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A 10 year review of systemic lupus erythematosus in Singapore children
Author(s) -
LEE B. W.,
YAP H. K.,
YIP W. C. L.,
LOW P. S.,
SAW A. H.,
TAY J. S. H.,
WONG H. B.
Publication year - 1987
Publication title -
journal of paediatrics and child health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.631
H-Index - 76
eISSN - 1440-1754
pISSN - 1034-4810
DOI - 10.1111/j.1440-1754.1987.tb00236.x
Subject(s) - medicine , lupus nephritis , malar rash , rash , pediatrics , nephritis , retrospective cohort study , mortality rate , disease , dermatology , immunology , antibody , anti nuclear antibody , autoantibody
A 10 year retrospective analysis of the clinical features and survival of 24 Singapore children with systemic lupus erythematosus was made. The female to male sex ratio was 11:1. The median age at diagnosis was 9.3 years (range: 3.5–17.6 years), and the median duration of follow‐up was 3.6 years (range: 3 months ‐ 10 years). The common modes of presentation were prolonged fever and malar rash (both 46%). Renal involvement (71 %) was frequent. There were six deaths, three from chronic renal failure, two from infection, and one from carditis. The overall survival at 5 years was 0.800 (s.e.m. = 0.090), and at 10 years 0.698 (s.e.m. = 0.103). The survival for lupus nephritis was 0.727 at 5 years (s.e.m. = 0.116), and 0.586 at 10 years (s.e.m. = 0.130). Although the 5 year survival rate is comparable with other series, there were more deaths after the first 5 years, and morbidity from the disease as well as from therapy was considerable.