Diffuse proliferative nephritis

Diffuse proliferative nephritis (DPN) is a type of glomerulonephritis that is the most serious form of renal lesions in SLE and is also the most common, occurring in 35% to 60% of patients.[1] Most of the glomeruli show endothelial and mesangial proliferation, affecting the entire glomerulus, leading to diffuse hypercellularity of the glomeruli, producing in some cases epithelial crescents that fill Bowman's space. When extensive, immune complexes create an overall thickening of the capillary wall, resembling rigid "wire loops" on routine light microscopy. Electron microscopy reveals electron-dense subendothelial immune complexes (between endothelium and basement membrane). Immune complexes can be visualized by staining with fluorescent antibodies directed against immunoglobulins or complement, resulting in a granular fluorescent staining pattern. In due course, glomerular injury gives rise to scarring (glomerulosclerosis). Most of these patients have hematuria with moderate to severe proteinuria, hypertension, and renal insufficiency.[2]

Diffuse proliferative nephritis
Other namesGlomerulonephritis
SpecialtyNephrology

References
  1. Ferri, Fred F. (2009). Ferri's Color Atlas and Text of Clinical Medicine. Elsevier Health Sciences. p. 701. ISBN 978-1416049197. Retrieved 14 November 2017.
  2. Robbins, Stanley L.; Kumar, Vinay (2007). Robbins basic pathology. Saunders/Elsevier. p. 142. ISBN 978-0-8089-2366-4.
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External resources


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