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Biopsy diagnosis of lupus nephritis with no extra-renal features of SLE, normal complement levels, negative or weekly positive ANA and negative other serology is a rare entity known as “Renal Limited Lupus Like Nephritis”. So far, only 10 cases of RLLLN in adults have been reported in literature. The prognosis of these patients varied depending on their clinical presentation. Herein, we report a case of an elderly female with RLLLN who presented with massive proteinuria and acute kidney injury with crescents, however had a good outcome contrary to reported cases with similar presentations. We also reviewed all reported cases thus far.