Pediatric rheumatology

Clinical characteristics of 1020 childhood-onset systemic lupus erythematosus: data from a health centre in China

Clin Exp RheumatolPublished Retrospective cohort study

Authors' conclusion

This study is a large single-centre study on cSLE from China and clarifies the clinical phenotype and autoantibody spectrum of cSLE. The clinical manifestations and autoantibody spectrum of cSLE are diverse, with regional and populational differences.

Study context

Population
Patients with childhood-onset SLE (≥4 ACR classification criteria) diagnosed at Beijing Children's hospital, July 2006–October 2020808 female, 212 male
Participants
1,020 patients
Outcome
Clinical characteristics of cSLE
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

Female to male ratio
3.8:1
Mean age at diagnosis, years (range 1.0-17.2)
11.1
Time from first symptoms to diagnosis, months, average (range 0.1-132)
6
Over 12 months from first symptoms to diagnosis
12%
Onset manifestation: rash
37.2%
Onset manifestation: fever
33.4%
Onset manifestation: nephropathy
14.2%
Onset manifestation: arthritis
13.6%
Clinical manifestation: rash
67.9%
Clinical manifestation: fever
57.5%
Haematological involvement
59.4%
LN
46.0%
Arthritis
33.2%

Observational data: associations, not effects.

Further findings

cSLE was more active and associated with more inflammation than aSLE patients

Original publication

Clinical characteristics of 1020 childhood-onset systemic lupus erythematosus: data from a health centre in China. Clin Exp Rheumatol. Published 19 January 2022. doi:10.55563/clinexprheumatol/eip0au

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