 The study aimed to identify predictive factors for poor outcomes in Tunisian children with lupus nephritis, LN including end-stage renal disease, ESRD, and death, and found that age at diagnosis, elevated serum creatinine, wire loops, thromboembolic complications, infectious complications, and ESRD were associated with an increased risk of ESRD, while a baseline creatinine level of more than 2.6 mg per deciliter, hyprotonuria, fibrous crescents, thromboembolic complications, infectious complications, and ESRD were associated with death. The study suggests that early and appropriate management is crucial for a good renal outcome in children with LN. This article was authored by Abir Bosetta, Dalia Lovati, Manil J. Lolly, and others.