Pediatric rheumatology

Exploring gastrointestinal manifestations in childhood onset systemic lupus erythematosus - Insights from a multicenter study

LupusPublished Descriptive cohort study

Study context

Population
Patients with childhood-onset systemic lupus erythematosus (SLE) and gastrointestinal system involvement from 16 paediatric rheumatology referral departments
Participants
123 patients16 centres
Outcome
GI manifestations in childhood-onset SLE
Methodological detailsmulticentre, 16 paediatric rheumatology referral departments
  • Multicentre
  • 16 paediatric rheumatology referral departments

Main finding

As reported in the abstract

GIS involvement: timing and presentation
Gastrointestinal system (GIS) involvement at initial SLE diagnosis
78 (63.4%)
Gastrointestinal (GI) symptoms developed after SLE diagnosis
45 (36.6%)
Median time to GI symptoms after diagnosis, months (range)
12 (3-140)
Symptoms related to the GI tract (rest diagnosed by laboratory assessments)
82 (66.7%)
Initial symptom: abdominal pain (predominant)
77 (62.6%)
Initial: elevated hepatic transaminases
70 (56.9%)
Initial: hepatomegaly
40 (32.5%)
Initial: diarrhoea
26 (21.1%)
Initial: jaundice
11 (8.9%)
GIS involvement associated with SLE
82 (78.6%)
GIS involvement from comorbidities
6 (0.5%)

Observational data: associations, not effects.

Safety

GIS involvement resulting from drug-related adverse events, patients
35 (28.5%)

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Exploring gastrointestinal manifestations in childhood onset systemic lupus erythematosus - Insights from a multicenter study. Lupus. Published 26 August 2024. doi:10.1177/09612033241279071

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