{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T05:53:18Z","timestamp":1790488398847,"version":"4.1.0"},"reference-count":17,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2025,4,28]],"date-time":"2025-04-28T00:00:00Z","timestamp":1745798400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nephrology"],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:p>New\u2010onset lupus nephritis (LN) poses a diagnostic and management challenge during pregnancy. This is more pertinent in the indigenous population, where the prevalence is higher, and the clinical phenotype tends to be more severe. We report the case of a 30\u2010year\u2010old G3P2 indigenous female, living in remote Queensland, with a late presentation of nephrotic syndrome at 30\u2009weeks gestation. A clinical diagnosis of Class V LN was made without a kidney biopsy due to maternal and foetal risk, and she was empirically treated with steroids and disease\u2010modifying agents to good effect. She remained normotensive with appropriate foetal growth and delivered a healthy male infant at 37\u2009weeks. A renal biopsy taken 9\u2009weeks after commencement of therapy demonstrated Class II LN, likely representing a resolving flare in the presence of improved clinical symptoms.<\/jats:p>","DOI":"10.1111\/nep.70037","type":"journal-article","created":{"date-parts":[[2025,4,28]],"date-time":"2025-04-28T23:31:05Z","timestamp":1745883065000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["New Diagnosis of Lupus Nephritis in the Third Trimester\u2014A Case Report"],"prefix":"10.1111","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-4316-7030","authenticated-orcid":false,"given":"Umesha","family":"Pathmanathan","sequence":"first","affiliation":[{"name":"Kidney Health Service Metro North Hospital and Health Service  Brisbane Australia"},{"name":"School of Medicine and Dentistry Griffith University  Brisbane 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