A 45-year-old female patient with lupus nephritis class III is referred for worsening proteinuria after 6 months of MMF 3000mg daily. The blood pressure is well controlled over the last 3 months.
What is the next step of the management?
The patient is currently on MMF 3000 mg daily and prednisone 5 mg once daily. Regarding the management of this patient, please choose the CORRECT statement:
After 3 years of therapy, the patient has no clinical sign of active disease, the creatinine is back to baseline and the proteinuria is less than 400mg/g of creatinine. The patient has persistent low complement and elevated anti-Ds-DNA. How would you counsel the patient?
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