Treatment of Lupus Nephritis
Disease description:
I was in good health all along, but I suddenly found out that I have lupus nephritis. Could you please tell me what are the treatment options for lupus nephritis?
The treatment of lupus nephritis requires a comprehensive evaluation of the clinical condition and pathological type, and should follow an individualized plan. It mainly includes:
1. **Medication therapy**:
- Corticosteroids, such as prednisone, should be initiated early, with dosage and duration strictly following medical advice.
- Immunosuppressants, such as cyclophosphamide and azathioprine, are used to regulate immune dysfunction.
- Biologic agents, such as monoclonal antibodies, are applied for refractory cases.
2. **Dialysis therapy**: Peritoneal dialysis or hemodialysis should be considered when renal function is severely impaired.
3. **Maintenance therapy**: After the condition stabilizes, continuous medication is necessary to prevent relapse.
4. **General management**: A low-salt, low-fat diet with controlled protein intake is recommended to protect renal function.
5. **Surgical intervention**: Kidney transplantation may be considered for end-stage renal disease; however, risks of postoperative immune compromise should be carefully managed.