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2017 ; 27
(ä): 153
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Clinicopathological findings and outcome of lupus nephritis in Tunisian children:
a review of 43 patients
#MMPMID28904681
Jebali H
; Hajji M
; Rais L
; Hamida FB
; Beji S
; Zouaghi MK
Pan Afr Med J
2017[]; 27
(ä): 153
PMID28904681
show ga
We report clinical and renal histological data, treatment modalities and outcome
of 43 Tunisian children with biopsy-proven lupus nephritis seen over a 23-year
period. There were 39 girls and 4 boys with a mean age of 12.5 years at diagnosis
of lupus nephritis and followed for a mean period of 77 months. Renal symptoms
included urinary abnormalities in all patients, hypertension in 40% of cases,
nephrotic syndrome in 60% of cases and renal failure in 25% of cases. Class IV
and class III nephritis were observed in 48.8 % and 30.2 % respectively.
Corticosteroids were used in all cases, associated to immunosuppressive therapy
in 23%. Overall survival was 86% at 5 years and 74% at 10 and 15 years. Renal
survival was 83% at 5 and 10 years and 63% at 15 years. Initial renal failure and
tubulointerstitial fibrosis were significantly increased risk for the development
of end-stage renal disease in our study group. Renal histological findings
provide the basis for treatment recommendations. Timely performed renal biopsy is
greatly needed to accurately determine the prognosis and to guide treatment in
children lupus nephritis.