Comparison of clinical and immunological characteristics of pediatric lupus patients with and without nephritis
Main Article Content
Abstract
A cross-sectional study was conducted on 83 children newly diagnosed with systemic lupus erythematosus (SLE) at the Pediatric Center of Bach Mai Hospital - 53 with nephritis, 30 without nephritis - to compare the clinical and immunological characteristics between the two groups. The lupus nephritis group showed significantly higher rates of mucocutaneous manifestations (58.5%), serositis (28.3%), anti-dsDNA antibody positivity (100%), and hypocomplementemia (98.1%) compared to the non-nephritis group (33.3%, 10.0%, 86.7%, and 76.7%, respectively), p < 0.05. The mean EULAR/ACR 2019 classification criteria score was significantly higher in the lupus nephritis group than in the non-nephritis group (28.1 ± 5.5 vs 16.9 ± 4.2, p < 0.05). There were no significant difference between the two groups in terms of age, gender, fever, hematological, neurological, joint manifestations, anti-Smith antibody positivity, or antiphospholipid antibody positivity.
Article Details
Keywords
Clinical, immunological, nephritis lupus, lupus, children
References
2. Mishra S, Behera JR, Rup AR, et al. Clinical and Immunological Profile of Pediatric-Onset Systemic Lupus Erythematosus in Eastern India: A Prospective Observational Study. Cureus. 2024;16(8). doi:10.7759/cureus.66709
3. Gacem O, Labboun L, Ayad N, et al. O004. Assessment of the impact of lupus nephritis on clinical, biological parameters, disease activity and mortality in pediatric Systemic Lupus Erythematosus. Rheumatology. 2021;60(Supplement_5):keab723.003. doi:10.1093/rheumatology/keab723.003
4. Pinheiro SVB, Dias RF, Fabiano RCG, et al. Pediatric lupus nephritis. J Bras Nefrol. 2019;41(2):252-265. doi:10.1590/2175-8239-JBN-2018-0097
5. Aringer M, Costenbader KH, Daikh DI, et al. 2019 EULAR/ACR Classification Criteria for Systemic Lupus Erythematosus. Arthritis Rheumatol. 2019;71(9):1400-1412. doi:10.1002/art.40930
6. Bùi Song Hương, Lê Thị Minh Hương, Trần Thị Chi Mai. Đặc điểm lâm sàng, cận lâm sàng của lupus ban đỏ hệ thống ở trẻ em. Tạp chí Nhi khoa. 2019;12(2):60-65.
7. Gulay CB, Dans LF. Clinical presentations and outcomes of Filipino juvenile systemic lupus erythematosus. Pediatr Rheumatol Online J. 2011;9:7. doi:10.1186/1546-0096-9-7
8. Faezi ST, Hosseini Almodarresi M, Paragomi P, et al. Clinical picture of lupus nephritis in patients with systemic lupus erythematosus (SLE): Results of a large survey. Rheumatology Research. 2017;2(2):51-59. doi:10.22631/rr.2017.69997.1017
9. Yarnall M, Rex R, Pouliot P. PO.5.115 Systemic lupus erythematosus (SLE): patients with and without renal involvement: a real world analysis showing demographic, clinical and treatment differences across more than 1,279 EU5 patients. Lupus Science & Medicine. 2022;9(Suppl 2):A89-A89. doi:10.1136/lupus-2022-elm2022.137
10. Iaremenko O, Koliadenko D, Iaremenko K, et al. Lupus nephritis: clinical characteristics, serological associations, pattern of pro- and anti-inflammatory markers. Ukrainian Journal of Nephrology and Dialysis. 2023;(2(78)):69-80. doi:10.31450/ukrjnd.2(78).2023.08
11. Ourania D, Paulina C, Andreea B, et al. Immunological Profile in Patients with Lupus Nephritis and Correlations with the Histological Pattern. Current Health Sciences Journal. 2011;37(4):161-164.
12. Suryana BPP, Rosita L, Djais N, et al. The Differences in Serum Complements and Anti-dsDNA Levels between Renal and Non-renal Manifestations in Systemic Lupus Erythematosus. Ina J Rheum. 2019;11(1). doi:10.37275/ijr.v11i1.121
13. Kosałka-Węgiel J, Dziedzic R, Siwiec-Koźlik A, et al. Comparison of Clinical and Laboratory Characteristics in Lupus Nephritis vs. Non-Lupus Nephritis Patients-A Comprehensive Retrospective Analysis Based on 921 Patients. Journal of Clinical Medicine. 2024;13(15):4486. doi:10.3390/jcm13154486
14. Cetin N, Acikalin MF, Tufan AK, et al. The value of 2019 EULAR/ACR classification criteria in predicting lupus nephritis in childhood-onset systemic lupus erythematosus. Klin Padiatr. 2023;235(5):277-283. doi:10.1055/a-1970-6301
15. Munhoz GA, Aikawa NE, Silva CA, et al. Short-term Accrual 2019 European League Against Rheumatism/American College of Rheumatology Domains and Systemic Lupus International Collaborating Clinics/American College of Rheumatology Damage in Lupus Patients With and Without Nephritis at Disease Onset. J Clin Rheumatol. 2023;29(4):190-195. doi:10.1097/RHU.0000000000001939