Recurrent podocytopathy in a patient with systemic lupus erythematosus.

Podocytopathy in systemic lupus erythematosus is characterised by diffuse foot process effacement without significant
peripheral capillary wall immune deposits as seen on electron microscopy. Lupus podocytopathy falls outside the scope of
the current International Society of Nephrology and the Renal Pathology Society classification of lupus nephritis. We present
a case of relapsing podocytopathy with nephrotic syndrome occurring simultaneously with two extra-renal and serological
disease flares, which makes it likely that podocytopathy was related to systemic lupus erythematosus activity. This case adds
to the growing body of evidence that lupus podocytopathy must be considered in the differential diagnosis of systemic lupus
erythematosus patients presenting with nephrotic syndrome.