Pediatric rheumatology

Childhood-onset hypocomplementaemic urticarial vasculitis in France: phenotypic and genotypic diversity in 10 children

Pediatr Rheumatol Online JPublished Retrospective cohort study

Authors' conclusion

These 10 cases highlight the heterogeneity and potential severity of childhood-onset HUV.

Study context

Population
Children with childhood-onset hypocomplementaemic urticarial vasculitis (HUV) in Franceall girls
Participants
10 children
Exposure
Systemic HUV syndrome (S-HUVS) vs non-systemic HUVS (NS-HUVS) vs systemic lupus erythematosus (SLE)-associated HUV
  • S-HUVSn = 3
  • NS-HUVSn = 4
  • SLE-associated HUVn = 3
Outcome
Clinical and genetic features of childhood-onset HUV
Methodological detailsnationwide, case series
  • Nationwide
  • Case series

Main finding

As reported in the abstract

Median age at onset (range 2-14 years)
9.5 years
Median delay onset to diagnosis (range 6-55 months)
13 months
Musculoskeletal features (most common extracutaneous manifestation)
9/10
Pulmonary haemorrhage in S-HUVS
2/3
Glomerulonephritis in S-HUVS
2/3
ANA positive
9/10
Anti-C1q antibodies positive
6/10
ANCA positive
5/10
HCQ used
8/10

Observational data: associations, not effects.

Original publication

Childhood-onset hypocomplementaemic urticarial vasculitis in France: phenotypic and genotypic diversity in 10 children. Pediatr Rheumatol Online J. Published 10 March 2026. doi:10.1186/s12969-026-01203-w

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