Nonproliferative Forms of Lupus Nephritis: An Overview

Rheum Dis Clin North Am. 2018 Nov;44(4):561-569. doi: 10.1016/j.rdc.2018.06.003. Epub 2018 Sep 7.


Most of the attention paid to lupus nephritis, in the medical literature and in clinical trials, has primarily focused on proliferative forms of lupus nephritis (class III and IV lesions), but with lower thresholds to biopsy and rebiopsy patients with lupus, clinicians are encountering more cases with purely mesangial disease (class I and II) or membranous nephropathy patterns (class V). These lesions often will be associated with milder disease courses but still require dedicated follow-up by a nephrologist and focused therapeutic strategies that, at times, will include immunosuppression.

Keywords: Lupus; Lupus nephritis; Nephrotic syndrome; Podoctyopathy.

Publication types

  • Research Support, N.I.H., Extramural
  • Review

MeSH terms

  • Biopsy
  • Disease Management*
  • Humans
  • Kidney / pathology*
  • Lupus Nephritis* / diagnosis
  • Lupus Nephritis* / therapy