Proliferative lupus nephritis is the most severe form of lupus nephritis. Outcomes of patients with proliferative lupus nephritis improved dramatically following the introduction of corticosteroids and cyclophosphamide, but many patients still develop end-stage renal disease. In this Review, Tesar and Hruskova discuss the clinical course of lupus nephritis, factors that predict outcomes, current induction and maintenance treatments, and recent advances in treatment options.
- Vladimir Tesar
- Zdenka Hruskova