What tests help prevent kidney damage in lupus nephritis?

Question

Hello doctor,

I am 37 years old and was diagnosed with systemic lupus erythematosus four years ago, and my most recent kidney function tests have shown a sudden and significant decline with new onset protein in my urine and rising creatinine levels.

What my rheumatologist mentioned is that it could indicate the development of lupus nephritis, but has not yet arranged any urgent nephrology review or kidney biopsy, despite these alarming results being available for nearly three weeks now.

Can a general physician urgently facilitate an immediate nephrology referral and comprehensive kidney evaluation for a 37-year-old lupus patient showing clear laboratory signs of possible lupus nephritis before further irreparable kidney damage accumulates during this dangerously prolonged diagnostic and referral delay?

Please suggest.

Answer 1

Hello,

Welcome to icliniq.com.

I understand your concern.

It is unfortunate for you to have this extra complication along with your existing ailment. It is quite worrisome indeed and needs to be attended to immediately.

In people suffering from systemic lupus erythematosus, a sudden spike in creatinine along with proteinuria can be the first indication of the occurrence of lupus nephritis. This is a very serious complication that needs to be attended to as soon as possible.

This condition can be attended to by a general physician who can arrange for blood tests as well as urine tests, along with the monitoring of blood pressure, and can refer you to a nephrologist.

At times, further evaluation, including a biopsy of the kidney, will also need to be done.

If there has already been a delay, you do not need to wait passively. It is entirely reasonable to seek care from another doctor, visit a hospital outpatient department, or go to an emergency setting if that allows faster access to evaluation. This is particularly crucial if your lab tests are getting worse or if you feel sick.

Seeking a consultation from a specialist is very important in making sure that your kidneys stay in good shape without any complications.

I hope this helps. For any further questions, do not hesitate to contact me at any time.

Thank you.