Immune Complex Glomerulonephritis in Hydralazine-Induced SLE

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Renal disease, a major feature of systemic lupus erythematosus (SLE), rarely occurs in drug-induced SLE. Immune complex glomerulonephritis has been demonstrated in a few cases of SLE following procainamide or anticonvulsant therapy but has not been documented in association with hydralazine-induced SLE despite the recognition of this syndrome 30 years ago. We report the clinical and renal pathologic findings in a patient with hydralazine-induced lupus nephritis and review the renal pathologic material in earlier reports of hydralazine-induced SLE.

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    Supported in part by the National Institute of Arthritis, Metabolism and Digestive Diseases (Grant T2AM0708).

    b

    Dr Shapiro's present address is Westchester County Medical Center, Valhalla, NY.

    c

    Dr Pinn's present address is Department of Pathology, Howard University, Washington, DC.

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