8588

Clinical Features Clusters in Systemic Lupus Erythematosus

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Last updated: 03 Jan 2025

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Abstract

Background: Systemic lupus erythematosus (SLE) is a multi-systemic heterogeneous autoimmune disease. Attempts have been made trying to classify lupus into more homogenous subsets with pathogenic, therapeutic, or prognostic significance. Objective: was to evaluate the possibility of existence of the main clinical features of Systemic Lupus Erythematosus (SLE) in clusters. Patients and Methods: The demographic data, cumulative clinical and laboratory features of 150 Egyptian SLE patients were studied. Some of the main clinical manifestations were then selected for cluster analysis using the K-means cluster analysis procedure. Results: Three distinct groups of patients were identified. Cluster 1 (n: 27) showed higher age at diagnosis and was characterized by high prevalence of mucocutaneous manifestations (malar rash, discoid rash, photosensitivity, oral ulcer) and arthritis but having low prevalence of serositis and hematologic manifestations (hemolytic anemia, leukopenia, and thrombocytopenia). Patients in cluster 2 (n: 81) showed mainly renal and hematological manifestations but had the lowest prevalence of mucocutaneous manifestations and arthritis. Cluster 3 patients (n: 42) had the most heterogeneous features; they had a high prevalence of mucocutaneous manifestations, serositis, hematologic manifestations and renal involvement. Conclusion: patients with systemic lupus erythematosus could be divided into clusters of distinct patterns of clinical manifestations.

Keywords

SLE, clusters, CLINICAL FEATURES

Authors

First Name

Mansour M,

Last Name

and Helaly M

MiddleName

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Affiliation

Rheumatology Department, El-Galaa Military Family Hospital, Cairo, Egypt.

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Volume

71

Article Issue

5

Related Issue

1649

Issue Date

2018-04-01

Receive Date

2018-03-20

Publish Date

2018-04-01

Page Start

3,136

Page End

3,141

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_8588.html

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https://ejhm.journals.ekb.eg/service?article_code=8588

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10

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Clinical Features Clusters in Systemic Lupus Erythematosus

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Article

Created At

22 Jan 2023