Pediatric rheumatology

Long‐Term Outcomes of Children Born to Anti‐Ro Antibody–Positive Mothers With and Without Rheumatic Disease

Arthritis Care Res (Hoboken)Published Cohort study

Authors' conclusion

In a large multiethnic cohort of infants born to anti-Ro antibody-positive mothers, there was no significant difference in the prevalence of allergic, neurodevelopmental, or autoimmune diseases between children with and without NLE or between those born to anti-Ro antibody-positive mothers and a population-based non-NLE cohort.

Study context

Population
Children aged ≥1 year born to anti-Ro antibody-positive mothers, neonatal lupus erythematosus (NLE) clinic at The Hospital for Sick Childrenmedian age 6 years
Participants
321 children
Exposure
Children with vs without NLE; mothers with vs without rheumatic disease; NLE cohort vs population-based CHILD cohort
  • NLEn = 162
Outcome
Prevalence of allergic, neurodevelopmental and autoimmune diagnoses
Methodological detailssingle-centre (NLE clinic, The Hospital for Sick Children), health status questionnaire, comparison with population-based CHILD Cohort Study, logistic regression, P < 0.006 considered significant
  • Single-centre (NLE clinic, The Hospital for Sick Children)
  • Health status questionnaire
  • Comparison with population-based CHILD Cohort Study
  • Logistic regression
  • P < 0.006 considered significant

Main finding

As reported in the abstract

Any disease prevalence
  • No significant difference between children born to mothers with and without a rheumatic disease (P = 0.11)
  • NLE vs Without NLE: P = 0.57

Observational data: associations, not effects.

Further findings

OutcomeNLECHILDP value
Allergic disease prevalence, NLE vs CHILD cohorts30%22%P = 0.25
Neurodevelopmental conditions prevalence, NLE vs CHILD cohorts5%2%P = 0.45
Autoimmune disease prevalence, NLE vs CHILD cohorts4%2%P = 0.68

Original publication

Long‐Term Outcomes of Children Born to Anti‐Ro Antibody–Positive Mothers With and Without Rheumatic Disease. Arthritis Care Res (Hoboken). Published 15 March 2025. doi:10.1002/acr.25510

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