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Published on: May 29, 2020
Laboratory Evaluation in Pediatric Autoimmune Diseases
Austin M Dalrymple1, Terry L Moore1
1Division of Adult and Pediatric Rheumatology, Saint Louis University, SSM Health Cardinal Glennon Children's Hospital, St. Louis, MO.
Insights
Pediatric autoimmune diseases require prompt recognition and treatment to prevent severe outcomes. Initial screening for autoimmune conditions in children involves general lab tests and autoantibody assessments.
Area of Science:
- Pediatric Rheumatology
- Clinical Immunology
Background:
- Pediatric autoimmune diseases are chronic conditions with significant morbidity and mortality risks.
- Early diagnosis and treatment are crucial for managing these lifelong disorders.
Purpose of the Study:
- To outline recommended diagnostic approaches for suspected pediatric autoimmune diseases.
- To emphasize the importance of comprehensive evaluation for positive autoantibody tests in children.
Main Methods:
- Review of expert opinion and observational studies.
- General laboratory and autoantibody screening for suspected cases.
- Thorough history, physical examination, and laboratory evaluation.
Main Results:
- General laboratory and autoantibody screening are recommended for children with suspected autoimmune disease.
- Positive antinuclear antibody tests can have various causes beyond autoimmune conditions.
Conclusions:
- A detailed clinical assessment, including history, physical exam, and lab work (potentially with a pediatric rheumatologist), is essential to determine the cause of positive autoantibody results.
- Timely and accurate diagnosis is key to improving outcomes for children with autoimmune disorders.
Abstract:
Pediatric autoimmune diseases are chronic lifelong disorders associated with potential disability and increased morbidity and mortality if not properly recognized and treated. On the basis of largely expert opinion in addition to observational studies, children with suspected autoimmune disease should undergo general laboratory and autoantibody screening. (1)(2)(4)(6)(7)(11) There can be many causes of positive antinuclear antibody test results, including, but not limited to, autoimmune disease. On the basis of expert opinion and observational studies, a thorough history and physical examination as well as laboratory evaluation is recommended (often in consultation with a pediatric rheumatologist) to elucidate the cause for a positive test result. (4) (6)(11)
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