Table 4.
Value of chronicity index and extraglomerular deposits in predicting clinical features at time of renal biopsy
| Clinical features and Lupus Nephritis Classes | Chronicity Index | Glomerulosclerosis | Fibrous Crescents | Tubular Atrophy | Interstitial Fibrosis | Extraglomerular Deposits | ||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ≤2 | >2 (35%) | ≤1 | >1 (14%) | ≤1 | >1 (13%) | ≤1 | >1 (7%) | ≤1 | >1 (10%) | No | Yes (46%) | |
| Serum creatinine, mg/dl | 1.1 (±1) | 1.5 (±1.2) | 1.2 (±0.9) | 1.8 (±1.5) | 1.2 (±1) | 1.7 (±1.3) | 1.2 (±0.9) | 2.5 (±1.8) | 1.2 (±0.9) | 2.1 (±1.6) | 1.1 (±0.8) | 1.5 (±1.3) |
| Proteinuria, g/24 h | 4.1 (±3.6)a | 3.8 (±2.8)a | 3.9 (±3.3)a | 4.5 (±3.2)a | 4.1 (±3.4)a | 3.7 (±2.6)a | 4.1 (±3.4)a | 3.7 (±2.2)a | 4.1 (±3.5)a | 3.7 (±1.9)a | 4.3 (±3.9)a | 3.7 (±2.5)a |
| Urinary erythrocytes, n/HPF | 24.9 (±32)a | 23.2 (±26)a | 24.7 (±31)a | 21.8 (±18)a | 24.6 (±30)a | 22.2 (±26)a | 24.5 (±30)a | 21.5 (±21)a | 25.1 (±31)a | 19.1 (±19)a | 19.8 (±29) | 29.4 (±31) |
| Serum albumin, mg/dl | 2.8 (±0.7)a | 3.1 (±0.8)a | 2.9 (±0.7)a | 2.9 (±0.8)a | 2.9 (±0.7)a | 3.1 (±0.8)a | 2.9 (±0.7)a | 3.1 (±0.8)a | 2.9 (±0.7)a | 3 (±0.8)a | 2.9 (±0.7)a | 2.9 (±0.8)a |
| C3, mg/dlb | 59 (±26) | 63.5 (±25) | 60.3 (±25)a | 68.8 (±29)a | 61.1 (±26)a | 64.5 (±26)a | 61.4 (±26)a | 64.2 (±31)a | 60.7 (±25)a | 66.6 (±32)a | 69.2 (±25) | 53.1 (±25) |
| C4, mg/dlb | 12.2 (±11)a | 12.5 (±8.1)a | 11.7 (±10) | 15.7 (±10) | 12.2 (±10)a | 12.8 (±9.4)a | 12.3 (±9.9)a | 12.8 (±12)a | 12 (±10)a | 14.2 (±10)a | 12.7 (±9.5)a | 11.9 (±11)a |
| Hematocrit, % | 34 (±6)a | 33 (±6)a | 34 (±6)a | 33 (±6)a | 34 (±6)a | 33 (±6)a | 34 (±6)a | 32 (±7)a | 34 (±6)a | 33 (±7)a | 35 (±7) | 32 (±5) |
| Class III, n (%) | 25 (19)a | 20 (29)a | 39 (22)a | 6 (21)a | 41 (23) | 4 (15) | 43 (23)a | 2 (14)a | 41 (22)a | 4 (20)a | 26 (24) | 19 (20) |
| Class IV, n (%) | 69 (52)a | 39 (56)a | 90 (51)a | 18 (64)a | 87 (49) | 21 (78) | 98 (52)a | 10 (71)a | 96 (53)a | 12 (60)a | 48 (44) | 60 (64) |
| Class V, n (%) | 37 (28)a | 11 (16)a | 44 (25)a | 4 (14)a | 46 (26) | 2 (7) | 46 (24)a | 2 (14)a | 44 (24)a | 4 (20)a | 33 (30) | 15 (16) |
(%) in the header row indicates the percentage of patients with the indicated features.
Values are expressed as mean (±SD), unless otherwise indicated. Values indicate significant differences between the two compared groups (P<0.05), unless otherwise indicated by a footnote symbol. All of the histologic variables were evaluated as 0 if absent; 1+ if mild (in <25% of glomeruli and/or in tubulointerstitial area); 2+ if moderate (between 25% and <50% of glomeruli and/or in tubulointerstitial area); and 3+ if severe (in >50% of glomeruli and/or in tubulointerstitial area). HPF, high power field.
Nonsignificant differences between the two compared groups.
Normal value of C3 (normal values 90–180 mg/dl) and of C4 (normal values 10–40 mg/dl).