Approach to membranous lupus nephritis: A survey of pediatric nephrologists and pediatric rheumatologists

Alexis Boneparth, Suhas M. Radhakrishna, Larry A. Greenbaum, Eric Yen, Daryl M. Okamura, Jennifer C. Cooper, Sherene Mason, Deborah M. Levy, Sangeeta D. Sule, Paul T. Jensen, Cagri Yildirim-Toruner, Stacy P. Ardoin, Scott E. Wenderfer

Research output: Contribution to journalReview articlepeer-review

3 Scopus citations


Objective: To describe treatment practices for childhood pure membranous lupus nephritis (MLN). Methods: Survey study of Childhood Arthritis and Rheumatology Research Alliance and American Society of Pediatric Nephrology members. Results: There were 117 respondents who completed the survey (60 pediatric nephrologists, 57 pediatric rheumatologists). Steroids and nonsteroid immunosuppression (NSI) were routinely used by the majority for MLN. Mycophenolate mofetil was the favored initial NSI. Nephrologists used steroids (60% vs 93%) and NSI (53% vs 87%) less often than did rheumatologists for MLN without nephrotic syndrome (NS). Conclusion: Pediatric rheumatologists and nephrologists both recommend steroids and NSI for children with MLN, with or without NS. The Journal of Rheumatology

Original languageEnglish (US)
Pages (from-to)1619-1623
Number of pages5
JournalJournal of Rheumatology
Issue number11
StatePublished - Nov 1 2017


  • Lupus nephritis
  • Pediatric systemic lupus erythematosus
  • Physician practice patterns

ASJC Scopus subject areas

  • Rheumatology
  • Immunology and Allergy
  • Immunology


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