How would you approach potentially tapering maintenance mycophenolate mofetil in a patient with a history of class IV LN that has been in remission for >5 years?

I would tell her, absolutely, and I'm sorry I did not consider this 2 years ago after being in remission for 3 years. ;-)

I then proceed to explain the options and make a shared decision-making process.

CHOICE 1 (my recommendation): A significant enough lupus nephritis patients are not in true patho...