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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
1988-8-19
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pubmed:abstractText |
Twenty-seven patients with lupus nephritis and nephrotic syndrome had persistent disease activity despite an adequate trial of corticosteroids and immunosuppressive drugs; 30% were Asians, compared with 7% of our overall SLE population. Two years later, seven had a very good outcome and seven a poor outcome. Thirty clinical, pathological, laboratory, and treatment variables were analyzed in a good versus poor responder subset comparison in an effort to determine which factors were associated with favorable outcome. Administration of pulse steroids (P = .069) and a low biopsy chronicity index (P = .048) were associated with the good responder subset. Serum creatinine, biopsy class, blood pressure, complement, and anti-DNA values at entry as well as the choice of immunosuppressive drug were not helpful in predicting outcome. All seven good responders were plasmapheresed (P = .026). Patients with refractory lupus nephritis who have a low biopsy chronicity index may benefit from the use of pulse steroids or plasmapheresis, and controlled studies are suggested.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:issn |
0733-2459
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
4
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
30-4
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pubmed:dateRevised |
2005-7-26
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pubmed:meshHeading |
pubmed-meshheading:3391988-Adult,
pubmed-meshheading:3391988-Dose-Response Relationship, Drug,
pubmed-meshheading:3391988-Female,
pubmed-meshheading:3391988-Follow-Up Studies,
pubmed-meshheading:3391988-Glucocorticoids,
pubmed-meshheading:3391988-Humans,
pubmed-meshheading:3391988-Immunosuppressive Agents,
pubmed-meshheading:3391988-Lupus Nephritis,
pubmed-meshheading:3391988-Male,
pubmed-meshheading:3391988-Nephrotic Syndrome,
pubmed-meshheading:3391988-Plasmapheresis,
pubmed-meshheading:3391988-Prognosis
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pubmed:year |
1988
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pubmed:articleTitle |
Predictive value of clinical, laboratory, pathologic, and treatment variables in steroid/immunosuppressive resistant lupus nephritis.
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pubmed:affiliation |
Department of Medicine, UCLA School of Medicine.
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pubmed:publicationType |
Journal Article
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