Pediatric rheumatology

Predictors of damage accrual in childhood-onset SLE: a retrospective analysis from a tertiary lupus centre in Türkiye

Lupus Sci MedPublished Retrospective cohort study

Authors' conclusion

Our study confirms that higher median disease activity over time, haemolytic anaemia and renal disease are significant predictors of long-term damage in cSLE.

Study context

Population
Patients meeting SLICC 2012 criteria for childhood-onset SLE (cSLE), followed by a paediatric rheumatology clinic, 2004 to March 2023, tertiary lupus centre in Türkiye102 analysed
Participants
120 patients
Outcome
Damage accrual (PedSDI≥1) and its risk factors
Follow-up
End of the study
Methodological detailssingle-centre, univariate and multivariate analyses, 18 excluded for monogenic lupus or inadequate follow-up, Mean age at diagnosis 12.9 years; mean disease duration 6.3 years
  • Single-centre
  • Univariate and multivariate analyses
  • 18 excluded for monogenic lupus or inadequate follow-up
  • Mean age at diagnosis 12.9 years; mean disease duration 6.3 years

Main finding

As reported in the abstract

Accrued damage (PedSDI≥1)

Patients with accrued damage (PedSDI≥1)

33.3%

Observational data: associations, not effects.

Further findings

Most frequently involved PedSDI domains

Growth failure
24%
Renal
11.8%
Neuropsychiatric
8.8%
Mucocutaneous
5.9%

Original publication

Predictors of damage accrual in childhood-onset SLE: a retrospective analysis from a tertiary lupus centre in Türkiye. Lupus Sci Med. Published 3 October 2025. doi:10.1136/lupus-2025-001634

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