title: Fibrillary glomerulonephritis in a patient with systemic lupus erythematosus: a rare association.
abstract: We report the case of a 28-year-old man with systemic lupus erythematosus (SLE) and rapidly progressive glomerulonephritis (RPGN) due to fibrillary glomerulonephritis (FGN). The patient had a history of SLE and had been treated with mycophenolate mofetil, prednisone, and intravenous cyclophosphamide for his renal and extra-renal manifestations. In spite of this treatment, he developed RPGN. A subsequent renal biopsy revealed diffuse proliferative glomerulonephritis with fibrillary deposits. SLE is rarely associated with FGN, however FGN should be considered in the differential diagnosis of any SLE patient with RPGN.
authors.affiliation: Division of Nephrology, Department of Internal Medicine, Wayne State University, 4160 John R, Harper Professional Building, Suite 908, Detroit, MI 48201, USA. zbhat@med.wayne.edu
authors.forename: Zeenat Y
authors.initials: ZY
authors.lastname: Bhat
authors.forename: Xu
authors.initials: X
authors.lastname: Zeng
authors.forename: Jaideep
authors.initials: J
authors.lastname: Hingorani
authors.forename: Salman
authors.initials: S
authors.lastname: Khan
authors.forename: Madhumita Jena
authors.initials: MJ
authors.lastname: Mohanty
mesh_terms: D000328:Adult; D018450:Disease Progression; D005921:Glomerulonephritis / Q000150:complications / Q000276:immunology* / Q000473:pathology*; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy; D008180:Lupus Erythematosus, Systemic / Q000150:complications*; D008297:Male; D008854:Microscopy, Electron
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