Pediatric rheumatology

Antibodies to histone in the pediatric population: a retrospective chart review

Pediatr Rheumatol Online JPublished Retrospective chart review

Authors' conclusion

The presence of anti-histone antibody was observed in a variety of diagnoses in the pediatric population. Overall, the presence of anti-histone antibodies appears to have poor diagnostic utility for any specific condition.

Study context

Population
Pediatric patients with positive anti-histone antibody testing41 different diagnoses
Participants
139 patients
Exposure
Weak vs moderate vs strong anti-histone antibody titers
  • Weak titern = 62reference
Outcome
Diagnoses in children with positive anti-histone antibodies
Methodological detailsconsecutive three year period
  • Consecutive three year period

Main finding

As reported in the abstract

Hypermobility arthralgia (most common diagnosis)
22
Juvenile idiopathic arthritis (JIA) (nonsystemic) (most frequent rheumatologic diagnosis)
19
Systemic lupus erythematosus (SLE)
13
DILE
2
Other autoantibody production
18
SLE or DILE among those with other autoantibody production
11

Observational data: associations, not effects.

Further findings

SLE by anti-histone antibody titer — Weak titer
1 events
SLE by anti-histone antibody titer — Strong titers: SLE incidence ten times higher than weak titer
10

SLE by anti-histone antibody titer

Strong titers: >50% incidence of underlying rheumatologic disease
Statistically significant difference in SLE frequency between weak and moderate titers and between weak and strong titers

Original publication

Antibodies to histone in the pediatric population: a retrospective chart review. Pediatr Rheumatol Online J. Published 25 April 2023. doi:10.1186/s12969-023-00821-y

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