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The bm12 Inducible Model of Systemic Lupus Erythematosus (SLE) in C57BL/6 Mice
Published on: November 1, 2015
[Systemic lupus erythematosus in children. I: clinical and age dependent evolutive characteristics]
Stela Goţia1, Aurica Rugina, Evelina Moraru
1Facultatea de Medicină Clinica a II-a Pediatrie, Universitatea de Medicină şi Famacie Gr.T. Popa Iaşi.
Insights
Pediatric Systemic Lupus Erythematosus (SLE) presents differently based on age. Younger children often show prolonged fever and neurological issues, while older children exhibit more adult-like cutaneous and renal symptoms.
Area of Science:
- Pediatric Rheumatology
- Immunology
- Systemic Autoimmune Diseases
Context:
- Systemic Lupus Erythematosus (SLE) in children presents unique challenges in diagnosis and management.
- Understanding age-dependent clinical manifestations is crucial for early intervention.
Purpose:
- To delineate the distinct clinical and evolutive characteristics of pediatric SLE based on age groups.
- To evaluate the utility of diagnostic criteria and scoring systems for early SLE diagnosis and relapse assessment in children.
Summary:
- This retrospective study analyzed 14 children (4-16 years) with SLE, dividing them into two age groups: under 10 years and over 10 years.
- Children under 10 often presented with prolonged fever and neurological issues, sometimes with absent antinuclear antibodies (ANA).
- Children over 10 showed symptoms more typical of adult SLE, with dominant cutaneous and renal manifestations.
Impact:
- Highlights age-specific patterns in pediatric SLE, aiding in earlier diagnosis.
- Emphasizes the importance of established diagnostic criteria (ARA, 1982) and scoring systems (Mayer, 1998) for effective management and relapse evaluation.
- Informs clinical practice for better outcomes in pediatric lupus patients.
Abstract:
The individualized, retrospective study of 14 children with SLE (4-16 years) pointed out a series of clinical and age dependent evolutive characteristics. Below the age of 10 years old (lot 1:2 boys and 4 girls), SLE started as a prolonged fever syndrome (5-16 weeks) in the majority of cases; for 2 children the severe poliarthritis resistant to the AINS therapy is associated with the durable absence of the antinuclear seric antibody (ANA). For the same age group a high frequency of neurological manifestations (5/6 cases) was noticed. After the age of 10 years old (lot II: 8 girls) the symptoms incidence at debut is close to the one of the adult, the cutanat and renal manifestations in evolution were dominant (7/8 cases). The 7 months absence of ANA characterises a case that started with hepatomegaly, severe neurological and physiological manifestations and microscopic hematuria. The follow-up lasted until the age of 16 years old; the patients were clinically tested for severe renal complication. The correct application of the classical criteria of diagnostic (ARA, 1982), and in the last few years the application of the ponderat score (Mayer, 1998), allows us to establish an early diagnostic and a rapid evaluation of a relapse, therefore influencing the treatment.
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