SlideShare a Scribd company logo
1 of 11
LUPUS NEPHRITIS
PREPARED BY,
JAGDISH SAMBAD
MSC.NURSING NEPHROLOGY
IKDRC-ITS CON
DEFINITION
 Lupus nephritis is an inflammation of the
kidneys caused by systemic lupus
erythematous, an autoimmune disease.
 It is a type of glomerulonephritis in which the
glomeruli become inflamed.
 As the result of SLE the cause of
glomerulonephritis is said to be secondary and
has a different pattern and outcome from
conditions with a primary cause originating in
the kidney.
CLASSIFICATION
CAUSES OF LUPUS NEPHRITIS:-
Genetic predisposition.
Auto immune disease. Like,
SLE
SIGN AND SYMPTOMS OF LUPUS NEPHRITIS:-
 Fever
 Edema
 High blood pressure
 Joint pain
 Muscle pain
 Malar rash
 Foamy urine
PATHO-PHYSIOLOGY
 Due to autoimmune disease
 B cell activation
 Formation of auto-reactive antibodies vs
nuclear Ag
 Ab/Ag complexes
 Recruitment of polys and mononuclear
cells
 Renal damage
 Lupus nephritis is occur.
DIGNOSTIC EVALUATION
 Blood test
 Urine analysis
 X-ray
 Scan of the kidneys
 Kidney biopsy.
MEDICAL MANAGEMENT:-
 Mycophenolate mofetil {MMF}
 Intravenous cyclophosphamide with
corticosteroids.
COMPLICATION:-
 Kidney problem
 Cardiac problem
 Pregnancy complication.
THANK YOU…

More Related Content

What's hot (20)

Gilbert syndrome
Gilbert syndromeGilbert syndrome
Gilbert syndrome
 
Acute kidney injury(AKI)
Acute kidney injury(AKI)Acute kidney injury(AKI)
Acute kidney injury(AKI)
 
IgA nephropathy
IgA nephropathyIgA nephropathy
IgA nephropathy
 
Glumeronephritis
GlumeronephritisGlumeronephritis
Glumeronephritis
 
Pancytopenia
PancytopeniaPancytopenia
Pancytopenia
 
Goodpasture syndrome
Goodpasture syndromeGoodpasture syndrome
Goodpasture syndrome
 
SLE
SLESLE
SLE
 
Asymptomatic bacteriuria
Asymptomatic bacteriuriaAsymptomatic bacteriuria
Asymptomatic bacteriuria
 
Amoebic liver abscess.ppt
Amoebic liver abscess.pptAmoebic liver abscess.ppt
Amoebic liver abscess.ppt
 
Aplastic anemia
Aplastic anemiaAplastic anemia
Aplastic anemia
 
Portal hypertension
Portal hypertensionPortal hypertension
Portal hypertension
 
Sarcoidosis
SarcoidosisSarcoidosis
Sarcoidosis
 
Ig A nephropathy
Ig A nephropathyIg A nephropathy
Ig A nephropathy
 
Minimal change disease
Minimal change diseaseMinimal change disease
Minimal change disease
 
Haematuria
HaematuriaHaematuria
Haematuria
 
diabetic nephropathy
diabetic nephropathydiabetic nephropathy
diabetic nephropathy
 
Chronic pyelonephritis
Chronic pyelonephritisChronic pyelonephritis
Chronic pyelonephritis
 
Pyelonephritis
PyelonephritisPyelonephritis
Pyelonephritis
 
Lupus nephritis
Lupus nephritisLupus nephritis
Lupus nephritis
 
Renovascular disorders
Renovascular disordersRenovascular disorders
Renovascular disorders
 

Similar to Lupus nephritis

Renal pathology lecture5 Nephrotic & Nephritic syndrome. Sufia Husain 2020
Renal pathology lecture5 Nephrotic & Nephritic syndrome. Sufia Husain 2020Renal pathology lecture5 Nephrotic & Nephritic syndrome. Sufia Husain 2020
Renal pathology lecture5 Nephrotic & Nephritic syndrome. Sufia Husain 2020Sufia Husain
 
A Detailed study on Lupus Nephritis
A Detailed study on Lupus NephritisA Detailed study on Lupus Nephritis
A Detailed study on Lupus NephritisShaswat Nayak
 
Glomerulonephritis.pptx..................
Glomerulonephritis.pptx..................Glomerulonephritis.pptx..................
Glomerulonephritis.pptx..................TARUNKUMAR472866
 
