AI Article Synopsis

  • Lupus nephritis is a serious condition that can lead to renal damage and failure, often requiring a multi-disciplinary team (MDT) approach due to its complex nature.
  • A case study was presented involving a 13-year-old girl who experienced severe symptoms, including fever, joint pain, and convulsions, which led to a confirmed diagnosis of lupus nephritis.
  • Successful treatment relied on a combination of therapies and adaptability in response to the patient’s fluctuating condition, highlighted by the effective use of plasma exchange that significantly reduced fragmented red blood cells.

Article Abstract

Introduction And Importance: Lupus nephritis is particularly a very concerning occurrence due to the susceptibility for potential renal damage and ultimately renal failure. Cardiac involvement was present as well in the form of pericarditis. Our study reports a case of lupus nephritis that has had a very severe course of fluctuations between relapses and improvements which constantly necessitated an MDT interference at various points.

Case Presentation: We report a case of a 13-year-old female patient who presented with a 5-day history of fever, dizziness, joint pain, menorrhagia, convulsions, and visual disturbances. Essential diagnostic tests took place and a diagnosis of lupus nephritis was confirmed.

Conclusion: In conclusion we found that a combination of various treatment modalities and flexibility in decision making in response to changes in the clinical course are vital to treatment success. Utilization of plasma exchange which resulted in an enormous drop in the percentage of fragmented red blood cells (RBCs) from 9.8% to 1.8%.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9486710PMC
http://dx.doi.org/10.1016/j.amsu.2022.104541DOI Listing

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