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114436

Study Serum Level of Interleukin-17 in Pediatric Systemic Lupus Erythematosus

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Last updated: 24 Dec 2024

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Abstract

Background: Systemic lupus erythematosus (SLE) is a complex autoimmune disease of unknown etiology. Objective: To assess serum levels of IL-17 in pediatric SLE (pSLE) and their association with clinical manifestations, laboratory findings, SLE disease activity index score (SLEDAI), and therapy. Patients and Methods: A case-control study was conducted at Pediatric Nephrology units, and Outpatient Nephrology Clinic of Children Hospital, Zagazig University. It was carried out over two years from September 2017 to August 2019. This study was performed on 60 patients classified into two groups: thirty of them were children with SLE and 30 apparently healthy children as a Control group of comparable age and gender. All patients were subjected to complete history taking and clinical examination. Laboratory investigations were done. Renal biopsy was done to 22 cases who were presented by renal symptoms. Results: Frequency of manifestation were malar rash 86.7%, photosensitivity 80.0%, renal manifestations, and anemia73.3% for each. SLEDAI score was 18 – 38. Class II lupus nephritis (LN) was the most common biopsies result (40%). The range of IL-17 for cases was (89.3 – 359 pg/ml), a highly significant increase in the Il-17 level in the case group than the control. A significant association between IL-17 level and renal manifestation, urea, creatinine, 24-hour urinary protein, and SLEDAI. Conclusions: Serum IL-17A is elevated more than 170 in pSLE patients with lupus nephritis, which correlates with disease activity and renal biopsy. IL-17 seems to have a possible role in the pathogenesis of lupus nephritis.

DOI

10.21608/ejhm.2020.114436

Keywords

Systemic lupus erythematosus (SLE), Interleukin-17 (IL-17), lupus nephritis (LN), Systemic Lupus Erythematosus Disease Activity Index (SLEDAI)

Authors

First Name

Doaa Mostafa

Last Name

Tawfik

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First Name

Mayy Abdel-Fattah

Last Name

Moahmed

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First Name

Naglaa Ali

Last Name

Khalifa

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First Name

Asmaa Ibrahim Mohamed

Last Name

Ged

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Volume

81

Article Issue

2

Related Issue

17338

Issue Date

2020-10-01

Receive Date

2020-09-22

Publish Date

2020-10-01

Page Start

1,389

Page End

1,395

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_114436.html

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https://ejhm.journals.ekb.eg/service?article_code=114436

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8

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Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

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

MainTitle

Study Serum Level of Interleukin-17 in Pediatric Systemic Lupus Erythematosus

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Article

Created At

22 Jan 2023