Lupus Nephritis: Causes, Symptoms, Daignosis, Prevention and Treatment - PowerPoint PPT Presentation

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Lupus Nephritis: Causes, Symptoms, Daignosis, Prevention and Treatment

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Lupus Nephritis is a certain type of kidney inflammation (nephritis) that affects children with systemic lupus erythematosus (SLE). – PowerPoint PPT presentation

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Title: Lupus Nephritis: Causes, Symptoms, Daignosis, Prevention and Treatment


1
Lupus Nephritis
2
What is lupus nephritis?
  • Lupus nephritis is a certain type of kidney
    inflammation (nephritis) that affects children
    with systemic lupus erythematosus (SLE). It is an
    autoimmune condition.Normally, the job of the
    immune system is to find and destroy foreign
    invaders, like germs.An autoimmune condition is
    one where the body starts to attack itself after
    mistakenly recognizing its cells as the
    enemy.In lupus nephritis, the immune system
    attacks the kidneys, particularly the tiny
    filtering units within the kidneys (glomeruli),
    stopping them working as well as they should.

3
How is lupus nephritis diagnosed?
  • A doctor will ask lots of questions about how
    the child became ill and examine them. Various
    tests will be needed to confirm or end lupus
    nephritis
  • Urine tests to see if protein is present in the
    urine
  • Blood tests to examine kidney function and
    specific lupus tests
  • Kidney biopsy to see if any areas contain
    inflammation
  • Other tests may also be needed if the results of
    these tests are not completely clear

4
What causes lupus nephritis?
  • Lupus nephritis only affects children with
    systemic lupus erythematosus (SLE). It is an
    autoimmune disease that is caused by the bodys
    immune system going into overdrive and attacking
    healthy tissue.

5
What are the symptoms of lupus nephritis?
  • The symptoms of lupus nephritis are similar to
    different conditions that also affect the
    glomeruli. Blood can be found in the urine, which
    can be discovered by test sticks.There can be
    swelling caused due to rise in fluid in the body,
    which is not being extracted by the kidneys as it
    should. It can cause puffiness, mainly around the
    eyes, tummy, feet and legs, and weight gain. The
    medical word used for this puffiness is called
    oedema. The appearance of the urine changes so
    that it appears foamy, which is a sign of
    proteinuria. The blood pressure can rise
    too.Other symptoms of being generally unwell
    are common, such as loss of appetite. These are
    also caused by the puffiness that can further
    affect internal organs, like the digestive
    system, as well as the hands, feet and legs.

6
How is lupus nephritis treated?
  • The standard treatment is having steroids in
    combination with immunosuppressive medicines,
    which damp down the immune system and stop it
    attacking the glomeruli.Doctors use different
    immunosuppressive medicines. The most common are
    cyclophosphamide, azathioprine and mycophenolate
    (MMF).The initial treatment with
    cyclophosphamide is often given as an intravenous
    infusion every 4 weeks or so at the start, but
    can then change to oral tablets or
    medicines.This immunosuppressive treatment will
    need to be done for a long time, often several
    years, to keep good control of the lupus.

7
How is lupus nephritis treated?
Continue
  • The amount of protein lost in the childs urine
    is monitored regularly. If the protein in the
    urine is high, medicines called ACE inhibitors
    are used to reduce the protein loss. Sometimes,
    diuretics (water tablets) are also prescribed to
    reduce the puffiness.Whether a child is taking
    steroids or immunosuppressive medicines, some of
    their immunizations may have to be postponed
    while taking them.Families should also report
    to their family doctor if the child comes into
    contact with chicken pox unless he or she has
    already had it.

8
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