التفاصيل البيبلوغرافية
| العنوان: |
Disease activity, severity, and damage in the UK juvenile-onset systemic lupus erythematosus cohort. |
| المؤلفون: |
Watson, Louise, Leone, Valentina, Pilkington, Clarissa, Tullus, Kjell, Rangaraj, Satyapal, McDonagh, Janet E., Gardner-Medwin, Janet, Wilkinson, Nick, Riley, Phil, Tizard, Jane, Armon, Kate, Sinha, Manish D., Ioannou, Yiannis, Archer, Neil, Bailey, Kathryn, Davidson, Joyce, Baildam, Eileen M., Cleary, Gavin, McCann, Liza J., Beresford, Michael W. |
| المصدر: |
Arthritis & Rheumatism; Jul2012, Vol. 64 Issue 7, p2356-2365, 10p |
| مصطلحات موضوعية: |
BLOOD testing, ETHNOLOGY, MEDICAL cooperation, PHYSICAL diagnosis, RESEARCH, RESEARCH funding, JUVENILE idiopathic arthritis, SYSTEMIC lupus erythematosus, U-statistics, DATA analysis software, DESCRIPTIVE statistics |
| مصطلحات جغرافية: |
UNITED Kingdom |
| مستخلص: |
Objective The UK Juvenile-Onset Systemic Lupus Erythematosus (JSLE) Cohort Study is a multicenter collaborative network established with the aim of improving the understanding of juvenile SLE. The present study was undertaken to describe the clinical manifestations and disease course in patients with juvenile SLE from this large, national inception cohort. Methods Detailed data on clinical phenotype were collected at baseline and at regular clinic reviews and annual followup assessments in 232 patients from 14 centers across the UK over 4.5 years. Patients with SLE were identified according to the American College of Rheumatology (ACR) SLE classification criteria. The present cohort comprised children with juvenile SLE (n = 198) whose diagnosis fulfilled ≥4 of the ACR criteria for SLE. Results Among patients with juvenile SLE, the female:male sex distribution was 5.6:1 and the median age at diagnosis was 12.6 years (interquartile range 10.4-14.5 years). Male patients were younger than female patients ( P < 0.01). Standardized ethnicity data demonstrated a greater risk of juvenile SLE in non-Caucasian UK patients ( P < 0.05). Scores on the pediatric adaptation of the 2004 British Isles Lupus Assessment Group disease activity index demonstrated significantly increased frequencies of musculoskeletal (82%), renal (80%), hematologic (91%), immunologic (54%), and neurologic (26%) involvement among the patients over time. A large proportion of the patients (93%) were taking steroids and 24% of the patients required treatment with cyclophosphamide. Disease damage was common, with 28% of the patients having a Systemic Lupus International Collaborating Clinics/ACR damage score of ≥1. Conclusion The data on these patients from the UK JSLE Cohort Study, comprising one of the largest national inception cohorts of patients with juvenile SLE to date, indicate that severe organ involvement and significant disease activity are primary characteristics in children with juvenile SLE. In addition, accumulation of disease-associated damage could be seen. [ABSTRACT FROM AUTHOR] |
|
Copyright of Arthritis & Rheumatism is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) |
| قاعدة البيانات: |
Complementary Index |
Full Text Finder