Here's another interesting article from Medscape News - reporting about the the first guidelines ever developed for the management of lupus nephritis. The recommendation is that physicians biopsy all patients who present with clinical evidence of active disease (lupus nephritis, that is), classify the disease stage according to the International Society of Nephrology/Renal Pathology Society classification system, and manage the disease on the basis of this classification.The guidelines were presented at the American College of Rheumatology (ACR) 2011 Annual Meeting.
You can view the whole article here, which also talks about managing the disease with plaquenil and the use of angiotensin-converting-enzyme inhibitor or an angiotensin-receptor blocker - commonly referred to as hypertension medications, if and when protein in the urine is at least 0.5 g/day.
Remember a few months back, when I was so shocked that my doctor prescribed Cozaar for the protein in my urine? Guess he knew what he was talking about! (Of course he DID. I'm just saying...)
And kudos to my girlfriend in Ottawa - who recommended I get a baseline biopsy back when I told her about my increased protein. She totally knew what she was talking about. Thanks, Karen!!