Urinalysis results. Possible problem???

[msliz]

I am 48 female history of systemic lupus with organ involvement (lung). My lupus has been very active for almost a year and I do not respond well to treatment, My rheumatologist does blood and urine workup every month. My current urinalysis results are as follows
Appearance - Cloudy
Blood - Large (3+)
Leukocyte - 1+
Protein - Trace
WBC - 10-20 (H) Reference range <=5 cells/hpf
RBC - >60 (H) Reference range <=3 cells/hpf

Current medications- 20mg Predisone, 125mg Topomax, Advair, Arbuteral, 40mg Nexium

Do you think that these results indicate the possibility of a kidney problem? Is it advisable to see a kidney specialist? I am concerned because of my Lupus.

Thank you so much for your time. I look forward to your response.

Regards,
Msliz

[Theresa Jones, RN]

Hi msliz,
I am sure that you are already aware that Systemic Lupus Erythematosis is an autoimmune disorder and this typically can affect multisystems. Abnormalities in an urinalysis may certainly be related to this disorder. You may want to inquire with your physician regarding a referral to a Nephrologist for an evaluation as a biopsy of the kidney may be warranted.
Best wishes.
Sincerely,
Theresa Jones, RN

[msliz]

Thanks so much for your quick response. But I am still not sure what these results mean. Do they indicate that there is a problem with the Kidney?
Thank you for your time.
Regards,
Msliz

[Theresa Jones, RN]

Hi msliz,
The results are abnormal. Since SLE is a multisystem disease it would raise concern regarding what potential or actual effect it could have on your kidneys. Only a nephrologist could give you a definitive answer. I would encourage an evaluation.
I hope this helps. Best wishes.
Sincerely,
Theresa Jones, RN

[msliz]

I will follow up with a nephrologist