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Case 9 

Case 9
Case 9

Joel David

, Anne Miller

, Anushka Soni

, and Lyn Williamson

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date: 14 August 2020

A 30-year-old female with a 10-year history of systemic lupus erythematosus (SLE) was reviewed in clinic. She had recently married and was keen to start a family. At diagnosis she had presented with a photosensitive rash, fleeting arthralgia, migraine, depression, and proteinuria. A renal biopsy had confirmed membranous glomerulonephritis, consistent with class V lupus nephritis. She was initially treated with prednisolone and azathioprine, but ongoing active renal disease necessitated escalation to cyclophosphamide and subsequent maintenance therapy with mycophenolate mofetil 1g twice daily.

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