Polyneuritis cranialis as a unique initial presentation of juvenile systemic lupus erythematosus: Case report DOI
Hoda Tomoum, Rasha El‐Owaidy, Abeer K. El Zohiery

et al.

Lupus, Journal Year: 2023, Volume and Issue: 32(14), P. 1686 - 1688

Published: Nov. 9, 2023

Cranial neuropathy is a rare presentation in juvenile (j) SLE and being multiple even rarer. We describe here an adolescent girl presenting with polyneuritis cranialis (PNC) as initial of which had not been reported before literature. She presented symptoms suggestive bilateral abducent hypoglossal nerve conduction studies showing partial axonal left facial accessory nerves, 6 weeks after common cold. The condition was associated any other neurological or systemic manifestations nor features Sjogren's syndrome. Her responded well to pulsed methylprednisolone therapy plasma exchange. After exclusion the causes owing positive ANA results mild proteinuria, renal biopsy taken revealed histopathological class III lupus nephritis for mycophenolate mofetil started at 1200 mg per m2. Our case highlights importance considering collagen disorders including differential diagnosis children PNC order allow adequate management proper follow-up.

Language: Английский

The Challenge of Neuropsychiatric Systemic Lupus Erythematosus: From Symptoms to Therapeutic Strategies DOI Creative Commons
Veena Patel

Diagnostics, Journal Year: 2024, Volume and Issue: 14(11), P. 1186 - 1186

Published: June 5, 2024

Systemic lupus erythematosus (SLE) is a chronic autoimmune condition that can seriously impair multiple organs including the nervous system, causing neuropsychiatric SLE (NPSLE), which encompasses broad range of symptoms. Pathogenesis not completely understood but thought to involve inflammatory and vascular pathways. This comprehensive review discusses complex nature heterogeneity NPSLE challenges in diagnosis treatment result from it. Diagnosis often requires multidisciplinary approach with assessments, laboratory testing, imaging, neuropsychological evaluations. Current treatments focus on managing symptoms through immunosuppressive anti-thrombotic therapies tailored or specific manifestations. paper emphasizes necessity for interdisciplinary approaches further research enhance diagnostic accuracy effectiveness. It also highlights importance understanding underlying mechanisms develop more targeted therapies, citing need high-quality studies novel agents.

Language: Английский

Citations

6

Recent advances in the diagnosis and management of neuropsychiatric lupus DOI
Alexandra Legge, John G. Hanly

Nature Reviews Rheumatology, Journal Year: 2024, Volume and Issue: unknown

Published: Oct. 2, 2024

Language: Английский

Citations

6

Neuropsychiatric involvement in juvenile-onset systemic lupus erythematosus (jSLE) DOI Creative Commons
Valentina Natoli, Amandine Charras,

Gabriele Hahn

et al.

Molecular and Cellular Pediatrics, Journal Year: 2023, Volume and Issue: 10(1)

Published: Aug. 9, 2023

Systemic lupus erythematosus (SLE) is a rare autoimmune/inflammatory disease with significant morbidity and mortality. Approximately 15-20% of SLE patients develop the during childhood or adolescence (juvenile-onset SLE/jSLE). Patients jSLE exhibit more variable severe when compared to disease-onset adulthood. Neuropsychiatric (NP) involvement clinically heterogenous potentially complication. Published reports on incidence prevalence NP-jSLE are scarce, exact pathophysiology poorly understood.This manuscript provides review existing literature, suggesting NP in 13.5-51% patients. Among affecting CNS, we propose two main subgroups: (i) chronic progressive, predominantly type 1 interferon-driven form that responds currently used treatments, (ii) an acutely aggressive usually presents early may be primarily mediated by auto-reactive effector lymphocytes. While this hypothesis requires tested large collaborative international cohort studies, it offer future patient stratification individualised care.

Language: Английский

Citations

12

IL-17A, IL-23R, FCGR3A are associated with neuropsychiatric systemic lupus erythematosus susceptibility in pediatric patients with lupus nephritis DOI
Chen Ye, Lizhi Chen, Lu Zhang

et al.

Cytokine, Journal Year: 2025, Volume and Issue: 188, P. 156874 - 156874

Published: Feb. 3, 2025

Language: Английский

Citations

0

Lupus Disguised as Chorea: Uncommon Presentation of a Common Disease DOI Creative Commons

G. C. Bhumika,

Shrijana Shrestha,

Firoz Anjum

et al.

Clinical Case Reports, Journal Year: 2025, Volume and Issue: 13(4)

Published: March 27, 2025

ABSTRACT This case report presents a preadolescent female with rare presentation of lupus as isolated chorea. An investigation to find out the cause unexplained cytopenia raised inflammatory markers ultimately led diagnosis neuropsychiatric antiphospholipid antibodies. Lupus should always be included in differential for chorea children.

