Changing Worldwide Epidemiology of Systemic Lupus Erythematosus

Vasudevan, Archana; Krishnamurthy, Aneesa Niravel

doi:10.1016/j.rdc.2009.12.005

Cited by 25 publications

(22 citation statements)

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“…15 The incidence of 4.8 cases per 100,000 inhabitants/ year in the municipality of Cascavel was the same found in Sweden by Stalh-Hallengren et al, 16 and very similar to the 4.71 cases/100,000 inhabitants/year reported by Somers et al 17 in the United Kingdom and the 4.6 cases/100,000 inhabitants/year reported by Nossent 18 in Curacao, West Indies. However, it is greater than that observed by Siegel and Lee 19 in New York, USA, and by Hopkinson et al 20 in Nottingham, United Kingdom (2.0 cases/100,000 inhabitants/year and 3.7 cases/100,000 inhabitants/year, respectively).…”

Section: Discussionsupporting

confidence: 82%

“…This raises questions about the environmental infl uence (socioeconomic and racial) as the fundamental factor for SLE emergence and patients' survival. 15 Epidemiological surveys refl ecting regional differences are of great importance for a country of continental dimensions, such as Brazil. 29 The attained information may determine more adequate approaches for managing patients of different ethnicities, and socioeconomic and environmental conditions, and for organizing health services.…”

Section: Tablementioning

confidence: 99%

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Incidência e aspectos clínico-laboratoriais do Lúpus eritematoso sistêmico em cidade do Sul do Brasil

Nakashima

Galhardo

Silva

et al. 2011

Rev. Bras. Reumatol.

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Introduction: Brazilian epidemiological studies on systemic lupus erythematosus (SLE) are scarce, and currently available data originate almost entirely from international literature. Objectives: To determine the incidence and some clinical and laboratory characteristics of patients with SLE in the municipality of Cascavel, state of Paraná, Brazil. Patients and Methods: Data were collected from August 2007 to July 2008 in all health services of Cascavel providing health care in rheumatology: a university-affi liated hospital, a public outpatient clinic, and three private clinics. Results: The study identifi ed 14 patients diagnosed with SLE, which resulted in an estimated incidence of 4.8 cases/100,000 inhabitants/ year. All patients were female, and the mean age was 41.5 years. The highest incidence of disease occurred between 30 and 39 years of age, and 92.8% of patients met at least four of the 11 American College of Rheumatology (ACR) criteria for diagnosis of SLE. The drug treatment of patients was also assessed and proved to be in accordance with the Brazilian Consensus for Treatment of SLE. Conclusion: The incidence obtained in the municipality of Cascavel is close to those reported in international studies.

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Section: Discussionsupporting

confidence: 82%

Section: Tablementioning

confidence: 99%

Incidência e aspectos clínico-laboratoriais do Lúpus eritematoso sistêmico em cidade do Sul do Brasil

Nakashima

Galhardo

Silva

et al. 2011

Rev. Bras. Reumatol.

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“…Systemic Lupus Erythematosus (SLE) is a disease characterized by the appearance of multi-systemic clinical symptoms due to the presence of blood antibodies against one or more components of the nucleus and other intracellular antigens [1]. Then, SLE clinical manifestations are a result of tissue damage caused by immunoregulatory disorders, genetic components, hormonal influences, various exogenous agents and other clinical manifestations such as the presence of antiphospholipid antibody syndrome (APS) [2][3][4].…”