GLOMERULONEPHRTIS ACUTE AND CHRONIC.pptx
GLOMERULONEPHRTIS ACUTE AND CHRONIC.pptxGLOMERULONEPHRTIS ACUTE AND CHRONIC.pptx
GLOMERULONEPHRTIS ACUTE AND CHRONIC.pptxneeti70
 
Renal Pathology
Renal PathologyRenal Pathology
Renal Pathologysantusan
 
Nephritis
NephritisNephritis
NephritisSUBIN S
 
Secondary glomerular disorders.pptx
Secondary glomerular disorders.pptxSecondary glomerular disorders.pptx
Secondary glomerular disorders.pptxfarahalamleh
 
Glomerulonephritis.pdf
Glomerulonephritis.pdfGlomerulonephritis.pdf
Glomerulonephritis.pdfRATHODVIREN
 
28340696 hypersensitivity
28340696 hypersensitivity28340696 hypersensitivity
28340696 hypersensitivityprenggonopnulis
 
Connective tissue diseases (7)
Connective tissue diseases (7)Connective tissue diseases (7)
Connective tissue diseases (7)Lama K Banna
 
ihdsflkjashdf;hadfhadkfhasp
ihdsflkjashdf;hadfhadkfhasp ihdsflkjashdf;hadfhadkfhasp
ihdsflkjashdf;hadfhadkfhasp me0328
 
Nephrotic syndrome final
Nephrotic syndrome finalNephrotic syndrome final
Nephrotic syndrome finalakilav99
 

Similar to Lupus nephritis (20)

Renal pathology lecture5 Nephrotic & Nephritic syndrome. Sufia Husain 2020
Renal pathology lecture5 Nephrotic & Nephritic syndrome. Sufia Husain 2020Renal pathology lecture5 Nephrotic & Nephritic syndrome. Sufia Husain 2020
Renal pathology lecture5 Nephrotic & Nephritic syndrome. Sufia Husain 2020
 
Glomerular disease
Glomerular diseaseGlomerular disease
Glomerular disease
 
A Detailed study on Lupus Nephritis
A Detailed study on Lupus NephritisA Detailed study on Lupus Nephritis
A Detailed study on Lupus Nephritis
 
Glomerulonephritis.pptx..................
Glomerulonephritis.pptx..................Glomerulonephritis.pptx..................
Glomerulonephritis.pptx..................
 
GLOMERULONEPHRTIS ACUTE AND CHRONIC.pptx
GLOMERULONEPHRTIS ACUTE AND CHRONIC.pptxGLOMERULONEPHRTIS ACUTE AND CHRONIC.pptx
GLOMERULONEPHRTIS ACUTE AND CHRONIC.pptx
 
Renal Pathology
Renal PathologyRenal Pathology
Renal Pathology
 
Nephritis
NephritisNephritis
Nephritis
 
Secondary glomerular disorders.pptx
Secondary glomerular disorders.pptxSecondary glomerular disorders.pptx
Secondary glomerular disorders.pptx
 
Glomerulonephritis.pdf
Glomerulonephritis.pdfGlomerulonephritis.pdf
Glomerulonephritis.pdf
 
28340696 hypersensitivity
28340696 hypersensitivity28340696 hypersensitivity
28340696 hypersensitivity
 
Chronic Kidney Disease.pptx
Chronic Kidney Disease.pptxChronic Kidney Disease.pptx
Chronic Kidney Disease.pptx
 
Nephro pathological correlation
Nephro pathological correlationNephro pathological correlation
Nephro pathological correlation
 
Ayesha srdar
Ayesha srdarAyesha srdar
Ayesha srdar
 
Connective tissue diseases (7)
Connective tissue diseases (7)Connective tissue diseases (7)
Connective tissue diseases (7)
 
Nephrotic syndrome
Nephrotic syndromeNephrotic syndrome
Nephrotic syndrome
 
ihdsflkjashdf;hadfhadkfhasp
ihdsflkjashdf;hadfhadkfhasp ihdsflkjashdf;hadfhadkfhasp
ihdsflkjashdf;hadfhadkfhasp
 
Nephrotic syndrome final
Nephrotic syndrome finalNephrotic syndrome final
Nephrotic syndrome final
 
lecture notes
lecture noteslecture notes
lecture notes
 
Glomerulonephritis
GlomerulonephritisGlomerulonephritis
Glomerulonephritis
 
Glomerulonephritis
GlomerulonephritisGlomerulonephritis
Glomerulonephritis
 

More from MR. JAGDISH SAMBAD (20)

Burn injury
Burn injuryBurn injury
Burn injury
 
Phagocytic dysfunction
Phagocytic dysfunctionPhagocytic dysfunction
Phagocytic dysfunction
 
