A current review article suggests that the need for Pneumocystis jirovecii pneumonia (PJP) prophylaxis in patients with systemic lupus erythematosus (SLE) and lupus nephritis will need to be individualized based on therapies and risk factors.
There are no clear guidelines for PJP prophylaxis in SLE and LN. But added use of immunosuppressive medications and systemic corticosteroids may change this consideration, especially since patients with autoimmune disease and PJP may have an estimated mortality of 40% to 50%.