Clinical features of systemic lupus erythematosus with pulmonary pleural lesion in children / 浙江大学学报·医学版
Journal of Zhejiang University. Medical sciences
;
(6): 327-331, 2012.
Article
in Chinese
| WPRIM
| ID: wpr-336788
ABSTRACT
<p><b>OBJECTIVE</b>To investigate the clinical features of systemic lupus erythematosus (SLE) with pulmonary pleural lesion in children.</p><p><b>METHODS</b>One hundred and thirty three child patients with SLE admitted from 2001 to 2010 were enrolled in the study. The clinical data, chest X-ray findings and laboratory examination were retrospectively reviewed. Cases with infectious pulmonary pleural lesion were excluded.</p><p><b>RESULTS</b>According to chest X-ray findings pleural pulmonary lesions were involved in 45 out of 133 cases with SLE (33.83 %); however, only 30 cases (66.67 %) had positive respiratory manifestations. Respiratory features included cough and/or sputum (55.56 %), dyspnea and chest pain (15.56 % and 11.11 %), and only 28.89 % case with pleural pulmonary lesions had rales. Chest X-ray findings included pleural effusion/pleurisy (32 cases, 71.11%), bronchial pneumonia (21 cases, 46.67%) or interstitial pulmonary disease (13 cases, 28.89%). Compared to children without pulmonary pleural lesion, children with pulmonary pleural lesion had higher incidence of leukopenia, lower C₃ or antibody dsDNA (+) (all P<0.05). There was no difference in abnormality of erythrocyte sedimentation rate (ESR), CRP, IgG,IgA,IgM, thrombocytopenia, antibody ANA(+), anti-SSA(+), anti-SSB(+) or anti-Sm(+) between children with or without pulmonary pleural lesion (P>0.05).</p><p><b>CONCLUSION</b>High incidence of pulmonary pleura lesions are present in children with SLE, however, clinical manifestations are lack of specificity or even no respiratory manifestation. Chest X-ray or HRCT scan are necessary in all cases with SLE. Children with leukopenia, lower C₃ or antibody dsDNA (+) are more likely to have pulmonary pleural lesion.</p>
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pleural Diseases
/
Retrospective Studies
/
Lung Diseases
/
Lupus Erythematosus, Systemic
Type of study:
Observational study
Limits:
Adolescent
/
Child
/
Child, preschool
/
Female
/
Humans
/
Male
Language:
Chinese
Journal:
Journal of Zhejiang University. Medical sciences
Year:
2012
Type:
Article
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