08-20T03:34:05ZengWileyCase Reports in Nephrology2090-66412090-665X2020-01-01202010.1155/2020/78692167869216The Various Forms of Nephrotic Syndrome in a Patient with Systemic Lupus ErythematosusSophia Lionaki0George Liapis1Kalliope Vallianou2Chrysovalantis Vergadis3Ioannis Boletis4Nephrology Department and Transplantation Unit, Laiko Hospital, National & Kapodistrian University of Athens, Faculty of Medicine, Athens, GreecePathology Department, Laiko Hospital, Athens, GreeceNephrology Department and Transplantation Unit, Laiko Hospital, National & Kapodistrian University of Athens, Faculty of Medicine, Athens, GreeceRadiology Department, Laiko Hospital, Athens, GreeceNephrology Department and Transplantation Unit, Laiko Hospital, National & Kapodistrian University of Athens, Faculty of Medicine, Athens, GreeceKidney involvement is frequent in patients with systemic lupus erythematosus (SLE), although it may not be present from disease onset. Renal lupus itself is highly heterogenous with respect to the combination and/or severity of clinical and/or laboratory manifestations. This is a case of a 45-year-old Caucasian female with an established diagnosis of SLE, who presented four times with new onset of proteinuria during a follow-up time of ten years, since the diagnosis of SLE. Specifically, she experienced two episodes of lupus membranous nephropathy, and after she achieved remission, she developed twice overt nephrotic syndrome associated with new and biopsy proven lupus podocytopathy. All these episodes of nephrotic syndrome were combined with systemic symptoms, attributed to lupus itself, while serological activity of lupus was also noted. This case highlights the importance of performing a kidney biopsy in all patients with SLE who have new renal manifestations, including nephrotic proteinuria.http://dx.doi.org/10.1155/2020/7869216
spellingShingle Sophia Lionaki
George Liapis
Kalliope Vallianou
Chrysovalantis Vergadis
Ioannis Boletis
The Various Forms of Nephrotic Syndrome in a Patient with Systemic Lupus Erythematosus
Case Reports in Nephrology
title The Various Forms of Nephrotic Syndrome in a Patient with Systemic Lupus Erythematosus
title_full The Various Forms of Nephrotic Syndrome in a Patient with Systemic Lupus Erythematosus
title_fullStr The Various Forms of Nephrotic Syndrome in a Patient with Systemic Lupus Erythematosus
title_full_unstemmed The Various Forms of Nephrotic Syndrome in a Patient with Systemic Lupus Erythematosus
title_short The Various Forms of Nephrotic Syndrome in a Patient with Systemic Lupus Erythematosus
title_sort various forms of nephrotic syndrome in a patient with systemic lupus erythematosus
url http://dx.doi.org/10.1155/2020/7869216
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