Early onset systemic lupus erythematosus: differential diagnoses, clinical presentation, and treatment options
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Christian Michael Hedrich & Hildegard Zappel & Simon Straub & Martin W. Laass & Kathrin Wieczorek & Gabriele Hahn & Georg Heubner & Manfred Gahr
- چاپ و سال / کشور: 2011
Description
Juvenile systemic lupus erythematosus is a rare multisystemic autoimmune disease with variable clinical manifestations, and disease onset before 16 years of age. Patients younger than 5 years are rarely affected and the age of onset may contribute to the course of disease in terms of clinical presentation, organ involvement, and serological findings. Here, we report two exemplary early-onset SLE patients, a 28-month-old patient with WHO class IIB kidney disease, arthritis, and a typical antibody constellation and an 11-month-old infant that presented with microcytic anemia, leukocytosis, arthritis, fasciitis, fatty liver disease, protein losing enteropathy, edema, and minimal change glomerulonephritis. Epidemiologic and clinical features of early-onset SLE compared to other forms of SLE are given and differential diagnoses and treatment options are discussed.
Clin Rheumatol (2011) 30:275–283 Received: 1 June 2010 / Revised: 8 September 2010 / Accepted: 8 September 2010 / Published online: 1 October 2010
