Remarks on situation of acute renal failure in patients with lupus nephritis treated at Nephrology Department of Bach Mai Hospital from 1992 to 1998

Study on 89 patients with lupus nephritis treated at Bach Mai Hospital from 1992 to 1998. 49.4% patients experienced renal failure when admitting and there was no statistical difference between age groups except to 2 age groups having the highest rate (80.0%) and the lowest rate (33.3%) of renal failure. At the mild degree of renal failure (degree II), the rate of patients with nephrotic syndrome was very high (88%). The rate of patients with nephrotic syndrome was decreased while the degree of renal failure increased. After 1 month of treatments, 38.6% of patients with renal failure had complete or partly recovery of renal function. This rate increased 75% after 2 months of treatment.

Clinical and laboratory findings of type IV lupus glomerulonephritis

Clinical and laboratory findings was investigated on 46 patients who had diagnosis of lupus glomerulonephritis type IV. The obtained results showed that clinical features are severe with 45.7% patients had hypertension, 34.8% patients had acute nephritis syndrome and 56.5% had nephrotic syndrome. Especially, there were 95.7% patients have renal insufficiency. Among them, 26.1% had a severe renal failure (blood creatinine level >300mmol/I). But after 1 month of treatment, 100% of renal insufficiency patients have blood creatinine level 300mmol/l had improvement in renal function