Journal of Clinical Pediatrics ›› 2023, Vol. 41 ›› Issue (12): 881-886.doi: 10.12372/jcp.2023.23e0979

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Clinical characteristics and diagnosis of lupus nephritis in children

XIA Zhengkun1, WANG Ren2   

  1. 1. Department of Pediatrics, Jinling Hospital/General Hospital of Eastern Theater Command of PLA, School of Medicine, Nanjing University, Nanjing 210002, Jiangsu, China
    2. Department of Pediatrics, General Hospital of Eastern Theater Command of PLA, Nanjing 210002, Jiangsu, China
  • Received:2023-10-10 Online:2023-12-15 Published:2023-12-04

Abstract:

Systemic lupus erythematosus (SLE) is a multisystem autoimmune disease characterized by immune dysregulation and autoantibody formation. With the progress of treatment, the survival rate of SLE patients has improved significantly. Even so, lupus nephritis (LN) is associated with high morbidity and mortality. At present, there is a lack of data on LN in children, and its diagnosis, treatment and monitoring are mainly based on guidelines for adults. Treatment is mainly based on hormones and immunosuppressants. Recently, biologics have been used to treat LN with good results and no obvious adverse reactions. This article reviews the progress of epidemiology, clinical features, pathogenesis, diagnosis and treatment of LN in children.

Key words: lupus nephritis, diagnosis, treatment, child