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The bm12 Inducible Model of Systemic Lupus Erythematosus (SLE) in C57BL/6 Mice
Published on: November 1, 2015
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.
Objective:
To delineate the clinical behavior of SLE in children from Eastern India and to the differences in disease pattern.
Methods:
In the present study, all 44 patients of pediatric SLE who were diagnosed over a period of 5 years in our pediatric rheumatology clinic were followed prospectively. The resultant database was analyzed using standard statistical methods.
Results:
about 3.9% of all rheumatology cases dealt with in the clinic in the last five yrs (n=1063) were sle. the number of children in 5-8 yrs and 8-12 yrs age groups were 13 and 27, respectively. the overall female (n=35) to male (n=9) ratio in this study was 3.8:1. renal, hematological and neuropsychiatric features were most common major organ manifestations(54%,54% and 25% respectively). joints and skin were the most common minor organs involved. two case were ana negative sle. among the typical features of ana negative disease, only nephritis was found in these patients. anti dsdna was positive in 50 % cases (n=21). c3 levels were studied in all cases with nephritis (n=22) and 68 % (n=15) had hypocomplementemia. anti ro and anti la antibodies were positive in two cases of neonatal lupus. APLA, ANTI SM antibody AND ANTI U1RNP were negative in the cases where testing was done:
Conclusions:
This study has tried to delineate the disease trends of childhood lupus from Eastern India. Certain important trends have emerged which are different from other contemporary Indian and International observations.
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