Pediatric rheumatology

Monogenic and Systemic Lupus Erythematosus (SLE)-like disorders in the pediatric population: insights from a Northern Israel cohort

LupusPublished Retrospective cohort study

Authors' conclusion

Monogenic SLE was identified in 46% of the children within this selected cohort.

Study context

Population
Patients diagnosed with SLE before age 18 years, single tertiary pediatric medical center, Northern Israel, 2010–2021single tertiary paediatric centre
Participants
75 patients
Outcome
Monogenic causes of SLE among patients meeting criteria for suspected monogenic SLE
Methodological detailssingle-centre, tertiary pediatric medical center, Monogenic SLE suspected with any of: family history of SLE, consanguinity, onset under 10 years, atypical clinical course, male gender, syndromic features; genetic evaluation performed in these patients
  • Single-centre
  • Tertiary pediatric medical center
  • Monogenic SLE suspected with any of: family history of SLE, consanguinity, onset under 10 years, atypical clinical course, male gender, syndromic features; genetic evaluation performed in these patients

Main finding

As reported in the abstract

Monogenic form of SLE diagnosed

Monogenic SLE among genetically evaluated patients

6 of the 13 patients

46%

Monogenic SLE in entire cohort

8%

Met criteria for suspected monogenic SLE

18

24%

Genetic evaluation conducted among suspected

13 out of the 18 patients (72%)

Observational data: associations, not effects.

Further findings

Specific monogenic diagnoses

Prolidase deficiency
4
Aicardi-Goutières syndrome (AGS)
1
Spondyloenchondrodysplasia with immune dysregulation (SPENCDI) syndrome
1
Candidate variants in C4B and ITPR3 genes in an additional pedigree

Original publication

Monogenic and SLE-like disorders in the pediatric population: insights from a Northern Israel cohort. Lupus. Published 13 January 2026. doi:10.1177/09612033261415976

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