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Chances of Lupus Nephritis - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Lupus
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1773 Questions
Doctor :   Hi
User :   hello
User :   I was just in the ER due to the pain that I have been experiencing since September in my chest which has now gotten so severe that it has brought me to the ER twice in the past week. It has also spread throughout my entire torso. Anyways, while there, they ran bloodwork and one of the tests that came back abnormal was my GFR. It came back low at 57. They told me to follow up with my doctor but is this something I should be worried about? I also have Lupus
Doctor :   Ok I am reading
Doctor :   GFR is a marker of kidney function compromise
Doctor :   Lupus can affect the kidney in the form of Lupus nephritis
Doctor :   The pain that you have can be related to kidney cause
Doctor :   Hence thorough evaluation is needed at this point of time from a nephrologist
Doctor :   Possibly a complete kidney profile and if needed a kidney biopsy is the next step
User :   is a GFR of 57 that low or is still relatively normal?
Doctor :   I cannot take one count and comment on it
Doctor :   a series of GFR is good to comment
Doctor :   Can you also give me the units of the GFR
User :   OK, thank you. I will follow up with my primary care and get a referral for a nephrologist but it is good to know that it is possible that this is what is causing my pain
Doctor :   because it varies
User :   I don't have the units on the sheet it just says 57L
User :   with an * next to it
Doctor :   Ok
Doctor :   Fine
Doctor :   I suggest next thing to do is meeting a Nephrologist
Doctor :   I hope the Ultrasound of the abdomen is done to rule out other causes
User :   thank you very much for your time
Doctor :   Thank you
Doctor :   Have a great Newy YEar ahead
Doctor :   Bye for now
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