Managing Lupus Nephritis in Children and Adolescents

Lupus nephritis is an important manifestation of systemic lupus erythematosus, which leads to chronic kidney disease, kidney failure, and can result in mortality. About 35%–60% of children with systemic lupus erythematosus develop kidney involvement. Over the past few decades, the outcome of patient...

Full description

Saved in:
Bibliographic Details
Published in:Paediatric drugs 2024-03, Vol.26 (2), p.145-161
Main Authors: Chan, Eugene Yu-hin, Lai, Fiona Fung-yee, Ma, Alison Lap-tak, Chan, Tak Mao
Format: Article
Language:English
Subjects:
Adults
Clinical outcomes
Clinical trials
Internal Medicine
Kidney diseases
Lupus
Medicine
Medicine & Public Health
Mortality
Nephrology
Patients
Pediatrics
Pharmacotherapy
Puberty
Remission (Medicine)
Review Article
Teenagers
Urine
White people
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Lupus nephritis is an important manifestation of systemic lupus erythematosus, which leads to chronic kidney disease, kidney failure, and can result in mortality. About 35%–60% of children with systemic lupus erythematosus develop kidney involvement. Over the past few decades, the outcome of patients with lupus nephritis has improved significantly with advances in immunosuppressive therapies and clinical management. Nonetheless, there is a paucity of high-level evidence to guide the management of childhood-onset lupus nephritis, because of the relatively small number of patients at each centre and also because children and adolescents are often excluded from clinical trials. Children and adults differ in more ways than just size, and there are remarkable differences between childhood- and adult-onset lupus nephritis in terms of disease severity, treatment efficacy, tolerance to medications and most importantly, psychosocial perspective. In this article, we review the ‘art and science’ of managing childhood-onset lupus nephritis, which has evolved in recent years, and highlight special considerations in this specific patient population.
ISSN:1174-5878
1179-2019
DOI:10.1007/s40272-023-00609-3