Comparison of histopathological findings with clinical response among patients undergoing consecutive renal biopsy for lupus nephritis in 2008-2021

datacite.rightshttp://purl.org/coar/access_right/c_abf2spa
dc.contributor.authorVilladiego-Rojas, Rafael
dc.contributor.authorAroca-Martínez, Gustavo
dc.contributor.authorCadena-Bonfanti, Andrés
dc.contributor.authorAvedaño, Lil Geraldine
dc.contributor.authorGarcía-Tolosa, Raúl
dc.contributor.authorNiño-Hernández, Lucia
dc.contributor.authorVélez-Verbel, María de los Ángeles
dc.contributor.authorCorrea-Martínez, Lía
dc.contributor.authorRodríguez-Murgas, Javier
dc.contributor.authorMusso, Carlos G.
dc.date.accessioned2023-03-08T20:14:26Z
dc.date.available2023-03-08T20:14:26Z
dc.date.issued2023
dc.description.abstractIntroduction: Systemic lupus erythematosus (SLE) is an inflammatory autoimmune disease involving several systems and has a high occurrence in areas such as the kidney, central nervous system, and vascular and serous structures. Furthermore, SLE poses a significant and increased risk of infections as well as an increase in morbidity and mortality. This increase is due to the presence of risk factors such as the use of corticosteroids, immunosuppressive drugs, and cytotoxic agents; changes in renal function; leukopenia, hypoalbuminemia; and alterations in both renal function and immunological profile (complement, anti-DNA). Renal biopsy (RB) is a safe method for obtaining renal tissue for the diagnosis and prognosis of SLE. Although complications, such as hemorrhage, are rare, if they do occur, they usually do so during the first 8-24 hours of the procedure. This diagnostic method is the best tool to diagnose lupus nephritis. Hence, we conducted a study to determine the histological changes in patients with lupus nephritis who were evaluated with consecutive biopsies from 2008 to 2021. Materials and Methods: An observational, analytical, and retrospective study was conducted using information collected from the RB database. Data on SLE and/or lupus nephritis recorded in this database by Clínica de la Costa uninterruptedly from 2008 to 2021. Patients with a diagnosis of SLE were selected based on at least four diagnostic criteria of the American College of Rheumatology. Those who had undergone renal puncture biopsy according to the consensus criteria of the group of systemic autoimmune diseases of the Spanish Society of Nephrology were selected. Results: A significant increase was observed in chronicity rates. Conclusion: Consecutive renal biopsy in LN allows early identification of the progress of the histopathological lesion. In this study, 30.7% of class III patients in their first renal biopsy presented histologicalprogress toward class IV in their consecutive biopsy.eng
dc.format.mimetypepdfspa
dc.identifier.citationCarlos G Musso., et al. “Comparison of Histopathological Findings with Clinical Response among Patients Undergoing Consecutive Renal Biopsy for Lupus Nephritis in 2008-2021". Acta Scientific Nutritional Health 7.3 (2023): 57-63.spa
dc.identifier.doiDOI: 10.31080/ASNH.2023.07.1206
dc.identifier.issn25821423
dc.identifier.urihttps://hdl.handle.net/20.500.12442/11950
dc.identifier.urlhttps://actascientific.com/ASNH/pdf/ASNH-07-1206.pdf
dc.language.isoengeng
dc.publisherActa Scientificeng
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 Internacional*
dc.rights.accessrightsinfo:eu-repo/semantics/openAccessspa
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.sourceActa Scientific Nutritional Healtheng
dc.sourceVol. 7 No. 3 Año 2023
dc.subjectSystemic lupus erythematosuseng
dc.subjectLupus nephritiseng
dc.subjectConsecutive kidney biopsieseng
dc.titleComparison of histopathological findings with clinical response among patients undergoing consecutive renal biopsy for lupus nephritis in 2008-2021eng
dc.type.driverinfo:eu-repo/semantics/articlespa
dc.type.spaArtículo científicospa
dcterms.referencesBrown SJ. “Systemic lupus erythematosus”. Nursing Times 99.40 (2003): 30-32.Veng
dcterms.referencesKhalifa M., et al. “Infection in systemic lupus erythematosus”. Médecine et Maladies Infectieuses 37.12 (2007): 792-795.eng
dcterms.referencesJ Gómez., et al. “Infecciones y lupus eritematoso sistémico. Análisis de factores de riesgo y pronóstico. Un estudio prospectivo [Infections and systemic lupus erythematosus. Analysis of risk factors and prognosis. A prospective study] (1979- 1988)]”. Revista Clínica Española 188 (1991): 72-75.spa
dcterms.referencesWhittier William L and Korbet SM. “Renal biopsy: update”. Current Opinion in Nephrology and Hypertension 13.6 (2004): 661-665.eng
dcterms.referencesParikh SV., et al. “The Kidney Biopsy in Lupus Nephritis: Past, Present, and Future”. Seminars in Nephrology 35.5 (2015): 465-477.eng
dcterms.referencesAlmaani S., et al. “Update on lupus nephritis”. Clinical Journal of the American Society of Nephrology 12.5 (2017): 825-835.eng
