Table 1.
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.