Wednesday, January 22, 2014

What need to check with lupus nephritis

(1) routine urine examination may have different levels of urine protein, microscopic haematuria, white blood cells, red blood cells and urine tube type.
(2) most had moderate anemia, hemolytic anemia, blood leukocytes, platelets most less than 100 x 109 / L, blood sedimentation quickly.
(3) the immunological tests: a variety of autoantibodies positive serum, gamma globulin increased significantly
, positive circulating immune complex, low complement hematic disease, especially in the activity.Positive blood lupus erythematosus (sle) cells, the skin lupus band test positive.
(4) heavy activity associated with lupus nephritis reversibility of Ccr decline in different level, blood urea nitrogen and creatinine increased, reduced or hepatic transaminase heighten blood albumin;End-stage Ccr decreased obviously with lupus nephritis and a significant rise in serum creatinine, blood urea nitrogen.
(5) imaging examination: ultrasound in bilateral renal enlargement tip acute lesions;Some patients with liver and spleen enlargement or pericarditis.

(6) renal biopsy can understand pathologic type, disease activity, and determine treatment.Kidney damage as the starting performance of systemic lupus erythematosus (sle), renal biopsy is helpful to diagnosis.

No comments:

Post a Comment