Membranous Lupus Nephropathy Initially Seen as Idiopathic Membranous Nephropathy

摘要: • When a renal lesion is the sole manifestation of systemic lupus erythematosus (SLE), differentiation from other nephropathies difficult. The membranous form nephritis especially difficult to distinguish idiopathic nephropathy, particularly when multisystem and serologic features SLE are absent. We report two cases in which initial biopsy findings suggested nephropathy subsequent emergence might have been predicted by presence tubular reticular structures. identified these structures 177 183 (96.7%) specimens patients with SLE, but only three 128 (2.3%) nephropathy. Tubular markers may be helpful (Arch Intern Med140:1521-1523, 1980)