From: Long-term growth and final adult height outcome in childhood-onset systemic lupus erythematosus
Male | Female | P value | |
---|---|---|---|
n = 19 | n = 87 | ||
Patient characteristics | |||
Age at diagnosis (y) | 12.4 ± 1.7 | 12.0 ± 2.5 | 0.477 |
Age at FAH (y) | 17.9 ± 1.7 | 17.4 ± 1.9 | 0.308 |
Age at menarche/adult voice appearance (y) | 14.5 ± 1.0 | 13.6 ± 1.6 | 0.001a |
Disease duration (y)c | 5.7 ± 1.9 | 5.4 ± 2.7 | 0.701 |
Disease duration before menarche/adult voice appearance (y)b | 2.0 (1.0, 3.5) | 1.4 (0.0, 3.1) | 0.314 |
Diagnosis before menarche, n (%) | – | 60 (69.0) | |
Diagnosis before adult voice appearance, n (%) | 16 (84.2) | – | 0.181 |
Cumulative Modified SLEDAI-2 K scoresb | 117.0 (66.0, 177.0) | 165.0 (75.0, 267.0) | 0.526 |
Anthropometric data at diagnosis and at FAH attainment | |||
Weight at diagnosis (Z-score)b | 0.4 (−0.5, 1.6) | −0.2 (−0.9, 1.0) | 0.257 |
Final weight (Z-score)b | 0.3 (−1.4, 4.8) | 0.7 (− 0.7, 3.0) | 0.821 |
Height at the diagnosis (Z-score)b | 0.0 (−0.9, 0.9) | −0.3 (−1.0, 0.7) | 0.454 |
Final height (Z-score)b | −0.3 (−1.3, 0.3) | −0.02 (−1.3, 0.4) | 0.662 |
BMI at diagnosis (kg/m2) (Z-score)b | −0.2 (−1.2, 1.6) | −0.4 (−1.5, 1.0) | 0.327 |
Final BMI (kg/m2) (Z-score)b | 0.1 (−1.1, 2.0) | 0.4 (−0.6, 1.5) | 0.618 |
Parent-adjusted FAH (Z-score)b | −1.7 (−2.3, −0.5) | −0.2 (−1.1, 0.4) | < 0.001a |
Difference between FAH and MPH (cm)b | −9.1 (−12.2, − 2.5) | −0.8 (−5.0, 1.9) | < 0.001a |
Clinical manifestations at diagnosis | |||
Modified SLEDAI-2 K score | 19.2 ± 10.2 | 15.4 ± 10.7 | 0.156 |
Neurological, n (%) | 8 (42.1) | 24 (27.6) | 0.212 |
All renal involvement, n (%) | 14 (73.7) | 54 (62.1) | 0.467 |
Lupus nephritis class III, IV, V, n (%) | 8 (42.1) | 29 (33.3) | 0.277 |
Musculoskeletal, n (%) | 8 (42.1) | 47 (54) | 0.346 |
Hematological, n (%) | 10 (52.6) | 37 (42.5) | 0.422 |
Vasculitis, n (%) | 3 (15.8) | 15 (17.2) | 1.000 |
Serositis, n (%) | 7 (36.8) | 20 (23) | 0.248 |
Laboratory data at diagnosis | |||
Hematocrit (%) | 31.3 ± 6.6 | 29.6 ± 7.0 | 0.307 |
White blood cell count (×103 cells/mm3)b | 6.0 (3.1, 7.9) | 4.7 (3.4, 6.6) | 0.656 |
Absolute lymphocyte count (× 103 cells/mm3)b | 1.1 (0.7, 2.6) | 1.5 (1.1, 2.1) | 0.376 |
Platelet count (×103 cells/mm3)b | 2.2 (1.3, 2.8) | 2.3 (1.1, 3.0) | 0.934 |
Erythrocyte sedimentation rate (mm/h)b | 44.0 (28.0, 57.0) | 60.0 (23.0, 89.0) | 0.227 |
Anti-dsDNA (IU/mL)b,d | 240.7 (138.9, 609.5) | 234.2 (90.6, 566.2) | 0.709 |
C3 levels (0.9–1.8 g/L)b | 0.4 (0.2, 1.0) | 0.7 (0.4, 1.0) | 0.036 |
C4 levels (0.1–0.4 g/L)b | 0.07 (0.03, 1.27) | 0.08 (0.05, 1.52) | 0.463 |
25-OH Vitamin D levels (ng/mL)e | 35.06 ± 11.41 | 33.52 ± 7.62 | 0.489 |
Medications | |||
Prednisolone, n (%) | 19 (100) | 87 (100) | – |
Cumulative corticosteroid dose (mg/kg)f | 445.8 ± 219.3 | 553.4 ± 367.3 | 0.091 |
Cyclophosphamide, n (%) | 9 (47.4) | 39 (44.8) | 0.873 |
Cumulative cyclophosphamide (×103 mg/m2)b | 6.3 (4.7, 6.5) | 5.6 (4.1, 7.8) | 0.735 |
Other medications, n (%) | 14 (73.7) | 54 (62.1) | 0.339 |
–Azathioprine | 10 (52.6) | 53 (60.9) | 0.505 |
–Mycophenolate mofetil | 4 (21.1) | 18 (20.7) | 1.000 |
–Cyclosporine | 1 (5.3) | 3 (3.4) | 0.552 |
–Methotrexate | 3 (15.8) | 13 (14.9) | 1.000 |