Evidence map›Paper›PMID 39249126›Full record

ArticlePediatric nephrology (Berlin, Germany)2025

Renal vascular lesions in childhood-onset lupus nephritis.

Kyle Ying-Kit Lin, Eugene Yu-Hin Chan, Yuen-Fun Mak, Ming-Chun To, Sze-Wa Wong, Fiona Fung-Yee Lai, Tsz-Wai Ho, Pak-Chiu Tong, Wai-Ming Lai, Desmond Yat-Hin Yap and 1 more

Abstract read
In one paragraph

Article in Pediatric nephrology (Berlin, Germany), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

  1. Article
  2. Review
  3. Causes and outcomes of pediatric thrombotic microangiopathy.Research and practice in thrombosis and haemostasis · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Re: Renal vascular lesions in childhood-onset lupus nephritis.Pediatric nephrology (Berlin, Germany) · 2025
    Article
  10. Article
  11. New Insights on Childhood Lupus Nephritis.International journal of nephrology and renovascular disease · 2025
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Kyle Ying-Kit LinPaediatric Nephrology Centre, Hong Kong Children's Hospital, Hong Kong, Hong Kong, SAR.ORCID http://orcid.org/0000-0001-9744-4975
Eugene Yu-Hin ChanPaediatric Nephrology Centre, Hong Kong Children's Hospital, Hong Kong, Hong Kong, SAR. genegene.chan@gmail.com.
Yuen-Fun MakDepartment of Pathology, Princess Margaret Hospital, Hong Kong, Hong Kong, SAR.
Ming-Chun ToDepartment of Pathology, Princess Margaret Hospital, Hong Kong, Hong Kong, SAR.
Sze-Wa WongPaediatric Nephrology Centre, Hong Kong Children's Hospital, Hong Kong, Hong Kong, SAR.
Fiona Fung-Yee LaiPaediatric Nephrology Centre, Hong Kong Children's Hospital, Hong Kong, Hong Kong, SAR.
Tsz-Wai HoPaediatric Nephrology Centre, Hong Kong Children's Hospital, Hong Kong, Hong Kong, SAR.
Pak-Chiu TongPaediatric Nephrology Centre, Hong Kong Children's Hospital, Hong Kong, Hong Kong, SAR.
Wai-Ming LaiPaediatric Nephrology Centre, Hong Kong Children's Hospital, Hong Kong, Hong Kong, SAR.
Desmond Yat-Hin YapDivision of Nephrology, Department of Medicine, Queen Mary Hospital, The University of Hong Kong, Hong Kong, Hong Kong, SAR.
Alison Lap-Tak MaPaediatric Nephrology Centre, Hong Kong Children's Hospital, Hong Kong, Hong Kong, SAR.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study aimed to determine the clinical significance of renal vascular lesions (RVLs) in childhood-onset lupus nephritis (cLN).

methodsWe retrospectively reviewed all children with biopsy-proven cLN between 2004-2020 to evaluate the prevalence of RVLs on kidney biopsy and its associated factors and long-term outcomes. The composite kidney outcome was defined as advanced chronic kidney disease (CKD) stage 3-5, kidney failure and death.

results107 biopsies from 84 Chinese patients were analysed. RVLs were observed in 19 patients (22.6%), including non-inflammatory necrotizing vasculopathy (NNV, n = 6), thrombotic microangiopathy (TMA, n = 4), arterial sclerosis (AS, n = 3), concurrent NNV with AS (n = 4), concurrent NNV with TMA (n = 1) and concurrent true renal vasculitis with AS (n = 1). The presence of RVLs was associated with lower estimated glomerular filtration rate (eGFR) (66.9 ± 40.3 vs. 95.6 ± 39.4 ml/min/1.73m

conclusionRVLs are present in one-fifth of cLN patients and are associated with severe presentation. NNV is associated with worse long-term kidney outcome. Routine evaluation of RVLs is warranted and should be incorporated into future classification criteria.

Indexed as

Glomerular Filtration RateKidneyLupus NephritisAdolescentAge of OnsetBiopsyChildChinaFemaleHumansMaleRenal Insufficiency, ChronicRetrospective StudiesVascular DiseasesChildhood-onset lupus nephritisNon-inflammatory necrotizing vasculopathyRenal vascular lesionsSLESystemic lupus erythematosusThrombotic microangiopathy

Identifiers

PMID39249126
PMCPMC11584461

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.