2019 Update of the Joint European League Against Rheumatism and European Renal Association–European Dialysis and Transplant Association (eular/era–edta) recommendations for the management of lupus nephritis



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5/d
9.68
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5.4 If aPL (defined as in the international consensus statement for definite antiphospholipid syndrome classification criteria) are positive
and based on aPL profile, acetyl- salicylic acid (80–100 mg/day) may be used after balancing benefits and bleeding risk.
2a/C
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5.5 Anticoagulant treatment should be considered in cases of nephrotic syndrome with serum albumin <20 g/L.
5/d
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5.6 Belimumab may be considered as add- on treatment, to facilitate glucocorticoid sparing, control extra- renal lupus activity and decrease 
the risk for extra- renal flares.
2a/C
8.48
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1.92
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6. Monitoring and prognosis of LN
6.1 Visits should be scheduled every 2–4 weeks during the first 2–4 months after diagnosis or flare, and subsequently, according to 
response to treatment. Monitoring for renal, extra- renal disease activity and comorbidities is lifelong.

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