Spontaneous resolution of lupus nephritis following withdrawal of etanercept.

نویسندگان

  • Taher M Yahya
  • Susmitha Dhanyamraju
  • Thomas M Harrington
  • Jeffrey W Prichard
چکیده

INTRODUCTION Etanercept, a systemic inhibitor of α-TNF, is used for treatment of various autoimmune disorders. We report a case of spontaneous resolution of etanercept-induced lupus nephritis. CASE DESCRIPTION A 57-year-old female patient taking etanercept for psoriasis presented with laboratory-and histology-confirmed lupus nephritis. After stopping etanercept, there was normalization of proteinuria, hematuria, serum complements, anti-dsDNA antibody, and resolution of the acute glomerular inflammatory process on repeat kidney biopsy. CONCLUSION This case demonstrates serology- and biopsy-confirmed resolution of active lupus nephritis upon withdrawal of etanercept.

منابع مشابه

Epidemiologic study of 40 patients with lupus nephritis in Imam Khomeini

Introduction: Systemic lupus erythematosus (SLE) is an inflammatory systemic disease that involves different organs such as heart, lungs, hematologic and musculoskletal systems, gastrointestinal tract and kidneys. Renal involvement has specific importance in disease prognosis. The present study was conducted to identify epidemiologic status, short term effects of treatment on renal involvemen...

متن کامل

The prognosis of lupus nephritis in children

Introduction: Lupus nephritis is a systemic disease which affects different organs. The present study was designed to review lupus nephritis, in children its outcome and the related factors. Methods: We reviewed 48 children with lupus nephritis. Clinical and epidemiological features were studied. The patients’ outcomes and related factors were analyzed. Patient and renal survival rate were ca...

متن کامل

Evaluation of Possible Role of Dendritic Cells in Various Lupus Nephritis

Background & Objectives: Chronicity of lupus nephritis (LN) should be considered for interaction of cell mediated immunity (CMI) and dendritic cells in glomeruli and tubulointerstitial areas. In this study establishment of immunohistopathological changes of dendritic cells and other immune effector cells in lupus nephritis comparing with non-lupus nephritis was performed. Materials & Methods: ...

متن کامل

Rituximab is an effective treatment for lupus nephritis and allows a reduction in maintenance steroids.

BACKGROUND Lupus nephritis is a life-threatening complication of SLE. Treatment regimes include steroids and cyclophosphamide, both associated with significant morbidity. Newer regimes include mycophenolate mofetil (MMF). We report our outcomes in a prospectively monitored cohort of patients receiving our new standard treatment protocol, comprising rituximab induction therapy and MMF maintenanc...

متن کامل

The Steroids In the Maintenance of remission of Proliferative Lupus nephritis (SIMPL) pilot trial

BACKGROUND Patients with proliferative lupus nephritis are at risk of frequent relapses. Whether low- dose prednisone prevents relapses is uncertain. OBJECTIVES We undertook a pilot RCT to determine the feasibility of a larger trial. DESIGN Pilot randomized controlled trial. SETTING Single center Canadian outpatient nephrology clinic. PATIENTS Participants with systemic lupus erythemato...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

متن کامل
عنوان ژورنال:
  • Annals of clinical and laboratory science

دوره 43 4  شماره 

صفحات  -

تاریخ انتشار 2013