.@BradRovin speaking on the evolution of #lupus therapy over the years in @isn_india Masterclass
The main change which has happened is to decrease steroids.
Probably 1 gm of MPS is enough to begin treatment in #lupus
Discussing the data on minimizing steroids @BradRovin shows data by @kidneydoc101 which formed the basis of RITUXILUP
Are we going towards NO steroids for #lupus ?
Hope at the end of the tunnel. Positive trials upcoming new Rx for #lupus
Is obinutuzumab better than rituximab
How is #Voclosporin different from CSA?
Less need for TDM monitoring
high potency
low glucose / lipid side effects
.@BradRovin discusses pooled AURA - LV and AURORA trial
Very hopeful results
Check out #visualabstract and summary in @LastNeph Also, soon to be discussed in @NephJC
Subgroup analysis of AURORA
Is it same for all races and all LN Class? pts on MMF had more significant different (can be related to disease severity)
#voclosporin might not be the first choice for pts with severely reduced GFR
Moving to Belimumab - It reduces flares (even in kids) and slows progression to ESKD when added to background therapy
.@BradRovin is very hopeful about Obintuzumab and 2 doses of MPS with MMF might make #lupus pts steroids free!! @kidneydoc101
He is also talking about subtyping pts who have B cell dominant disease to target for these therapies

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More from @divyaa24

12 Jun
.@isn_india #LUPUS Masterclass begins with an inaugural address by President Dr. Gupta about discussing future goals in lupus nephritis management. He presses the need to go LOW on Steroids especially in the #covid era 1/
Q - When to biopsy in #lupus ?
A - When you want to diagnose, to treat, or to prognosticate
talk by Dr Surya V Seshan
Can u guess the #lupus class by knowing the clinical presentation? Yes, you can!!
Check out this nice summary of various presentations in #lupus #nephpearls
Read 6 tweets
2 May
Very interesting talk of the timing of #RRT by @luck_urine with lots of practical pearls
Concise summary of recent trials on the topic 1/
#KidneyCon
Summary of recent trials:
Whom is more important than When
Timing of #RRT
#kidneyCon
Practical pearls -When you see AKI in the ICU -How to decide whether to dialyze or not?
#KIDNEYcon
Read 4 tweets
11 Mar
1/17 Taking forward the theme of #WorldKidneyDay let’s discuss what it means for “#WOMEN to live well with #kidney disease” 💃
🧵ahead is for anyone who cares about 💃!
@womeninnephro #womenempowerment #WomensDay #WomensHistoryMonth
Q-Do kidney diseases affect women differently?
2/17
Women have
⬆️Autoimmune diseases (SLE, RA, Systemic Scleroderma)
In #Women of Color that's 2- 3X commoner, early-onset with⬆️ complications

⬆️UTI due to short urethra
In #Pregnancy ⬆️risk of pyelonephritis and sepsis

karger.com/Article/FullTe…
3/17 Pregnancy poses a high risk of #kidney injury due to various etiologies (see pic) which can progress to CKD in the future.
#Preeclampsia is a definite risk factor for #CKD and #ESKD in mother and also for #cardiovascular disease
pubmed.ncbi.nlm.nih.gov/26342729/
Read 17 tweets

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