renal biopsy in childhood sle should usually be restricted to : a ) the child with nephrotic syndrome , so as to distinguish between membranous and diffuse proliferative glomerulonephritis , which have different prognoses and steroid responsiveness , b ) the child with deteriorating renal function , to assess the degree of irreversible renal damage , c ) the child being entered into a controlled clinical trial .
C0859036
diffuse
C0022646
renal