Lupus nephritis and thrombotic microangiopathy: A review

Lupus nephritis (LN) is one of the most common organ-specific manifestations of systemic lupus erythematosus (SLE). Various clinical signs of LN develop in at least 50% of patients with SLE. In addition to LN, the spectrum of renal lesions associated with SLE also includes vascular pathology. One of...

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Main Authors: Larisa A. Bobrova, Natalia L. Kozlovskaya
Format: Article
Language:Russian
Published: "Consilium Medicum" Publishing house 2024-01-01
Series:Терапевтический архив
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Online Access:https://ter-arkhiv.ru/0040-3660/article/viewFile/634100/149189
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author Larisa A. Bobrova
Natalia L. Kozlovskaya
author_facet Larisa A. Bobrova
Natalia L. Kozlovskaya
author_sort Larisa A. Bobrova
collection DOAJ
description Lupus nephritis (LN) is one of the most common organ-specific manifestations of systemic lupus erythematosus (SLE). Various clinical signs of LN develop in at least 50% of patients with SLE. In addition to LN, the spectrum of renal lesions associated with SLE also includes vascular pathology. One of the variants of renal microvascular injury is thrombotic microangiopathy (TMA), the mechanisms of which are diverse. The review focuses on the main forms of TMA, including antiphospholipid syndrome and nephropathy associated with antiphospholipid syndrome, TMA caused by complement system regulation disorders and deficiency of ADAMTS13. In most cases, these forms of TMA are combined with LN. However, they may also exist as a single form of kidney damage. This article discusses the TMA pathogenesis, the impact on kidney prognosis, and treatment options.
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publisher "Consilium Medicum" Publishing house
record_format Article
series Терапевтический архив
spelling doaj-art-86b817fb0953449e98033b58d3e7f1422025-08-20T02:56:30Zrus"Consilium Medicum" Publishing houseТерапевтический архив0040-36602309-53422024-01-0196662863410.26442/00403660.2024.06.20273178517Lupus nephritis and thrombotic microangiopathy: A reviewLarisa A. Bobrova0https://orcid.org/0000-0001-6265-4091Natalia L. Kozlovskaya1https://orcid.org/0000-0002-4275-0315Sechenov First Moscow State Medical University (Sechenov University)Patrice Lumumba People’s Friendship University of RussiaLupus nephritis (LN) is one of the most common organ-specific manifestations of systemic lupus erythematosus (SLE). Various clinical signs of LN develop in at least 50% of patients with SLE. In addition to LN, the spectrum of renal lesions associated with SLE also includes vascular pathology. One of the variants of renal microvascular injury is thrombotic microangiopathy (TMA), the mechanisms of which are diverse. The review focuses on the main forms of TMA, including antiphospholipid syndrome and nephropathy associated with antiphospholipid syndrome, TMA caused by complement system regulation disorders and deficiency of ADAMTS13. In most cases, these forms of TMA are combined with LN. However, they may also exist as a single form of kidney damage. This article discusses the TMA pathogenesis, the impact on kidney prognosis, and treatment options.https://ter-arkhiv.ru/0040-3660/article/viewFile/634100/149189lupus nephritisthrombotic microangiopathy
spellingShingle Larisa A. Bobrova
Natalia L. Kozlovskaya
Lupus nephritis and thrombotic microangiopathy: A review
Терапевтический архив
lupus nephritis
thrombotic microangiopathy
title Lupus nephritis and thrombotic microangiopathy: A review
title_full Lupus nephritis and thrombotic microangiopathy: A review
title_fullStr Lupus nephritis and thrombotic microangiopathy: A review
title_full_unstemmed Lupus nephritis and thrombotic microangiopathy: A review
title_short Lupus nephritis and thrombotic microangiopathy: A review
title_sort lupus nephritis and thrombotic microangiopathy a review
topic lupus nephritis
thrombotic microangiopathy
url https://ter-arkhiv.ru/0040-3660/article/viewFile/634100/149189
work_keys_str_mv AT larisaabobrova lupusnephritisandthromboticmicroangiopathyareview
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