Childhood lupus: experience from Eastern India

Rakesh Mondal1, Madhumita Nandi, Suhas Ganguli

  • 1Pediatric Rheumatology Clinic, Department of Pediatrics, Institute of Post graduate Medical Education and Research, Kolkata, India.

Insights

This study highlights key clinical features of childhood Systemic Lupus Erythematosus (SLE) in Eastern India. Findings reveal distinct disease patterns compared to other global observations, emphasizing the need for regionalized understanding.

Area of Science:

  • Pediatric Rheumatology
  • Immunology
  • Clinical Medicine

Background:

  • Systemic Lupus Erythematosus (SLE) is a complex autoimmune disease with varied clinical presentations.
  • Understanding regional differences in pediatric SLE is crucial for effective management.

Purpose of the Study:

  • To characterize the clinical behavior of childhood SLE in Eastern India.
  • To identify unique disease patterns in this specific demographic.

Main Methods:

  • Prospective follow-up of 44 pediatric SLE patients over five years.
  • Analysis of clinical data using standard statistical methods.

Main Results:

  • SLE constituted 3.9% of pediatric rheumatology cases.
  • Renal, hematological, and neuropsychiatric manifestations were most common major organ involvements (54%, 54%, 25%).
  • Female to male ratio was 3.8:1; ANA-negative SLE occurred in two cases presenting with nephritis.

Conclusions:

  • This study delineates specific disease trends of childhood lupus in Eastern India.
  • Observed trends differ from other Indian and international findings, underscoring regional variations.
Abstract

Related Concept Videos

Leishmaniasis01:30

Leishmaniasis

Leishmaniasis is a protozoal disease caused by species of the genus Leishmania and transmitted through the bite of infected female sandflies. The parasite exists in two principal morphological forms during its life cycle. A sandfly acquires intracellular amastigotes from an infected reservoir host, such as a dog. Within the sandfly, these forms differentiate into motile, flagellated promastigotes. During a subsequent blood meal, promastigotes are injected into the human host, where they...
Multiple Sclerosis l: Introduction01:19

Multiple Sclerosis l: Introduction

Multiple sclerosis is a chronic autoimmune disease of the central nervous system (CNS) that affects the brain, spinal cord, and optic nerves. It is an inflammatory demyelinating disorder and a leading cause of neurological disability in young adults.EpidemiologyMS commonly begins between 20 and 40 years of age and is twice as common in women. Its exact cause remains unclear, but genetic susceptibility contributes, with higher risk in first-degree relatives and identical twins. A greater...
Pulmonary Tuberculosis I01:29

Pulmonary Tuberculosis I

Tuberculosis, often called TB, is a contagious illness primarily caused by Mycobacterium tuberculosis. It mainly affects the lung parenchyma but can also impact other body parts.
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
Autoimmune Disorders01:29

Autoimmune Disorders

Autoimmune diseases are a group of disorders in which the body's immune system mistakenly attacks its own cells, tissues, and organs. This results from an overactive immune response against substances and tissues normally present in the body. Let's delve into the concept and mechanism of autoimmune diseases from an immune system point of view, explore different causes and examples of such diseases, and discuss potential solutions.
Concept and Mechanism of Autoimmune Diseases
The immune system...
Nephrotic Syndrome I : Introduction01:24

Nephrotic Syndrome I : Introduction

Nephrotic Syndrome is a chronic kidney disorder defined by clinical findings such as severe proteinuria, hypoalbuminemia, hyperlipidemia, and edema. These symptoms result from damage to the glomeruli, the kidney’s filtering units, increasing their permeability to proteins.Definition and Meaning:Proteinuria, defined as the loss of more than 3.5 grams of protein per day in adults, is a crucial feature of nephrotic syndrome. This condition is often accompanied by edema, the accumulation of fluid...
Encephalitis l: Introduction01:19

Encephalitis l: Introduction

Encephalitis is inflammation of the brain parenchyma, most often due to infections or autoimmune processes. It presents with neuropsychiatric features such as fever, altered mental status, behavioral changes, cognitive dysfunction, seizures, focal deficits, and sometimes autonomic instability. In some cases, the meninges are also involved, resulting in meningoencephalitis.Infectious CausesInfectious encephalitis is most commonly viral but can also result from bacterial, fungal, or parasitic...