What does an elevated serum creatinine level indicate in lupus nephritis?

Question

Hello doctor,

My wife has been diagnosed with Lupus nephritis for the past six months, and she is currently on medication. Despite not experiencing many symptoms, her recent serum creatinine level is measured at 1.9. Should we be concerned about this result? What does an elevated serum creatinine level indicate in the context of Lupus nephritis, and are there any specific actions or adjustments to her treatment plan that we should consider to address this? Kindly suggest.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern.

Regarding your wife's diagnosis of lupus nephritis, yes, you should be concerned about the creatinine level of 1.9, as this may indicate progressive renal impairment. Please do other renal function tests like urea level. Regarding the adjustment of her treatment plan, I suggest you see her physician for a medication review, as she will need renal dialysis.

I hope this helps you.

Thank you.