Male systemic lupus erythematosus, report of clinical and serological characteristics in Mexican pediatric population
Abstract
Introduction: Systemic lupus erythematosus is a complex autoimmune disease with nu- merous clinical and laboratory manifestations. The incidence increases markedly in woman. The reason for the predominance in the female gender is still under study. It has been des- cribed in some studies that the diagnosis of lupus in the male pediatric population may have a worse prognosis with more severe involvement. Methods: In this work we described the clinical and serological characteristics in a Mexican pediatric population in a tertiary Mexican hospital. Results: Kidney disorder was high than other reports, including the Latin American reports. Constitutional symptoms were very frequent as well. And within the immunological profile we highlight the positivity for anti-DNA antibodies, the consumption of complement and the positive lupus anticoagulant. Conclusion: We believed that the better knowledge about homogeneous populations could improve treatment options. Male lupus in our Mexican pediatric group has more renal disorder than other latin American groups.
Downloads
References
(1) Tan T, Fang H et al. Differences between Male and Female Systemic Lupus Erythematosus in a Multiethnic Population. J Rheumatol. 2012 Apr;39(4):759-69. DOI: 10.3899/jrheum.111061
(2) Dey D, Ofori E et al. Clinical characteristics of males with systemic lupus erythematosus (SLE) in an inception cohort of patients in Ghana. Ghana Med J. 2019 Mar;53(1):2-7. DOI: 10.4314/gmj. v53i1.1
(3) Faezi S, Hosseini A et al. Clinical and immunological pattern of systemic lupus erythematosus in men in a cohort of 2355 patients. Int J Rheum Dis. 2014 May;17(4):394-9 DOI: 10.1111/1756- 185X.12268.
(4) Font J, Cervera R et al. Systemic lupus erythematosus in men: clinical and immunological characteristics. Ann Rheum Dis. 1992 Sep; 51(9): 1050-2 DOI: 10.1136/ard.51.9.1050
(5) Ramirez J, Bolin K et al. Sex differences in clinical presentation of systemic lupus erythematosus. Biol Sex Differ. 2019; https://doi. org/10.1186/s13293-019-0274-2
(6) Agrawaal K, Dhakal S. Systemic lupus erythematosus in males: a case series. Saudi J Kidney Dis Transpl. 2014 May; 25(3):638-42 DOI: 10.4103/1319-2442.132222
(7) Murphy G, Isenberg D. Effect of gender on clinical presentation in systemic lupus erythematosus. Rheumatology (Oxford). 2013. Dec; 52(12):2108-15. DOI: 10.1093/rheumatology/ket160
(8) Blažíčková S, Rovenský J. Systemic lupus erythematosus detected in males in the population of Slovakia. J Nephrol urol. 2017. Mar; 1(1), 6: 1-4 Disponible en: https://www.imedpub.com/articles/ systemic-lupus-erythematosus-detected-inmalesin-the-population- of-slovakia.pdf
(9) L-J Lu, D Wallace et al. Review: Male systemic lupus erythematosus: a review of sex disparities in this disease. Lupus. Lupus. 2010 Feb; 19 (2):119-29. DOI: 10.1177/0961203309350755
(10) Andrade R, Alarcon G et al. Accelerated damage accrual among men with systemic lupus erythematosus: XLIV. Results from a multiethnic US cohort. ARTHRITIS & RHEUMATISM. 2007 Feb. 56(2): 622-630 DOI: 10.1002/art.22375
(11) Liu J, Yang F et al. Clinical and pathological characteristics of male patients with systemic lupus erythematosus from northeast China: a ten-year retrospective study. Int J Clin Exp Pathol 2017; 10(5):6082- 6091. Disponible en: www.ijcep.com /ISSN:1936-2625/ IJCEP0049620
(12) Garcia M, J Marcos et al. Male systemic lupus erythematosus in a Latin-American inception cohort of 1214 patients. Lupus. 2005; 14(12):938-46. DOI: 10.1191/0961203305lu2245oa
(13) Molina J, Drenkard C et al. Systemic lupus erythematosus in males: a study of 107 Latin American patients. Medicine (Baltimore). 1996 May; 75(3):124-30. DOI: 10.1097/00005792-199605000-00002
(14) Stefanidou S, Benos A et al. Clinical expression and morbidity of systemic lupus erythematosus during a post-diagnostic 5-year follow up: a male:female comparision. Lupus. 2011;20(10):1090-4. DOI: 10.1177/0961203311403640
(15) Al-Mayouf S, Sonbul A. Influence of gender and age of onset on the outcome in children with systemic lupus erythematosus. Clin Rheumatol. 2008 Sep;27(9):1159-62. DOI: 10.1007/s10067-008- 0887-z.
(16) Wallace D, Podell T et al. Systemic lupus erythematosus-survival patterns. Experience with 609 patients. JAMA. 1981 Mar 6;245(9):934-8. DOI: 10.1001/jama.245.9.934
(17) Lockshin M, Biology of the sex and age distribution of systemic lupus erythematosus. Arthritis Rheum. 2007 May 15;57(4):608-11 DOI: 10.1002/art.22676
(18) Schwartzman-Morris J, Putterman C. Gender Differences in the Pathogenesis and Outcome of Lupus and of Lupus Nephritis. Clin Dev Immunol. 2012; 2012: 604892. DOI: 10.1155/2012/604892
(19) Wasef S. Gender differences in systemic lupus erythematosus. Gend Med. 2004 Aug;1(1):12-7. DOI: 10.1016/s1550- 8579(04)80006-8
(20) Lahita R. The role of sex hormones in systemic lupus erythematosus. Curr Opin Rheumatol. Curr Opin Rheumatol. 1999 Sep;11(5):352-6. DOI: 10.1097/00002281-199909000-00005
(21) Lahita R. The importance of estrogens in systemic lupus erythema- tosus. Cin Immunol Immunopathol. 1992;11:352-356
(22) Rider V, Foster T et al. Gender differences in autoimmune diseases: estrogen increases calcineurin expression in systemic lupus erythematosus. Clin Immunol Immunopathol. 1998 Nov;89(2): 171-80 DOI: 10.1006/clin.1998.4604
(23) Boodhoo K, Liu S et al. Impact of sex disparities on the clinical manifestations in patients with systemic lupus erythematosus. Medicine (Baltimore). 2016 Jul; 95(29): e4272. DOI: 10.1097/ MD.0000000000004272
(24) Voulgari P, Katsimbri P et al. Gender and age differences in systemic lupus erythematosus. Lupus. 2002;11(11):722-9. DOI: 10.1191/0961203302lu253oa.
Copyright (c) 2023 Yessenia Hernández Torres, Iris Paola García Herrera, Luis Alberto Aparicio Vera

This work is licensed under a Creative Commons Attribution 4.0 International License.