Pediatric rheumatology

Children systemic lupus erythematosus-associated pancreatitis

Arthritis Res TherPublished Retrospective case-control study

Authors' conclusion

CSLE-associated pancreatitis has a high fatality rate.

Study context

Population
Children with SLE-associated pancreatitis diagnosed and treated January 2016 to December 2021 at hospitals such as Children's Hospital of Capital Institute of Paediatrics12 cases
Comparison
Children systemic lupus erythematosus (cSLE)-associated pancreatitis vs control
  • Casen = 12
Outcome
SLEDAI-2K disease activity score

Main finding

As reported in the abstract

Case

18.00

median · range 12.25–21.00

Control

10.00

median · range 7.00–18.00

P < 0.05

Observational data: associations, not effects.

Further findings

OutcomeP value
Clinical featuresP < 0.05
Laboratory findingsP < 0.05
TreatmentP < 0.05

Clinical features

Higher proportion of abdominal pain, vomiting, abdominal distension, pleural effusion, Raynaud's phenomenon (RP), splenic infarction and concurrent macrophage activation syndrome (MAS) in cases than controls

Laboratory findings

Serum ferritin, alanine transaminase (ALT), aspartate transaminase (AST), lactate dehydrogenase (LDH), amylase, increased 24-h urine protein and PLT reduction differed between groups

Treatment

Higher proportion of methylprednisolone pulse, CYC pulse during remission induction and therapeutic plasma exchange in cases than controls

Original publication

Children systemic lupus erythematosus-associated pancreatitis. Arthritis Res Ther. Published 17 January 2024. doi:10.1186/s13075-024-03265-1

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