201971

Relation between Lymphopenia and Internal Organ Involvement in Systemic Lupus Erythematosus Patients

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Last updated: 03 Jan 2025

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Abstract

Background: Systemic lupus erythematosus (SLE) is an autoimmune disease, characterized by autoantibody production and immunocomplex formation, leading to widespread inflammatory damage involving multi-organ systems. Lymphopenia is a common laboratory involvement seen in patients with SLE and the mechanism of it is still unclear. Objectives: The aim of the current study was to investigate the relation between lymphopenia and clinical manifestations, laboratory findings, and disease activity in systemic lupus erythematosus (SLE) patients. Patients and Methods: It was a cross sectional study; with a total of 60 patients with SLE recruited from the Rheumatology and Rehabilitation outpatient clinic at Sohag University Hospital. Demographic data, personal history, detailed history of general health condition and chronic or current diseases were reported. All the participants were subjected to detection of erythrocyte sedimentation rate, liver function tests, renal function tests, complete blood count (CBC), renal biopsy, protein/creatinine ratio and/or 24hr protein in urine, urine analysis, ANA profile, and Complement 3 and 4. Results: Two thirds of the study population had normal lymphocytic count, and one third had lymphopenia. Lymphopenia group showed significantly more hypochromic anemia with significant lower hemoglobin level and lower MCV. The mean creatinine level was significantly higher among lymphopenic cases. Lymphopenic cases had higher proteinuria. Conclusions: It could be concluded that lymphopenia in patients with SLE may be used as indicator of renal involvement in these patients.  

DOI

10.21608/ejhm.2021.201971

Keywords

Systemic lupus erythematosus, lymphopenia, Renal involvement

Authors

First Name

Amal S.

Last Name

Abd El Hamed

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Orcid

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First Name

Ahmed R.

Last Name

Radwan

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Email

ahmed_radwan@med.sohag.edu.eg

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First Name

Mohammed A.

Last Name

Ismail

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First Name

Abd Elhady

Last Name

Ragab

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First Name

Ashraf A.

Last Name

Abdelwahab

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Affiliation

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Orcid

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First Name

Ibtesam K.

Last Name

Ali

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Volume

85

Article Issue

2

Related Issue

28296

Issue Date

2021-10-01

Receive Date

2021-10-29

Publish Date

2021-10-01

Page Start

3,609

Page End

3,615

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_201971.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=201971

Order

22

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

Relation between Lymphopenia and Internal Organ Involvement in Systemic Lupus Erythematosus Patients

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Article

Created At

22 Jan 2023