Pediatric rheumatology

Primary headaches in juvenile-onset systemic lupus erythematosus: A preliminary case control study using ICHD-3 criteria

LupusPublished Cross-sectional study

Authors' conclusion

Primary headaches, particularly migraine, are more frequent in pediatric lupus compared to healthy controls.

Study context

Population
Children with juvenile-onset SLE and age- and sex-matched healthy controls, evaluated July–September 2025
Participants
32 vs 38
Exposure
jSLE vs age- and sex-matched healthy controls
  • jSLEn = 32
  • Healthy controlsn = 38reference
Outcome
Prevalence of primary headache classified by ICHD-3 criteria
Methodological detailscase-control, age- and sex-matched, preliminary
  • Case-control
  • Age- and sex-matched
  • Preliminary

Main finding

As reported in the abstract

Primary headache (ICHD-3)

P = 0.03

Observational data: associations, not effects.

Further findings

Headache subtypes among jSLE patients with headache

Migraine without aura
60%
Tension-type headache
40%

Factors in jSLE with vs without headache

Higher BMI z-scores with headache
P = 0.03
Shorter sleep duration with headache
P = 0.03
More frequent aPL positivity with headache
P = 0.04
Higher cumulative corticosteroid doses with headache
P = 0.02
Disease activity and duration did not differ significantly

Original publication

Primary headaches in juvenile-onset systemic lupus erythematosus: A preliminary case control study using ICHD-3 criteria. Lupus. Published 20 April 2026. doi:10.1177/09612033261445761

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