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389313

Association between SARS-CoV-2 seropositivity and disease activity in children with systemic lupus erythematosus

Article

Last updated: 01 Feb 2025

Subjects

-

Tags

Clinical microbiology

Abstract

Background: Systemic lupus erythematosus (SLE) is a long-lasting autoimmune disease with its involvement in several organs and varying levels of severity. Pediatric SLE is an uncommon condition, accounting for 10-20% of all SLE cases. Individuals with systemic autoimmune illness have a higher prevalence of severe forms of COVID-19. However, the underlying cause for the heightened severity of COVID-19 in these patients is unclear. Objectives: The aim of the current study was to evaluate SARS-CoV-2 antibodies in children with SLE and the association between SARS-CoV-2 seropositivity and SLE disease activity. Methods: A cross-sectional study enrolled 42 children with SLE diagnosed and followed-up with seropositive IgG for COVID-19 infection. Detection of antibodies was done by ELISA. Results: Forty-two children with SLE diagnosed and followed-up with seropositive IgG for COVID-19 infection and our study focused on 40 children with seropositive IgG. Regarding assessment of COVID-19 symptoms, 14 cases (35%) were symptomatic, and 26 cases (65%) were asymptomatic. There is significant difference between symptomatic and asymptomatic cases according to socio-demographic, laboratory investigation e.g. CRP, albumin level, Anti-dsDNA, Antinuclear antibody, C3, C4 and also score of the Physician Global Assessment (PGA) before COVID-19 infection and SLE Disease Activity Index (SLEDAI) before and after COVID-19 infection.  Furthermore, Ig G level of COVID-19 was significantly associated with increased scores of either SELDAI or PGA when compared before and after infection. Conclusion: SARS-CoV-2 infection may predispose to SLE exacerbation and worsen disease activity that was found through increase of score of PGA and SELDAI after COVID-19 infection.

DOI

10.21608/mid.2024.321382.2231

Keywords

SLE, SARS-CoV-2, PGA, SLEDAI

Authors

First Name

Ekram

Last Name

Mahmoud

MiddleName

Abdel-Rahman

Affiliation

Medical microbiology & immunology department, Faculty of Medicine, Sohag University, Egypt

Email

ekram_abdelrahman@med.sohag.edu.eg

City

sohag

Orcid

-

First Name

Elsayed

Last Name

Abdelkreem

MiddleName

-

Affiliation

Pediatrics department, Faculty of Medicine, Sohag University, Egypt

Email

d.elsayedmohammed@med.sohag.edu.eg

City

sohag

Orcid

-

First Name

Ebtesam

Last Name

Fayez

MiddleName

-

Affiliation

Physical Medicine, Rheumatology and Rehabilitation department, Faculty of Medicine, Sohag University, Egypt

Email

basmakhalaf21@gmail.com

City

sohag

Orcid

-

First Name

Eman Mohamed

Last Name

Fahmy

MiddleName

-

Affiliation

Pediatrics department, Faculty of Medicine, Sohag University, Egypt

Email

ahmodiemad@yahoo.com

City

sohag

Orcid

-

First Name

Nesma

Last Name

Mohamed Hassan

MiddleName

Atef

Affiliation

Medical microbiology & immunology department, Faculty of Medicine, Sohag University, Egypt

Email

nessma.morsi@yahoo.com

City

sohag

Orcid

0009-0008-6003-820x

Volume

6

Article Issue

1

Related Issue

53078

Issue Date

2025-02-01

Receive Date

2024-09-18

Publish Date

2025-02-01

Page Start

32

Page End

45

Print ISSN

2682-4132

Online ISSN

2682-4140

Link

https://mid.journals.ekb.eg/article_389313.html

Detail API

http://journals.ekb.eg?_action=service&article_code=389313

Order

4

Type

Original Article

Type Code

1,157

Publication Type

Journal

Publication Title

Microbes and Infectious Diseases

Publication Link

https://mid.journals.ekb.eg/

MainTitle

Association between SARS-CoV-2 seropositivity and disease activity in children with systemic lupus erythematosus

Details

Type

Article

Created At

01 Feb 2025