Pediatric rheumatology

Clinical characteristics of early-onset paediatric systemic lupus erythematosus in a single centre in China

Rheumatology (Oxford)Published Retrospective case series

Authors' conclusion

Early-onset (<5 years) pSLE is characterized by an insidious onset, typical immunological patterns, and the involvement of multiple organs.

Study context

Population
Children aged <5 years with SLE (early-onset pSLE), single centre in China, January 2012 to December 20216 males · 13 females
Participants
19 children
Outcome
Clinical characteristics of early-onset paediatric SLE (eo-pSLE)
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

Mean age at onset (years)
3.73
Median diagnostic delay (months); longer in male patients (P = 0.02)
9
SLE-relevant family history (patients)
4
Renal involvement
94.74%
Mucocutaneous involvement
94.74%
Haematological involvement
89.47%
Respiratory involvement
89.47%
Digestive involvement
84.21%
Cardiovascular involvement
57.89%
Neuropsychiatric involvement
52.63%

Observational data: associations, not effects.

Further findings

Genetic testing (DNA sequencing in 11 of 19 patients)

Patients with SLE-associated gene mutations (of 11 sequenced)
9
SLE-associated gene mutations identified: TREX1, PIK3CD, LRBA, KRAS, STAT4, C3, ITGAM, CYBB, TLR5, RIPK1, BACH2, CFHR5, SYK
13
Male patient with 47, XXY chromosomal abnormality
1

Original publication

Clinical characteristics of early-onset paediatric systemic lupus erythematosus in a single centre in China. Rheumatology (Oxford). Published 22 February 2023. doi:10.1093/rheumatology/kead086

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