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Classification for Lupus Nephritis



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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