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Lupus podocytopathy (LP) represents 1% of lupus nephritis (LN) biopsies. Focal segmental glomerulosclerosis (FSGS) in Systemic Lupus Erythematous (SLE) is rare, with nearly 20 reported cases. Histological transition occurs after several relapses, evolving into LN class IV or V. Diagnosis of SLE precedes or is simultaneous with FSGS, usually with low complement and positive ANAs and dsDNA.
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Fonseca-Chavez et al. (2024) studied this question.
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