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Lupus around the World

Outcome of a national Israeli cohort of pediatric systemic lupus erythematosus

Yosef Uziel, Pediatric Rheumatology, Department of Pediatrics, Meir Medical Center, Kfar-Saba, 44281, Israel.; uziely{at}zahav.net.il; Meir Medical Center, Tel Aviv University Kfar-Saba, Isreal

N Gorodnitski

Meir Medical Center, Tel Aviv University Kfar-Saba, Isreal

M Mukamel

Schneider Medical Center, Tel Aviv University Petah-Tikva, Isreal

S Padeh

Sheba Medical Center, Tel Aviv University Tel-Hashomer, Isreal

R Brik

Rambam Hospital, Technion Medical School Haifa, Isreal

J Barash

Kaplan Hospital, Hebrew University Rehovot, Isreal

D Mevorach

Hadassah Medical Center, Hebrew University Jerusalem, Isreal

Y Berkun

Sheba Medical Center, Tel Aviv University Tel-Hashomer, Isreal

T Tauber

Asaf-Harofeh Hospital, Tel Aviv University Zerifin, Isreal

J Press

Soroka Medical Center, Hanegev University Beer-Sheva, Isreal

L Harel

Schneider Medical Center, Tel Aviv University Petah-Tikva, Isreal

P Navon

Shaarei-Zedek Medical Center, Hanegev University Jerusalem, Isreal

M Rubenstein

Safed Cleveland Clinic Foundation, OH, USA

Y Naparstek

Hadassah Medical Center, Hebrew University Jerusalem, Isreal

PJ Hashkes

Department of Rheumatic Diseases, Cleveland Clinic Foundation, OH, USA

The aim of this study was to describe the clinical manifestations and outcomes of a national cohort of childhood systemic lupus erythematosus (cSLE). All cases of cSLE registered in the Israeli national registry of children with rheumatic diseases between 1987–2003 were examined for disease activity and damage by the SLE disease activity index (SLEDAI) and SLE collaborating clinics/American College of Rheumatology (SLICC/ACR) damage index. Demographic, clinical, laboratory and treatment factors were analysed for their effect on the outcome. One-hundred and two patients were identified, 81% females, with a mean age at diagnosis of 13.3 ± 2.6 years. The mean SLEDAI score was 17.2 ± 9.0 (range 2–60). Fifty four patients were followed for at least five years. The mean SLEDAI decreased to 7.6 ± 6.3 (0–29) and the mean SLICC/ACR damage index was 0.7 ± 1.6 (0–8). Five patients developed chronic renal failure. No patients died. No factors were found to be significantly associated with the outcome except the initial SLEDAI score. The five-year outcome of our national cSLE cohort was good; with relatively low activity and minimal damage in most patients. The initial SLEDAI predicted the development of late damage.

Key Words: outcome • pediatrics • SLEDAI • systemic lupus erythematosus

Lupus, Vol. 16, No. 2, 142-146 (2007)
DOI: 10.1177/0961203306075385


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