Vasculitis in Juvenile-Onset Systemic Lupus Erythematosus
Identifieur interne : 000285 ( Main/Exploration ); précédent : 000284; suivant : 000286Vasculitis in Juvenile-Onset Systemic Lupus Erythematosus
Auteurs : Eve M. D. Smith [Royaume-Uni] ; Hanna Lythgoe [Royaume-Uni] ; Christian M. Hedrich [Royaume-Uni]Source :
- Frontiers in Pediatrics [ 2296-2360 ] ; 2019.
Abstract
Juvenile-onset systemic lupus erythematosus (JSLE) is a rare, heterogeneous multisystem autoimmune disease that can affect any organ, and present with diverse clinical and serological manifestations. Vasculitis can be a feature of JSLE. It more commonly presents as cutaneous vasculitis than visceral vasculitis, which can affect the central nervous system, peripheral nervous system, lungs, gut, kidneys, heart, and large vessels. The incidence and prevalence of vasculitis in JSLE has not been well described to date. Symptoms of vasculitis can be non-specific and overlap with other features of JSLE, requiring careful consideration for the diagnosis to be achieved and promptly treated. Biopsies are often required to make a definitive diagnosis and differentiate JSLE related vasculitis from other manifestations of JSLE, vasculopathies, and JSLE related antiphospholipid syndrome. Visceral vasculitis can be life threatening, and its presence at the time of JSLE diagnosis is associated with permanent organ damage, which further highlights the importance of prompt recognition and treatment. This review will focus on the presentation, diagnosis, management and outcomes of vasculitis in JSLE, highlighting gaps in the current evidence base.
Url:
DOI: 10.3389/fped.2019.00149
PubMed: 31143758
PubMed Central: 6521594
Affiliations:
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D." last="Smith">Eve M. D. Smith</name><affiliation wicri:level="1"><nlm:aff id="aff1"><institution>Department of Women and Children's Health, Institute of Translational Medicine, University of Liverpool</institution>,<addr-line>Liverpool</addr-line>,<country>United Kingdom</country></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="aff2"><institution>Department of Paediatric Rheumatology, Alder Hey Children's NHS Foundation Trust</institution>,<addr-line>Liverpool</addr-line>,<country>United Kingdom</country></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Lythgoe, Hanna" sort="Lythgoe, Hanna" uniqKey="Lythgoe H" first="Hanna" last="Lythgoe">Hanna Lythgoe</name><affiliation wicri:level="1"><nlm:aff id="aff3"><institution>St Helen's and Knowsley Teaching Hospital NHS Trust</institution>,<addr-line>St Helens</addr-line>,<country>United Kingdom</country></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Hedrich, Christian M" sort="Hedrich, Christian M" uniqKey="Hedrich C" first="Christian M." last="Hedrich">Christian M. Hedrich</name><affiliation wicri:level="1"><nlm:aff id="aff1"><institution>Department of Women and Children's Health, Institute of Translational Medicine, University of Liverpool</institution>,<addr-line>Liverpool</addr-line>,<country>United Kingdom</country></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="aff2"><institution>Department of Paediatric Rheumatology, Alder Hey Children's NHS Foundation Trust</institution>,<addr-line>Liverpool</addr-line>,<country>United Kingdom</country></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author></analytic><series><title level="j">Frontiers in Pediatrics</title><idno type="eISSN">2296-2360</idno><imprint><date when="2019">2019</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Juvenile-onset systemic lupus erythematosus (JSLE) is a rare, heterogeneous multisystem autoimmune disease that can affect any organ, and present with diverse clinical and serological manifestations. Vasculitis can be a feature of JSLE. It more commonly presents as cutaneous vasculitis than visceral vasculitis, which can affect the central nervous system, peripheral nervous system, lungs, gut, kidneys, heart, and large vessels. The incidence and prevalence of vasculitis in JSLE has not been well described to date. Symptoms of vasculitis can be non-specific and overlap with other features of JSLE, requiring careful consideration for the diagnosis to be achieved and promptly treated. Biopsies are often required to make a definitive diagnosis and differentiate JSLE related vasculitis from other manifestations of JSLE, vasculopathies, and JSLE related antiphospholipid syndrome. Visceral vasculitis can be life threatening, and its presence at the time of JSLE diagnosis is associated with permanent organ damage, which further highlights the importance of prompt recognition and treatment. This review will focus on the presentation, diagnosis, management and outcomes of vasculitis in JSLE, highlighting gaps in the current evidence base.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Toubi, E" uniqKey="Toubi E">E Toubi</name></author><author><name sortKey="Kessel, A" uniqKey="Kessel A">A Kessel</name></author><author><name sortKey="Bamberger, E" uniqKey="Bamberger E">E Bamberger</name></author><author><name sortKey="Golan, Td" uniqKey="Golan T">TD Golan</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Callen, Jp" uniqKey="Callen J">JP Callen</name></author><author><name sortKey="Kingman, J" uniqKey="Kingman J">J Kingman</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Zecevic, Rd" uniqKey="Zecevic R">RD Zecevic</name></author><author><name sortKey="Vojvodic, D" uniqKey="Vojvodic D">D Vojvodic</name></author><author><name sortKey="Ristic, B" 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U" uniqKey="Sass U">U Sass</name></author><author><name sortKey="Andre, J" uniqKey="Andre J">J Andre</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Omoyinmi, E" uniqKey="Omoyinmi E">E Omoyinmi</name></author><author><name sortKey="Melo Gomes, S" uniqKey="Melo Gomes S">S Melo Gomes</name></author><author><name sortKey="Nanthapisal, S" uniqKey="Nanthapisal S">S Nanthapisal</name></author><author><name sortKey="Woo, P" uniqKey="Woo P">P Woo</name></author><author><name sortKey="Standing, A" uniqKey="Standing A">A Standing</name></author><author><name sortKey="Eleftheriou, D" uniqKey="Eleftheriou D">D Eleftheriou</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Royaume-Uni</li></country></list><tree><country name="Royaume-Uni"><noRegion><name sortKey="Smith, Eve M D" sort="Smith, Eve M D" uniqKey="Smith E" first="Eve M. D." last="Smith">Eve M. D. Smith</name></noRegion><name sortKey="Hedrich, Christian M" sort="Hedrich, Christian M" uniqKey="Hedrich C" first="Christian M." last="Hedrich">Christian M. Hedrich</name><name sortKey="Hedrich, Christian M" sort="Hedrich, Christian M" uniqKey="Hedrich C" first="Christian M." last="Hedrich">Christian M. Hedrich</name><name sortKey="Lythgoe, Hanna" sort="Lythgoe, Hanna" uniqKey="Lythgoe H" first="Hanna" last="Lythgoe">Hanna Lythgoe</name><name sortKey="Smith, Eve M D" sort="Smith, Eve M D" uniqKey="Smith E" first="Eve M. D." last="Smith">Eve M. D. Smith</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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