T cell defficiencies
T cell defficienciesT cell defficiencies
T cell defficiencies
 
B cell defficincies
B cell defficinciesB cell defficincies
B cell defficincies
 
Polycythemia
PolycythemiaPolycythemia
Polycythemia
 
Thalassemia
Thalassemia Thalassemia
Thalassemia
 
IDIOPATHIC THROMBOCYTOPENIC PURPURA (ITP)
IDIOPATHIC THROMBOCYTOPENIC PURPURA  (ITP)IDIOPATHIC THROMBOCYTOPENIC PURPURA  (ITP)
IDIOPATHIC THROMBOCYTOPENIC PURPURA (ITP)
 
Hemorrhage and shock
Hemorrhage and shock Hemorrhage and shock
Hemorrhage and shock
 
Hemophilia
Hemophilia Hemophilia
Hemophilia
 
Ulcerative Colitis
Ulcerative Colitis Ulcerative Colitis
Ulcerative Colitis
 
Intestinal Obstruction
Intestinal ObstructionIntestinal Obstruction
Intestinal Obstruction
 
Hernia
HerniaHernia
Hernia
 
Diarrheal disease
Diarrheal diseaseDiarrheal disease
Diarrheal disease
 
Acute Pancreatitis
Acute Pancreatitis Acute Pancreatitis
Acute Pancreatitis
 
Gastritis
Gastritis Gastritis
Gastritis
 
Cirrhosis of liver
Cirrhosis of liverCirrhosis of liver
Cirrhosis of liver
 
Cholelithiasis (Gall stone)
Cholelithiasis (Gall stone)Cholelithiasis (Gall stone)
Cholelithiasis (Gall stone)
 
Body system change in elderly
Body system change in elderlyBody system change in elderly
Body system change in elderly
 
Renal stone
Renal stone Renal stone
Renal stone
 
Diabetis insipidus
Diabetis insipidusDiabetis insipidus
Diabetis insipidus
 

Recently uploaded

Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...Dipal Arora
 
Call Girls Agra Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Agra Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Agra Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Agra Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...perfect solution
 
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋TANUJA PANDEY
 
Call Girls Bangalore Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Bangalore Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Bangalore Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Bangalore Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...tanya dube
 
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...parulsinha
 
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...Ishani Gupta
 
Call Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Guntur Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Guntur  Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Guntur  Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Guntur Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426jennyeacort
 
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...Genuine Call Girls
 
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...parulsinha
 
Top Rated Bangalore Call Girls Ramamurthy Nagar ⟟ 9332606886 ⟟ Call Me For G...
Top Rated Bangalore Call Girls Ramamurthy Nagar ⟟  9332606886 ⟟ Call Me For G...Top Rated Bangalore Call Girls Ramamurthy Nagar ⟟  9332606886 ⟟ Call Me For G...
Top Rated Bangalore Call Girls Ramamurthy Nagar ⟟ 9332606886 ⟟ Call Me For G...narwatsonia7
 
Call Girls Bareilly Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Bareilly Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Bareilly Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Bareilly Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...
Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...
Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...Dipal Arora
 
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...Dipal Arora
 
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...Arohi Goyal
 
Call Girls Ooty Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Ooty Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Ooty Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Ooty Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 

Recently uploaded (20)

Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
 
Call Girls Agra Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Agra Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Agra Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Agra Just Call 8250077686 Top Class Call Girl Service Available
 
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...
 
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
 
Call Girls Bangalore Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Bangalore Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Bangalore Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Bangalore Just Call 8250077686 Top Class Call Girl Service Available
 
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
 
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...
 
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...
 
Call Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service Available
 
Call Girls Guntur Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Guntur  Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Guntur  Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Guntur Just Call 8250077686 Top Class Call Girl Service Available
 
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
 
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
 
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...
 
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
 
Top Rated Bangalore Call Girls Ramamurthy Nagar ⟟ 9332606886 ⟟ Call Me For G...
Top Rated Bangalore Call Girls Ramamurthy Nagar ⟟  9332606886 ⟟ Call Me For G...Top Rated Bangalore Call Girls Ramamurthy Nagar ⟟  9332606886 ⟟ Call Me For G...
Top Rated Bangalore Call Girls Ramamurthy Nagar ⟟ 9332606886 ⟟ Call Me For G...
 
Call Girls Bareilly Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Bareilly Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Bareilly Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Bareilly Just Call 8250077686 Top Class Call Girl Service Available
 
Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...
Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...
Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...
 
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
 
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
 
Call Girls Ooty Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Ooty Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Ooty Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Ooty Just Call 8250077686 Top Class Call Girl Service Available
 

Lupus nephritis