Hebert LA, Dillon JJ, Middendorf DF, Lewis EF, Peter JB
Relationship between appearance of urinary red blood cell/white blood
cell casts and the onset of renal relapse in systemic
Am J Kidney Dis
(Sep) 26:432-438 1995
This study involved 17 pts with DPGN followed under the Lupus Nephritis
Collaborative Study Group protocol at Ohio State University. Urinalyses
performed at at least 2 mo intervals. In pts with proteinuria > 1 g/24h,
appearance of cellular casts predicted renal relapse (increase in
or serum creatinine) in 24/25 instances (predictive value was much less in
pts w/o proteinuria). The relative value of various parameters of SLE
activity for predicting renal relapse were compared. Overall percent of pts
with renal relapse with the following parameters were: cellular casts 81;
increasing hematuria 43; increasing pyuria 14; decreasing serum C3 65.
Whether these findings can be used to make therapeutic decisions is unknown.
To go back use the BACK button on your browser.
Otherwise click on the desired link to this article below:
Assessing renal function :
Urinary crystals, casts