Nephropathy Lupus. Clinical Case and Literature review

Abstract

Lupus Erythematous Systemic (SLE) is a disease of autoimmune character systemic, of unknown etiology, however it is estimated that genetic factors and environmental contribute to the onset of the disease. Its incidence is higher in women of reproductive age. One of the complications is the kidney disease lupus, which can be fatal for the patient, so it requires a timely diagnosis and effective treatment to improve their quality of life. An example of this complication is the case clinically developed in the present article. Female patient of 18 year old with SLE diagnosed a year ago, joined the ward Mario Catarino Rivas (HMCR) with 7 days of evolution of progressive ascites accompanied by pain history epigastric and progressive dyspnea. Laboratorial: C3: 62.4mg/dl, C4: 5.0mg/dl, antinuclear antibody (ANA) positive, blood urea nitrogen (BUN) 91.6 mg/dl, creatinine 5.5 mg/dl. Not held renal biopsy due to lack of supplies in the hospital. The patient dies within 7 days of your hospitalization.

Discussion may be suspected nephritis patient with lupus, if hematuria or urine foamy appearance, also if you have high blood pressure or shows signs of edema, features present in the patient in our case report.

Rev. Cient. Esc. Univ. Cienc. Salud, Vol.1(2) 2014: 31-37