dcterms.referencesAroca-Martínez GJ., et al. “Consecutive renal biopsy in a cohort of patients with lupus nephritis of the Colombian caribbean”. Journal of Nephropathology 7.4 (2018): 233-240.eng
dcterms.referencesPons-Estel BA., et al. “The GLADEL Multinational Latin American Prospective Inception Cohort of 1,214 Patients with Systemic Lupus Erythematosus: Ethnic and Disease Heterogeneity among “Hispanics.” Medicine (Baltimore) 83.1 (2004): 1-17.eng
dcterms.referencesTorres - Bustamante M., et al. “Clinical and epidemiological characterization of patients with lupus nephropathy in Santander, Colombia: the importance of the renal biopsy”. Revista Colombiana de Nefrología 6.2 (2019): 122-129.eng
dcterms.referencesMahajan A., et al. “Systemic lupus erythematosus, lupus nephritis and end-stage renal disease: a pragmatic review mapping disease severity and progression”. Lupus 29.9 (2020): 1011-1020.eng
dcterms.referencesBonett García O., et al. “Predictors of response to treatment of nephritis adults in lupus patients biopsied Clinic Coast Barranquilla (Atlántico, Colombia) over the period 2008-2014”. Biociencias 10.2 (2015): 107-117.eng
dcterms.referencesMoroni G., et al. “The value of a panel of autoantibodies for predicting the activity of lupus nephritis at time of renal biopsy”. Journal of Immunology Research (2015).eng
dcterms.referencesWeiý J. “Systemischer Lupus erythematodes”. Dtsch Medizinische Wochenschrift 131 (2006): 6.eng
dcterms.referencesOku K and Atsumi T. “Systemic lupus erythematosus: nothing stale her infinite variety”. Modern Rheumatology 28.5 (2018): 758-765.eng
dcterms.referencesMace GG., et al. “Classification of Systemic lupus erythematosus: Systemic Lupus International Collaborating Clinics versus American College of Rheumatology criteria”. Laryngoscope (2014): 2-31.eng
dcterms.referencesGiannico G and Fogo AB. “Lupus nephritis: Is the kidney biopsy currently necessary in the management of lupus nephritis?” Clinical Journal of the American Society of Nephrology 8.1 (2013): 138-145.eng
dcterms.referencesMalvar A., et al. “Histologic versus clinical remission in proliferative lupus nephritis”. Nephrology Dialysis Transplantation 32.8 (2017): 1338-1344.eng
dcterms.referencesTesar V and Hruskova Z. “Understanding histolopathologic characteristics to predict renal outcomes in lupus nephritis”. Clinical Journal of the American Society of Nephrology 12.5 (2017): 711-712.eng
dcterms.referencesFurie R., et al. “Two-Year Randomized, Controlled Trial of Belimumab in Lupus Nephritis”. The New England Journal of Medicine 383.12 (2020): 1117-1128.eng
dcterms.referencesPan American Health Organization. Perfil de los sistemas de salud [Health Systems Profile]”. Colombia. Biblioteca OPS 3 (2008): 1-56.eng
dcterms.referencesGuerrero R., et al. “Sistema de salud de Colombia [Colombian Health System]”. Salud Pública de México 53.2 (2011).spa
dcterms.referencesHahn BH., et al. “American College of Rheumatology guidelines for screening, treatment, and management of lupus nephritis”. Arthritis Care and Research 64.6 (2012): 797-808.eng
dcterms.referencesMinistry of Health. Resolution 8430 of 1993. Ministry of Health and Social Protection, Colombian Republic (1993): 1-19.eng
dcterms.referencesNossent HC., et al. “Contribution of renal biopsy data in predicting outcome in lupus nephritis. Analysis of 116 patients”. Arthritis and Rheumatology 33.7 (1990): 970-977.eng
dcterms.referencesAyed K., et al. “The involvement of HLA -DRB1*, DQA1*, DQB1* and complement C4A loci in diagnosing systemic lupus erythematosus among Tunisians”. Annals of Saudi Medicine 24.1 (2004): 31-35.eng
dcterms.referencesMoroni G., et al. “Lupus nephritis: When and how often to biopsy and what does it mean?” Journal of Autoimmunity 74 (2016): 27-40.eng
dcterms.referencesNarváez Javier., et al. “El valor de la repetición de la biopsia en los brotes de nefritis lúpica”. Medicina 96.24 (2017): e7099spa
dcterms.referencesDaleboudt GM., et al. “The clinical relevance of a repeat biopsy in lupus nephritis flares”. Nephrology Dialysis Transplantation 24 (2009): 3712-3717.eng
dcterms.referencesObrișcă B., et al. “A Histology-Guided Approach to the Management of Patients with Lupus Nephritis: Are We There Yet?” Biomedicines 10.6 (2022): 1409.eng
dcterms.referencesAnders HJ. “Re-biopsy in lupus nephritis”. Annals of Translational Medicine 6 (2018): S41.eng
dcterms.referencesDe Rosa M., et al. “A prospective observational cohort study highlights kidney biopsy findings of lupus nephritis patients in remission who flare following withdrawal of maintenance therapy”. Kidney International 94.4 (2018): 788-794.eng
oaire.versioninfo:eu-repo/semantics/publishedVersionspa

Archivos

Bloque original
Mostrando 1 - 1 de 1
Cargando...
Miniatura
Nombre:
ASNH-07-1206.pdf
Tamaño:
542.37 KB
Formato:
Adobe Portable Document Format
Descripción:
PDF
Bloque de licencias
Mostrando 1 - 1 de 1
No hay miniatura disponible
Nombre:
license.txt
Tamaño:
381 B
Formato:
Item-specific license agreed upon to submission
Descripción:

Colecciones