Case 9

Joel David, Anne Miller, Anushka Soni and Lyn Williamson

in Oxford Case Histories in Rheumatology

Published on behalf of Oxford University Press

Published in print October 2011 | ISBN: 9780199587506
Published online November 2012 | e-ISBN: 9780191753442 | DOI:

Series: Oxford Case Histories

Case 9

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A 30-year-old female with a 10-year history of systemic lupus erythematosus (SLE) was reviewed in clinic. She had recently married and was keen to start a family. At diagnosis she had presented with a photosensitive rash, fleeting arthralgia, migraine, depression, and proteinuria. A renal biopsy had confirmed membranous glomerulonephritis, consistent with class V lupus nephritis. She was initially treated with prednisolone and azathioprine, but ongoing active renal disease necessitated escalation to cyclophosphamide and subsequent maintenance therapy with mycophenolate mofetil 1g twice daily.

Chapter.  940 words. 

Subjects: Rheumatology

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