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AAP Grand Rounds 3:17-18 (2000)
© 2000 American Academy of Pediatrics

RHEUMATOLOGY

Atypical Presentation of SLE Seen in One-third of Patients

Source: Iqbal S, Sher MR, Good RA, et al. Diversity in presenting manifestations of systemic lupus erythematosus in children. J Pediatr. 1999;135:500–505.

The first 20% of the full text of this article appears below.

This is a retrospective study that looks at the presenting manifestations of systemic lupus erythematosus (SLE) in 39 children from All Children’s Hospital, St. Petersburg, Florida. All children with SLE seen at the authors’ hospital between 1991 and 1998 were described. The age at onset of these patients ranged from 5–18 years with a median of 12 years. The M:F ratio was 1:18.5 (95% of the children were girls). The ethnic distribution was 41% white, 33% black, and 26% Hispanic (in contrast to the population of the hospital’s catchment area which is 89% white). The most common presenting manifestation was musculoskeletal (arthritis, arthralgias, myalgias, and weakness) which occurred in 74% of the children. . . . [Full Text of this Article]

Patience White, MD
Rheumatology, Children’s National Medical Center, Washington, DC