Non-lupus glomerulonephritis in a patient with systemic lupus erythematosus

Systemic lupus erythematosus [SLE] is a chronic autoimmune disease that can affect almost any organ system. Lupus nephritis [LN] is one of the most serious manifestations of SLE. The occurrence of nonlupus glomerulopathies has been rarely reported in patients with SLE. Here, we report a case of male Kuwaiti patient suffering from SLE with microscopic hematuria and nonnephrotic-range proteinuia. The renal biopsy findings showed IgA nephropathy. Although the incidence of IgA nephropathy is high in Kuwait, we believe that this is the first report of a Kuwaiti patient in whom SLE presented with IgA nephropathy rather than LN