Document Detail


Neonatal lupus erythematosus: three case reports and review of the Chinese literature.
MedLine Citation:
PMID:  20118099     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
To recognize the clinical characteristics and outcomes of neonatal lupus erythematosus (NLE), the authors retrospectively review 3 NLE babies in their department and compared their data with 51 NLE cases reported in the available Chinese literature between January 1991 and December 2008. Most of the cases were located near the eastern coast of China, and clinical manifestation of 72.22% of the cases occurred in 2-week-old babies. Skin findings occurred in 94.44% of the patients, 12.96% with complete heart block (CHB), 22.22% with thrombocytopenia, and 14.81% with transient elevated transaminase levels. Cutaneous lesions, thrombocytopenia, and transaminase level showed improvement; 3 CHB cases had persisted after 7 to 10 years follow-up, and 1 case died in 5 months. Twenty-four (44.44%) pregnant woman with anti-Ro/SSA and/or anti-La/SSB antibodies are asymptomatic, and antibody status is first indicated when their child shows symptoms of NLE. Thus, all pregnant women should be screened for anti-Ro/ SSA and anti-La/SSB antibodies.
Authors:
Wei Sun; Tian-Ming Yuan; Li-Hua Chen; Hui-Min Yu
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Publication Detail:
Type:  Case Reports; Journal Article; Review     Date:  2010-01-28
Journal Detail:
Title:  Clinical pediatrics     Volume:  49     ISSN:  1938-2707     ISO Abbreviation:  Clin Pediatr (Phila)     Publication Date:  2010 Jul 
Date Detail:
Created Date:  2010-06-28     Completed Date:  2010-10-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0372606     Medline TA:  Clin Pediatr (Phila)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  627-34     Citation Subset:  AIM; IM    
Affiliation:
Zhejiang University School of Medicine, Hangzhou, People's Republic of China.
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MeSH Terms
Descriptor/Qualifier:
Antibodies, Antinuclear / analysis,  immunology
China
Female
Heart Block / congenital*,  physiopathology
Heart Defects, Congenital / physiopathology
Humans
Infant, Newborn
Lupus Erythematosus, Cutaneous / congenital,  immunology,  physiopathology
Lupus Erythematosus, Systemic / congenital*,  immunology,  physiopathology
Male
Maternal-Fetal Exchange
Neonatal Screening*
Pregnancy
Pregnancy Complications / diagnosis*
Prognosis
Rare Diseases
Risk Assessment
Chemical
Reg. No./Substance:
0/Antibodies, Antinuclear; 0/SS-A antibodies; 0/SS-B antibodies

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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