Language: Английский

Citations

0

Manifestaciones neuropsiquiátricas en el lupus eritematoso sistémico juvenil: estudio observacional DOI
Presley Gruezo, C. Alarçon,

Danny Japón-Cueva

et al.

Neurología Argentina, Journal Year: 2025, Volume and Issue: unknown

Published: Feb. 1, 2025

Citations

0

Exploring the Causal Link Between Systemic Lupus Erythematosus and Stroke Risk Through Mendelian Randomization Study DOI

Lingwen Zhang,

Yaxin Li, Wenhui Fan

et al.

Annals of Human Genetics, Journal Year: 2025, Volume and Issue: unknown

Published: May 2, 2025

ABSTRACT Introduction Observational studies have indicated an association between systemic lupus erythematosus (SLE) and stroke. However, the genetic causality of this remains incompletely understood. This study utilizes Mendelian randomization (MR) to investigate potential causal relationship SLE risk Methods We utilized summary‐level statistics data from largest genome‐wide (GWASs) on The primary MR analysis was conducted using inverse variance weighted (IVW) method, with supplementary analyses performed MR‐Egger median (WM) methods. Sensitivity heterogeneity were additionally ensure robustness results. Results IVW a increased any ischemic stroke (odds ratio [OR] = 1.039, 95% confidence interval [CI]: 1.014–1.066, p 0.002). no significant observed large artery (OR: 1.024, CI: 0.975–1.076, 0.326), cardioembolic 1.014, 0.948–1.085, 0.667), small vessel 0.983, 0.942–1.026, 0.458), or intracerebral hemorrhage 0.992, 0.934–1.054, 0.804). Conclusion provides evidence supporting These findings underscore significance active monitoring prevention mitigate cerebrovascular comorbidities in patients. Given existence ethnic‐specific genomic heterogeneity, caution is warranted interpreting these

Language: Английский

Citations

0

Cognitive dysfunction in pediatric systemic lupus erythematosus: current knowledge and future directions DOI
Ryan Kammeyer, Ekemini A. Ogbu, Jennifer C. Cooper

et al.

Child Neuropsychology, Journal Year: 2023, Volume and Issue: 30(5), P. 818 - 846

Published: Oct. 30, 2023

Cognitive dysfunction (CD) is a neurologic complication of pediatric systemic lupus erythematosus (SLE) that remains poorly understood and understudied, despite the potential negative effects CD on long-term socioeconomic status quality life. Data regarding prevalence risk factors for in SLE as well optimal screening, treatment, outcomes are lacking. In this review, we present current knowledge with focus application to clinical practice. We discuss challenges diagnosis, screening methods, impacts, interventions complication. Finally, remaining gaps our SLE, avenues future research efforts.

Language: Английский

Citations

4

Mental disorders in children with rheumatic diseases DOI Creative Commons

A. V. Santimov,

С. В. Гречаный, Г. А. Новик

et al.

Rheumatology Science and Practice, Journal Year: 2024, Volume and Issue: 62(1), P. 109 - 117

Published: March 1, 2024

The prevalence of concomitant mental disorders in children with rheumatic diseases is notably higher than the overall population. However, psychiatric comorbidity pediatric rheumatology remains poorly understood, whereas approaches to therapy are not clearly defined. review article considers currently available data on prevaling patients juvenile idiopathic arthritis, juvenile-onset systemic lupus erythematosus and primary fibromyalgia. provides efficacy safety studies psychotherapy psychopharmacotherapy. It also discusses application prospects biological disease-modifying antirheumatic drugs for treatment comorbid depression diseases.

Language: Английский

Citations

1

Idiopathic intracranial hypertension as the initial presenting manifestation of systemic lupus erythematosus in a child DOI
Murugan Sudhakar, Anu Punnen,

Anish Sam George

et al.

Lupus, Journal Year: 2024, Volume and Issue: 33(7), P. 759 - 761

Published: April 12, 2024

Idiopathic intracranial hypertension (IIH) is a diagnosis of exclusion characterized by features raised pressure (ICP) in the absence brain parenchymal lesion, vascular malformations, hydrocephalus, or central nervous system (CNS) infection. Commonly used other terms for this entity include benign (BIH) pseudotumor cerebri. Few case reports systemic lupus erythematosus (SLE) presenting as IIH are available literature. We report 12-year-old girl presented with chronic holocranial headache and occasional episodes projectile vomiting last 6 months then developed blurring vision month. She fulfilled criteria IIH. Subsequent evaluation revealed SLE. The occurrence SLE not coincidental reported 1%-5.4% patients Though corticosteroids have been widely IIH, underlying warranted administering subsequent complete resolution Pediatricians, neurologists, intensivists, ophthalmologists should consider differential children

Language: Английский

Citations

1