Brazilian Journal of Nephrology (Nov 2020)

Non-lupus full-house nephropathy: a case series

  • Márcia de Oliveira Silva,
  • Patrick Vanttinny Vieira de Oliveira,
  • Pedro Henrique Cavalcante Vale,
  • Rinadja de Melo Cunha,
  • Joyce Santos Lages,
  • Dyego José de Araújo Brito,
  • Natalino Salgado Filho,
  • Felipe Leite Guedes,
  • Gyl Eanes Barros Silva,
  • Ricardo Ferreira Santos

DOI
https://doi.org/10.1590/2175-8239-jbn-2019-0242
Journal volume & issue
Vol. 43, no. 4
pp. 586 – 590

Abstract

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Abstract Systemic lupus erythematosus (SLE) is a chronic multisystem autoimmune inflammatory disease. However, some patients may exhibit a histological pattern of kidney injury, with characteristics indistinguishable from lupus nephritis, but without presenting any extrarenal symptoms or serologies suggestive of SLE. Such involvement has recently been called non-lupus full-house nephropathy. The objective is to report a series of clinical cases referred to the Laboratory of the Federal University of Maranhão that received the diagnosis of "full-house" nephropathy unrelated to lupus, upon immunofluorescence and to discuss its evolution and outcomes. Non-lupus full-house nephropathy represents a diagnostic and therapeutic challenge, because it is a new entity, which still needs further studies and may be the initial manifestation of SLE, isolated manifestation of SLE or a new pathology unrelated to SLE.

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