Academic Journal
Factors Associated With Aggravation of Tubulointerstitial Damage on Repeated Biopsies in Lupus Nephritis Patients With Treatment Failure
| العنوان: | Factors Associated With Aggravation of Tubulointerstitial Damage on Repeated Biopsies in Lupus Nephritis Patients With Treatment Failure |
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| المساهمون: | Oh Chan Kwon, Yong Mee Cho, Ji Seon Oh, Seokchan Hong, Chang-Keun Lee, Bin Yoo, Yong-Gil Kim, Kwon, Oh Chan |
| بيانات النشر: | Clinical And Experimental Rheumatology S.A.S |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | Biopsy / adverse effects, Disease Progression, Humans, Hydroxychloroquine / therapeutic use, Kidney / pathology, Kidney Tubules / pathology, Lupus Nephritis* / pathology, Prognosis, Retrospective Studies, Treatment Failure |
| الوصف: | Objectives: Tubulointerstitial damage in lupus nephritis (LN) is an important predictor of renal prognosis. Here, we investigated the factors associated with aggravation of tubulointerstitial damage in patients with LN. Methods: Patients with LN, who underwent repeated renal biopsy due to treatment failure at a tertiary referral hospital between 1997 and 2017 were identified. Clinicopathologic and laboratory data were collected. Aggravation of tubulointerstitial damage (tubular atrophy and/or interstitial fibrosis) was defined as progression of severity from none-to-mild to moderate-to-severe. Factors associated with aggravation of tubulointerstitial damage were evaluated using logistic regression analysis. Results: A total of 52 LN patients were included for analysis. Aggravation of tubulointerstitial damage at the second renal biopsy was observed in 19 (36.5%) patients. In multivariable logistic regression analysis, use of hydroxychloroquine (adjusted OR 0.215, 95% CI 0.049-0.941, p=0.041) was inversely associated with aggravation of tubulointerstitial damage, and higher renal component of systemic lupus erythematosus disease activity index (SLEDAI) at first biopsy (adjusted OR 1.331, 95% CI 1.083-1.636, p=0.007) was associated with aggravation of tubulointerstitial damage. In terms of use of HCQ, both length of treatment with HCQ (adjusted OR 0.974, 95% CI 0.951-0.998, p=0.036) and cumulative dose of HCQ (log transferred value) (adjusted OR 0.485, 95% CI 0.262-0.896, p=0.020) were inversely associated with aggravation of tubulointerstitial damage. Conclusions: Use of hydroxychloroquine was associated with lower risk of aggravation in tubulointerstitial damage, and higher renal component of SLEDAI at first renal biopsy was associated with higher risk of aggravation in tubulointerstitial damage. ; restriction |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| تدمد: | 0392-856X 1593-098X |
| Relation: | CLINICAL AND EXPERIMENTAL RHEUMATOLOGY; J00555; OAK-2020-02189; https://ir.ymlib.yonsei.ac.kr/handle/22282913/176084; https://www.clinexprheumatol.org/abstract.asp?a=13982; T202001300; CLINICAL AND EXPERIMENTAL RHEUMATOLOGY, Vol.38(2) : 239-244, 2020-04 |
| الاتاحة: | https://ir.ymlib.yonsei.ac.kr/handle/22282913/176084 https://www.clinexprheumatol.org/abstract.asp?a=13982 |
| Rights: | CC BY-NC-ND 2.0 KR |
| رقم الانضمام: | edsbas.A06AE0F5 |
| قاعدة البيانات: | BASE |
Full Text Finder | تدمد: | 0392856X 1593098X |
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