Unusual presentation of lupus nephritis

Gupta, R. ; Gulati, N. ; Gupta, A. ; Kumar, A. ; Dinda, A. K. ; Sharma, S. K. (2005) Unusual presentation of lupus nephritis Rheumatology International, 25 (2). pp. 130-132. ISSN 0172-8172

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Official URL: http://www.springerlink.com/content/0rujenqq2nwm32...

Related URL: http://dx.doi.org/10.1007/s00296-004-0478-5


We report a male patient who presented with pyrexia, generalized lymphadenopathy, hepatosplenomegaly, and pleural effusion with no cutaneous or musculoskeletal symptoms. Despite extensive investigation, no cause was detected. His initial serology was also negative for autoantibodies. The patient was placed on a trial of antitubercular treatment in view of a positive Mantoux test. His disease evolved into the full clinical picture of systemic lupus erythematosus with nephritis (World Health Organisation class IV) and strongly positive antinuclear antibody and dsDNA over a period of months. He was treated successfully with intravenous cyclophosphamide pulses along with oral prednisolone, and the disease was still in remission after 3 years of follow-up.

Item Type:Article
Source:Copyright of this article belongs to Springer.
Keywords:Lymphadenopathy; Nephritis; Systemic Lupus Erythematosus
ID Code:69354
Deposited On:09 Nov 2011 08:23
Last Modified:09 Nov 2011 08:23

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