Pediatric rheumatology

Echocardiographic assessment of pediatric lupus nephritis and its correlation with disease activity in a tertiary care hospital

LupusPublished Cross-sectional study

Authors' conclusion

Cardiac abnormalities are prevalent in pediatric LN and valvular dysfunction particularly tricuspid regurgitation being the most common followed by pericardial effusion and pulmonary hypertension. These abnormalities correlate with higher disease activity and lower C3 levels

Study context

Population
Children with Lupus Nephritis (LN) fulfilling Systemic Lupus International Collaborating Clinics (SLICC) 2012 criteria for systemic lupus erythematosus (SLE) with renal involvement, Department of Pediatric Nephrology, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh, January 2017 to July 2023male-to-female ratio 1:3
Participants
50 children
Outcome
Cardiac abnormalities on color doppler echocardiography
Methodological detailsanalytical, single-centre
  • Analytical
  • Single-centre

Main finding

As reported in the abstract

Cardiac abnormalities on echocardiography

Any cardiac abnormality

20 patients

40%

Tricuspid regurgitation (most frequent)

38%

Pericardial effusion

28%

Pulmonary hypertension

24%

Observational data: associations, not effects.

Further findings

Association of abnormal echocardiographic (ECHO) findings with disease activity and C3

Abnormal ECHO findings significantly associated with higher systemic lupus erythematosus disease activity index (SLEDAI) scores and lower C3 levels

Age at presentation

Mean age at presentation, years (± SD)
12.4 ± 2.79

Original publication

Echocardiographic assessment of pediatric lupus nephritis and its correlation with disease activity in a tertiary care hospital. Lupus. Published 9 August 2025. doi:10.1177/09612033251367175

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