Investigation

• Screening: Urine Analysis, ACR (<3) (24 Urine Sample), Urine microscopy
• Anti-dsDNA → helpful predictive tool
• • Lupus Nephritis Classification

Managament

• RAAi for all (manage Proteinuria)
• Hydroxychloroquine (Plaquenil) for all (manage lopus)
• Class 1+2 - supportive
• Class 3+4 - add Immunosuppression drugs
  • IV Mycofenolate Mofetil
  • IV Cyclophosphamide
• Class 5, 6 - the damage has been done. GG