Résumé
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.
Sujets)
Anticorps antinucléaires/sang , Enfant , Enfant d'âge préscolaire , Femelle , Humains , Inde , Lupus érythémateux disséminé/complications , Lupus érythémateux disséminé/congénital , Lupus érythémateux disséminé/immunologie , Glomérulonéphrite lupique/complications , Glomérulonéphrite lupique/immunologie , Vascularite lupique du système nerveux central/complications , Vascularite lupique du système nerveux central/immunologie , Mâle , Études prospectives , Répartition par sexeRésumé
We report clinico-serological profile of 210 children with Juvenile idiopathic arthritis (JIA), diagnosed as per ILAR classification criteria. Polyarticular, oligoarticular, and systemic onset disease was observed in 72, 69, and 40 children, respectively. The knee joint was the most frequently involved joint. Antinuclear factor and Rheumatoid factor were positive in 10 and 8, 6 and 20, and 7 and 7 percent children with polyarticular, oligoarticular, and systemic disease, respectively.
Sujets)
Adolescent , Anticorps antinucléaires/sang , Arthrite juvénile/sang , Arthrite juvénile/épidémiologie , Arthrite juvénile/physiopathologie , Femelle , Humains , Inde/épidémiologie , Mâle , Indice de gravité de la maladieRésumé
Laboratory investigations are very important tools in the diagnosis of rheumatic diseases. Nowadays a large number of tests are available. The authors have discussed some important tests of value in day to day practice.