Systemic lupus erythematosus (SLE) is a chronic inflammatory autoimmune disease with a relapsing-remitting course that affects multiple organs and tissues leading to a wide range of clinical manifestations. 1 SLE affects women more commonly than men with a ratio of 9:1, most commonly occurring in the child bearing age. 2,3 One of the most serious manifestations of SLE is renal disease (lupus nephritis), ranging from asymptomatic hematuria or proteinuria to serious nephritic and nephrotic syndrome, which can progress to acute and chronic renal failure. 4 There is a high risk of morbidity and mortality associated with renal involvement in SLE; thus, this manifestation can require immediate and intensive management. 5 Glucocorticoids are used for acute treatment, but more aggressive
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