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. 2014 May 6;3(2):16–23. doi: 10.5527/wjn.v3.i2.16

Table 1.

International society of nephrology/renal pathology society 2003 classification of lupus nephritis[11,12]

Class Name Light microscopy Immunofluorescence
I Minimal mesangial LN Normal Mesangial immune deposits
II Mesangial proliferative LN Mesangial hypercellularity or mesangial matrix expansion Mesangial immune deposits
III Focal LN A Active lesions Segmental, or global glomerulonephritis (< 50% of glomeruli) Diffuse subendothelial immune deposits
A/C Active and chronic lesions
C Chronic lesions
IV Diffuse LN A Active lesions Segmental, or global glomerulonephritis LN (> 50% glomeruli) Diffuse subendothelial immune deposits
A/C Active and chronic lesions
C Chronic lesions
V Membranous LN Global or segmental subepithelial immune deposits
VI Advanced sclerosing LN LN (> 90% globally Sclerosed glomeruli without residual activity)

Class V may occur in combination with class III or IV, in which case both will be diagnosed. LN: Lupus nephritis.