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Case report Open access Oct 2026

Phenotypic shift from active class IV lupus nephritis to lupus podocytopathy: a case report highlighting the treatment-altering role of repeat kidney biopsy

Background The underlying pathophysiological mechanisms of proteinuria relapse in lupus nephritis (LN) patients during immunological remission are complex, often involving non-immune complex-mediated podocyte injury. Case presentation We report a 21-year-old male with class IV LN and thrombotic microangiopathy (TMA). A...

Zhi-Fa Wang, Jin-Xiu Deng, Jin-Feng Shen et al. · 0 citations

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