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| Class I | Minimal mesangial | Normal histology with mesangial deposits |
| Class II | Mesangial proliferation | Mesangial hypercellularity with expansion of the mesangial matrix |
| Class III | Focal nephritis | Focal endocapillary ± extracapillary proliferation with focal subendothelial immune deposits and mild mesangial expansion |
| Class IV | Diffuse nephritis | Diffuse endocapillary ± extracapillary proliferation with diffuse subendothelial immune deposits and mesangial alterations |
| Class V | Membranous nephritis | Thickened basement membranes with diffuse subepithelial immune deposits; may occur with Class III or IV lesions and is sometimes called mixed membranous and proliferative nephritis |
| Class VI | Sclerotic nephritis | Global sclerosis of nearly all glomerular capillaries |
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