Ā | Pediatric group (nā=ā29) | Adult group (nā=ā35) |
---|---|---|
Age (years) meanā±āSD | 14.93ā±ā1.79 | 30.54ā±ā9.01 |
Sex: | Ā | Ā |
Male Female BMI median (min-max) Disease duration in month median (min-max) | 8 (27.6%) 21 (72.6%) 22. 27 (14.22ā45.2) 12 (6ā30) | 4 (11.4%) 31 (88.6%) 25.42 (18.61ā33.06) 24 (6ā84) |
Clinical findings N (%) | ||
Hypertension Malar rash Oral ulcer Alopecia Photosensitivity Arthritis Myalgia Pleurisy Neurological symptoms Carditis LN class III LN class IV Flare | 5 (17.2%) 7 (24.1%) 7 (24.1%) 7 (24.1%) 1 (3.4%) 1 (3.4%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) 13(44.8%) 16 (55.2%) 13 (44.8%) | 11 (31.4%) 10 (28.6%) 3 (8.6%) 14 (40%) 7 (20%) 10 (28.6%) 2 (5.7%) 3 (8.6%) 1 (2.9%) 3 (8.6%) 15 (42.9%) 20 (57.1%) 12 (34.3%) |
Investigations | ||
Hemoglobin (g/dl) WBCs (103/L) CRP (mg/dl) ESR (mm/hr) Creatinine (mg/dl) C3 (mg/dl) C4 (mg/dl) ANA dsDNA titers 24Ā h. urine protein (mg/day) Hematuria (cells/HPF) | 11.6 (7.5ā13.5) 8 (3.8ā12) 2 (0ā45) 35 (20ā75) 0.6 (0.3ā1.2) 90 (51ā204) 10 (8ā20) 5.5 (0ā15) 1.1 (0ā4) 350 (150ā2700) 3 (1ā60) | 11 (7.2ā14) 5 (3.1ā12) 3(0ā80) 35 (7-119) 0.8 (0.4ā2.2) 100 (40ā140) 12 (6ā28) 2 (0-10.7) 1 (0ā8) 540 (58-6500) 5 (0ā20) |
Treatment | ||
Steroid dose mg/d median(min-max) | 20 (5ā45) | 20 (2.5ā60) |
HCQ no (%) Dose: 200Ā mg/d 400Ā mg/d | 29 (100%) 29 (100%) | 31 (88.6%) 5 (16.1%) 26 (83.9%) |
MMF dose 1000Ā mg/d 1250Ā mg/d 1500Ā mg/d 2000Ā mg/d | 25 (86.2%) 0 (0%) 1 (3.4%) 3 (10.3%) | 9 (25.7%) 1 (2.9%) 8 (22.9%) 17 (48.5%) |
MPA trough level (µg/mL) | 0.7 (0.27ā8.79) | 0.83 (0.15ā5.86) |
MMF side effects N (%) | ||
Gastritis Leucopenia Infection | 8 (27.6%) 1 (3.4%) 1 (3.4%) | 10 (28.6%) 6 (17.1%) 4 (11.4%) |
SLEDAI median (min-max) | 5 (0ā22) | 9 (0ā30) |