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Updated: Oct 15, 2026

Analyses of Proteinuria, Renal Infiltration of Leukocytes, and Renal Deposition of Proteins in Lupus-prone MRL/lpr Mice
Published on: June 8, 2022
[Results of treatment of lupus nephritis in children. Own experience]
J Kwinta-Rybicka1, K Sancewicz-Pach
1Kliniki Nefrologii Dzieciecej Katedry Pediatrii Polsko-Amerykańskiego Instytutu Pediatrii Wydziału Lekarskiego UJ w Krakowie.
Insights
A more aggressive treatment approach for pediatric lupus nephritis, involving intravenous cyclophosphamide pulses and methylprednisolone, resulted in higher remission rates (81%) compared to standard corticosteroid therapy (53%). This study highlights improved outcomes with intensified treatment protocols.
Area of Science:
- Pediatric Nephrology
- Immunology
- Rheumatology
Context:
- Lupus nephritis is a severe complication of Systemic Lupus Erythematosus (SLE) in children.
- Treatment protocols for pediatric lupus nephritis have evolved over time.
- Assessing treatment efficacy is crucial for improving patient outcomes.
Purpose:
- To compare the efficacy of two different treatment regimens for pediatric lupus nephritis.
- To evaluate the impact of an intensified treatment protocol on remission rates in children with lupus nephritis.
Summary:
- This study assessed lupus nephritis treatment in 31 children (aged 4-16).
- Group 1 (1980-92) received corticosteroids and alkylating agents (53% remission).
- Group 2 (1993-98) received intensified therapy: monthly intravenous cyclophosphamide pulses and methylprednisolone, achieving 81% remission.
Impact:
- The findings suggest that a more aggressive, intensified treatment regimen significantly improves remission rates in pediatric lupus nephritis.
- This research provides evidence for optimizing treatment strategies in pediatric rheumatology and nephrology.
- The study underscores the importance of tailored and aggressive therapeutic approaches for severe autoimmune conditions in children.
Abstract:
The study aims at assessing the results of treating lupus nephritis in 31 children, aged 4-16 years at the diagnosis of the disease. Renal biopsy was performed in 29 patients. Patients were divided into 2 groups. Group 1 included 15 children treated in 1980-92 and group 2 included 16 children treated in 1993-98. The average age, sex and follow-up were similar in both groups. All children were treated with corticosteroids. Alkylating agents were administered to 12 patients in group 1 and in 14 in group 2. Group 2 patients were given cyclophosphamide in monthly intravenous pulses, and methylprednisolone according to the Mendoza regime. In Group 1, 8 remissions (53%) were observed. Better results with more aggressive treatment were obtained in group 2--13 remissions (81%).
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