Lupus nephritis as a topical problem of pediatric nephrology. Clinical case of lupus nephritis class I in a child with nephrotic syndrome
S.L. MOROZOV1,2, N.YU. KOVAL3, E.S. STOLYAREVICH4, O.R. PIRUZIEVA1, T.V. LEPAEVA1, T.A. NIKISHINA1, O.V. TARASOVA2, V.V. DLIN1
1Veltischev Research and Clinical Institute for Pediatrics, Moscow
2Pirogov Russian National Research Medical University, Moscow
3Tver State Medical University, Tver
4City Clinical Hospital No. 52 of the Moscow Health Department, Moscow City Nephrology Center, Moscow
Contact details:
Morozov S.L. — PhD (medicine), Leading Researcher of the Department of Hereditary and Acquired Kidney Diseases named after M.S. Ignatova, Associate Professor of the Department of Hospital Therapy No. 2 of the Pediatrics Faculty
Address: 2 Taldomskaya St., Moscow, Russian Federation, 125412, tel.: +7-903-138-77-32, e-mail: mser@list.ru
Systemic lupus erythematosus is a chronic autoimmune disease accompanied by the synthesis of autoantibodies and the deposition of complement-fixing immune complexes in damaged tissues and organs. Systemic lupus erythematosus has many clinical manifestations, with kidney damage, the so-called lupus nephritis, being one of the most dangerous. The problem of lupus nephritis is especially relevant in pediatric practice, since it is believed that in children the disease is more severe than in adults and is often associated with infant mortality. This article presents modern ideas about the pathogenesis, clinical picture, and therapeutic tactics for lupus nephritis, as well as a clinical observation of class I lupus nephritis occurring with lupus podocytopathy.
Key words: children, systemic lupus erythematosus, lupus nephritis, lupus nephritis, podocytopathy, immunosuppressive therapy.
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