Nephrotic syndrome in the course of type 1 diabetes mellitus and systemic lupus erythematosus with secondary antiphospholipid syndrome – diagnostic and therapeutic problems. A case-based review

Nephrotic syndrome (NS) can be a symptom of many autoimmune, metabolic, or infectious diseases. Kidney involvement is often observed in the course of diabetes mellitus (DM) and systemic lupus erythematosus (SLE). The development of NS with coexisting SLE and DM generates serious diagnostic problems....

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Autores principales: Aleksandra Graca, Dorota Suszek, Radosław Jeleniewicz, Maria Majdan
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Lenguaje:EN
Publicado: Termedia Publishing House 2020
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Acceso en línea:https://doaj.org/article/969df6f2e0e64700a601d91fcb86a664
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spelling oai:doaj.org-article:969df6f2e0e64700a601d91fcb86a6642021-12-02T18:54:24ZNephrotic syndrome in the course of type 1 diabetes mellitus and systemic lupus erythematosus with secondary antiphospholipid syndrome – diagnostic and therapeutic problems. A case-based review0034-62332084-983410.5114/reum.2020.100105https://doaj.org/article/969df6f2e0e64700a601d91fcb86a6642020-10-01T00:00:00Zhttps://www.termedia.pl/Nephrotic-syndrome-in-the-course-of-type-1-diabetes-mellitus-and-systemic-lupus-erythematosus-with-secondary-antiphospholipid-syndrome-diagnostic-and-therapeutic-problems-A-case-based-review,18,42144,1,1.htmlhttps://doaj.org/toc/0034-6233https://doaj.org/toc/2084-9834Nephrotic syndrome (NS) can be a symptom of many autoimmune, metabolic, or infectious diseases. Kidney involvement is often observed in the course of diabetes mellitus (DM) and systemic lupus erythematosus (SLE). The development of NS with coexisting SLE and DM generates serious diagnostic problems. In this paper, the authors present diagnostic and therapeutic dilemmas in a patient with long-lasting DM, SLE, and secondary antiphospholipid syndrome, in whom NS symptoms appeared. Histopathological examination of the kidney confirmed the diagnosis of lupus nephritis. Immunosuppressive and anticoagulant drugs were used. The authors demonstrated that the character of morphologic lesions in the kidney biopsy can help in diagnosis, nephropathy classification, and further therapeutic decisions, which are distinct in both diseases.Aleksandra GracaDorota SuszekRadosław JeleniewiczMaria MajdanTermedia Publishing Housearticlenephrotic syndrome diabetes mellitus type 1 systemic lupus erythematosus.MedicineRENRheumatology, Vol 58, Iss 5, Pp 331-334 (2020)
institution DOAJ
collection DOAJ
language EN
topic nephrotic syndrome
diabetes mellitus type 1
systemic lupus erythematosus.
Medicine
R
spellingShingle nephrotic syndrome
diabetes mellitus type 1
systemic lupus erythematosus.
Medicine
R
Aleksandra Graca
Dorota Suszek
Radosław Jeleniewicz
Maria Majdan
Nephrotic syndrome in the course of type 1 diabetes mellitus and systemic lupus erythematosus with secondary antiphospholipid syndrome – diagnostic and therapeutic problems. A case-based review
description Nephrotic syndrome (NS) can be a symptom of many autoimmune, metabolic, or infectious diseases. Kidney involvement is often observed in the course of diabetes mellitus (DM) and systemic lupus erythematosus (SLE). The development of NS with coexisting SLE and DM generates serious diagnostic problems. In this paper, the authors present diagnostic and therapeutic dilemmas in a patient with long-lasting DM, SLE, and secondary antiphospholipid syndrome, in whom NS symptoms appeared. Histopathological examination of the kidney confirmed the diagnosis of lupus nephritis. Immunosuppressive and anticoagulant drugs were used. The authors demonstrated that the character of morphologic lesions in the kidney biopsy can help in diagnosis, nephropathy classification, and further therapeutic decisions, which are distinct in both diseases.
format article
author Aleksandra Graca
Dorota Suszek
Radosław Jeleniewicz
Maria Majdan
author_facet Aleksandra Graca
Dorota Suszek
Radosław Jeleniewicz
Maria Majdan
author_sort Aleksandra Graca
title Nephrotic syndrome in the course of type 1 diabetes mellitus and systemic lupus erythematosus with secondary antiphospholipid syndrome – diagnostic and therapeutic problems. A case-based review
title_short Nephrotic syndrome in the course of type 1 diabetes mellitus and systemic lupus erythematosus with secondary antiphospholipid syndrome – diagnostic and therapeutic problems. A case-based review
title_full Nephrotic syndrome in the course of type 1 diabetes mellitus and systemic lupus erythematosus with secondary antiphospholipid syndrome – diagnostic and therapeutic problems. A case-based review
title_fullStr Nephrotic syndrome in the course of type 1 diabetes mellitus and systemic lupus erythematosus with secondary antiphospholipid syndrome – diagnostic and therapeutic problems. A case-based review
title_full_unstemmed Nephrotic syndrome in the course of type 1 diabetes mellitus and systemic lupus erythematosus with secondary antiphospholipid syndrome – diagnostic and therapeutic problems. A case-based review
title_sort nephrotic syndrome in the course of type 1 diabetes mellitus and systemic lupus erythematosus with secondary antiphospholipid syndrome – diagnostic and therapeutic problems. a case-based review
publisher Termedia Publishing House
publishDate 2020
url https://doaj.org/article/969df6f2e0e64700a601d91fcb86a664
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AT dorotasuszek nephroticsyndromeinthecourseoftype1diabetesmellitusandsystemiclupuserythematosuswithsecondaryantiphospholipidsyndromediagnosticandtherapeuticproblemsacasebasedreview
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