Jun 20 2024
June 20, 2024

Grand Rounds in Pediatric Nephrology – an ISN-IPNA Sister Centers initiative: Challenges in diagnosis and treatment of lupus nephritis in a lower-middle income country

  • 2:00 PM CEST

Systemic lupus erythematosus is a lifelong multi-systemic autoimmune condition. Kidney involvement occurs in over 50% of children and treatment decisions are guided by histological classification. However,kidney biopsies and their histological interpretation is not available in some LMIC such as Haiti where it may be impossible to get histopathology on a kidney biopsy and where regular immunological testing may not be easily available.

The aim of this webinar is to discuss the management of a child with lupus nephritis, relying more on clinical examination than advanced imaging tests.

We present an adolescent girl with florid systemic lupus erythematosus and discuss the management of complex lupus nephritis.

Learning objectives:


  • Diagnose Lupus Nephritis in Low- and Middle-Income Countries (LMICs): Identify and apply diagnostic criteria and techniques suitable for resource-limited settings.
  • Adapt Treatment Protocols for Lupus Nephritis Based on Medication Availability: Develop and adjust treatment regimens considering the availability and accessibility of medications in LMICs.
  • Evaluate Outcomes and Implement Follow-Up Strategies for Patients with Lupus Nephritis: Assess patient outcomes and establish effective follow-up protocols to monitor disease progression and treatment response.



Rukshana Shroff (UK)


Judith Exantus (Haiti)

Toussaint Jeanne d’Arc (Haiti)

Aditya Pawar (USA)

Yap Hui Kim (Singapore)