Section: Introductionmentioning

confidence: 99%

Cognitive Impairments in Children with Systemic Lupus and Neuropsychiatric Lupus

Godinez-Villanueva¹,

Yáñez²,

Hernndez-Echeagaray³

2017

J Psychol Psychother

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Objective: The aim of the present study was to determine neurocognitive profile in Children with Systemic (SLE) and Neuropsychiatric Lupus (NPSLE) describing differences in the seven cognitive areas proposed by the ACR (attention, memory, visuospatial processing, language, problem solving, processing speed, and executive function) between children with SLE and those with NPSLE and to understand the level of cognitive deterioration in children afflicted by SLE with and without neuropsychiatric changes. Method:Children with SLE and with NPSLE were evaluated using the Wechsler Intelligence Scale for Children (WISC-IV) and some selected subtests of the Neuropsychological Assessment for Children (NAC), which allowed us to measure the 7 cognitive areas proposed by the ACR. Both, SLE and NPSLE children performances were compared to scores obtained by children without any affection. Results:The area's most affected in the NPSLE group were attention, working memory, processing speed, memory, and visuospatial ability; in the SLE group, the area's most affected were processing speed, visuospatial ability, planning, and auditory memory.Conclusion: Based on our findings, it is concluded that frequently in both groups cognitive decline is present since early stages of illness, being more important in the NPSLE group. These deficiencies are heterogenous and with a multi-domain pattern.

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“…Czynniki socjoekonomiczne, najczęściej rozumiane jako wypadkowa wykształcenia, pozycji zawodowej i społecznej oraz zamożności, mogą korzystnie wpływać bezpośrednio na przebieg TRU poprzez uświadomienie pacjentowi natury jego choroby, łatwiejszy dostęp do opieki medycznej, mobilizację do utrzymania zdobytej pozycji w społeczeństwie [28]. Indywidualne czynniki socjoekonomiczne danego chorego oraz zamożność społeczeństwa, w jakim on żyje, decydują o czasie przeżycia w TRU [29]. Stres związany z chorobą przewlekłą, jakiego doświadcza chory na TRU, i umiejętność zarządzania stresem (coping) decydują o jego jakości życia [30][31][32].…”

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The role of environmental factors in the etiology of systemic lupus erythematosus

Jędryka-Góral¹

2013

Reumatologia

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Reumatologia 2013; 51/1 S t r e s z c z e n i e Toczeń rumieniowaty układowy (TRU) jest układową chorobą tkanki łącznej o zróżnicowanym obrazie klinicznym, w której występują liczne zaburzenia serologiczne. U podłoża tej choroby leżą czynniki genetyczne, hormonalne i środowiskowe, które sprzyjają zaburzeniom odpowiedzi immunologicznej. W artykule omówiono znaczenie czynników środowiskowych, takich jak ekspozycja na UVB, infekcje, leki, czynniki chemiczne, dietetyczne, socjoekonomiczne i psychospołeczne, niedobór witaminy D, estrogeny egzogenne, nikotynizm, szczepienia ochronne oraz środowisko in utero w etiologii TRU i chorób z kręgu TRU. S u m m a r ySystemic lupus erythematosus (SLE) is a chronic autoimmune disease characterized by wide diversity of clinical and serological features. The etiology of the disease is very complex and includes genetic, hormonal and environmental factors which contribute to immunological disorders. This article presents the role of environmental factors such as UVB exposure, infections, drugs, chemical factors, diet, socioeconomic and psychosocial factors, vitamin D insufficiency, exogenic estrogens, smoking, vaccinations and in utero environment in the etiology of SLE and SLE related diseases.A Ad dr re es s d do o k ko or re es sp po on nd de en nc cj ji i: :prof. dr hab. n. med. Anna Jędryka-Góral, Zakład Dydaktyki, Instytut Reumatologii im. prof. dr hab. med. Eleonory Reicher, ul. Spartańska 1, 02-637 Warszawa, tel./faks +48 22 844 20 05,

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Changing Worldwide Epidemiology of Systemic Lupus Erythematosus

Cited by 25 publications

References 50 publications

Incidência e aspectos clínico-laboratoriais do Lúpus eritematoso sistêmico em cidade do Sul do Brasil

Incidência e aspectos clínico-laboratoriais do Lúpus eritematoso sistêmico em cidade do Sul do Brasil

Cognitive Impairments in Children with Systemic Lupus and Neuropsychiatric Lupus

The role of environmental factors in the etiology of systemic lupus erythematosus

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