prevent permanent kidney damage
and a need for long-term dialysis.
This is usually initiated following a
renal biopsy which can be performed
at London Bridge Hospital. Careful
monitoring is required in order to
achieve the right balance between
damping down the immune system
enough to treat the disease, but
not enough to cause infections.
Dr Robson has established
a specialist clinic in the Renal
Unit at Guy’s & St Thomas
Hospital for patients with
lupus nephritis, vasculitis
and other forms of
He has developed
protocols for first-line
therapies, and achieves excellent
results with low infection rates.
He also gives newer treatments
to patients that have failed
to respond to more
Histology from renal biopsy specimens.The left panel shows a glomerulus from a patient with
ANCA vasculitis. Most of the glomerulus has been replaced by a cellular ‘crescent’.The right
panel shows a glomerulus from a patient with lupus nephritis with inflammation on the left-hand
side of the glomerulus, whereas the right-hand side of the glomerulus is unaffected.