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Table 1 (abstract P361). See text for description

From: Proceedings of the 28th European Paediatric Rheumatology Congress (PReS 2022)

Parameters

Our study, 2022 (n=20)

Lee, JS et al, 2021 (n=9)

Ozen et al, 2019 (n=66 Pediatric +67 Adult=133)

Eleftheriou et al, 2013 (n=69)

Median age at diagnosis in years (Range in years)

10 (4- 15)

7.6 (3-17.5)

16 (2-75)

8.5 (0.9-15.8)

Male: Female

1:1

2:1

0.88:1

1.22:1

Clinical features:

 A. Fever

95%

77.7%

75.7%

87%

B. Skin features:

 Purpura

85%

88.8%

NA

41%

 SC nodule

55%

33.3%

NA

23%

 Gangrene

55%

22.2%

0

4%

 Livedo reticularis

15%

22.2%

54.5%

49%

 Ulcer

25%

22.2%

4.5%

4%

 RP

10%

44.4%

4.5%

23%

C. MSK features:

 Arthralgia/ Arthritis

65%

77.7%

89.3%

75%

 Myalgia

55%

22.2%

72.7%

83%

 D. Weight Loss

45%

11.1%

30.3%

64%

E. GIT

  

25.7%

 

 Abdomen pain

20%

22.2%

NA

41%

 Perforation/ischemia

10%

11.1%

NA

4%

F. Renal

  

33.3%

 

 Proteinuria

5%

NA

NA

19%

 Haematuria

10%

NA

NA

10%

 Impaired function

10%

11.1%

NA

15%

G. Nervous system

  

21.2%

 

 Stroke

15%

11.1%

NA

10%

 Peripheral neuropathy

35%

11.1%

NA

8.69%

 H. Testicular

50%

NA

6%

10%

 I. Hypertension

15%

11.1%

39.3%

16%

Investigations:

 Skin biopsy

70%

88.8%

94/133

72.4%

 Angiography

20%

11.1%

92/133

95.6%

 ASLO

30%

   

Immunomodulator

 Corticosteroids

100%

100%

133/133

100%

 Cyclophosphamide

60%

55.5%

62/133

86.9%

 MMF

40%

NA

39/133

13%

 AZA

70%

44.4%

32/133

78%

Diagnosis:

 Systemic PAN

60%

88.8%

63/133

100%

 Cutaneous PAN

40%

11.1%

33/133

0

 Mortality

10%

0

0/66

4%

 Relapses

75%

77.7%

100%

35%

Median duration of follow up in years

5.4

7

13

6

  1. SLO: Anti-streptolysin-O titer; AZA: Azathioprine; MMF: Mycophenolate mofetil; NA: Not available; RP: Raynaud’s phenomenon. SC: Subcutaneous