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Published on: November 12, 2015
Current treatment strategies: collagen vascular diseases in children
Aparna Palit1, Arun C Inamadar
1Department of Dermatology, Venereology and Leprosy, Sri B. M. Patil Medical College, Hospital and Research Center, BLDE University, Bijapur, Karnataka, India.
Insights
Pediatric collagen vascular diseases like lupus and scleroderma require diverse treatments. Newer options such as stem cell transplant and biologics offer hope for difficult cases.
Area of Science:
- Pediatric rheumatology
- Autoimmune diseases
- Collagen vascular diseases
Background:
- Common pediatric collagen vascular diseases include discoid lupus erythematosus, systemic lupus erythematosus, neonatal lupus erythematosus, juvenile dermatomyositis, and childhood scleroderma.
- These conditions pose significant clinical challenges for healthcare providers.
- Understanding their varied presentations and treatment needs is crucial.
Purpose of the Study:
- To review common collagen vascular diseases in children.
- To discuss conventional and advanced treatment modalities.
- To highlight recent therapeutic options for refractory pediatric cases.
Main Methods:
- Literature review of pediatric collagen vascular diseases.
- Discussion of established and novel treatment strategies.
- Focus on therapeutic options for challenging pediatric presentations.
Main Results:
- Identified key pediatric collagen vascular diseases and their clinical relevance.
- Outlined a spectrum of treatment approaches, from routine to advanced.
- Emphasized the availability of newer therapies for severe or resistant cases.
Conclusions:
- Effective management of pediatric collagen vascular diseases requires a comprehensive approach.
- Advanced therapies like autologous stem cell transplant and biologics are vital for difficult-to-treat conditions.
- Intravenous immunoglobulin and narrow-band ultraviolet B represent emerging options in pediatric rheumatology.
Abstract:
Of the various collagen vascular diseases seen in pediatric age group, discoid lupus erythematosus, systemic lupus erythematosus, neonatal lupus erythematosus, juvenile dermatomyositis and childhood scleroderma are common and of practical importance to clinicians. Various treatment modalities of these conditions have been discussed at length. Of these, some are conventional and routine,while others are used in challenging situations of these diseases. Autologous stem cell transplant, biological therapies, intravenous immunoglobulin and narrow band ultraviolet B are among the latest therapeutic options for these difficult-to-treat conditions in children.
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