Surgery and antibiotics for the treatment of lupus nephritis with cerebral abscesses: A case report

Table 1 History of diagnosis in the past year

Diagnosis items	Result
Symptoms	Eyelid and facial edema with skin tightening sensation, pain in multiple joints, hair loss, reduced urine volume, and facial photoallergy
Laboratory tests	Urine protein: Positive (+++), WBC: 3.5 × 109/L; Total platelet count: 40x109/L; Albumin: 21.7 g/L; Creatinine: 149 μmmol/L; Thyroid function: Serum free T3: 1.9 pmol, serum free T4: 8.1 pmol/L; Anti-nuclear antibody profile: ANA positive (1:320 fine granular type), RNP/sm: Positive (+), SSA: Positive (+++), RO-52: Positive (+++), SSB: Positive (+++), anti-nucleosome antibody: Positive (++), anti-ribosomal P protein antibody: Positive (++); Complement C3: 0.3 g/L
Bone marrow cell test	Bone marrow cell test showed: Accelerated granulocyte maturation and active plasma cells
Pathological biopsy	Class IV-G lupus nephritis
Diagnosis	Class IV-G lupus nephritis; SLE (involving the hematologic system and organs) SLEDAI score 11; Subclinical hypothyroidism; Acute renal insufficiency

SLE: Systemic lupus erythematosus; SLEDAI: Systemic lupus erythematosus disease activity index.