Manejo actual de la afectación renal en el lupus
El diagnóstico de nefritis lúpica se establece por biopsia renal. Salvo contraindicaciones, se recomienda hacer biopsia renal en todo paciente previamente diagnosticado de lupus que presente anomalías urinarias (proteinuria, hematuria) y/o deterioro de función renal. En otras ocasiones, la nefritis lúpica constituye una de las primeras manifestaciones de la enfermedad y la biopsia es también necesaria para, por una parte, confirmar el diagnóstico, y por otra, clasificar las lesiones dentro de las seis categorías de nefritis lúpica reconocidas. En general, el tratamiento inmunosupresor se recomienda para las clases III, IV y V.
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