近10年来红斑性狼疮和狼疮性肾炎的预后不断得到改善,即使预后不良的类型(弥漫增殖型),其5年生存率亦可超过70％。改善预后的因素为:以血清学检查诊断轻型病例、较好地控制感染并发症及皮质激素疗效显著等。自应用皮质类固醇以来,因感染和活动性狼疮而早期死亡的病例明显减少。死于肾功能衰竭的例数保 The prognosis of lupus erythematosus and lupus nephritis has been continuously improved over the past 10 years, and its 5-year survival rate can exceed 70%, even with a poor prognosis (diffuse proliferative type). Factors to improve the prognosis: serological diagnosis of light cases, better control of infection complications and significant effect of corticosteroids. Since the corticosteroid administration, there has been a marked reduction in early death from infection and active lupus. The number of cases of death from renal failure insurance