Musculoskeletal symptoms in juvenile onset systemic lupus erythematosus

M. Kaleda, A. Arefieva, I. Nikishina
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Abstract

In juvenile onset systemic lupus erythematosus (SLE), musculoskeletal involvement is one of the most common manifestations. Musculoskeletal symptoms may be due to disease activity itself, organ damage due to SLE activity, drug exposure, or comorbidities. Although they are not life-threatening, they still have a significant impact on disability severity and social exclusion. This article discusses the clinical features of various causes of musculoskeletal manifestations in SLE with onset in childhood and adolescence, the adequate interpretation of which is important for diagnosing and evaluating SLE activity and for correcting the treatment of the disease, thereby improving the long-term prognosis and quality of life of patients.
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青少年发病系统性红斑狼疮的肌肉骨骼症状
在青少年发病的系统性红斑狼疮(SLE)中,肌肉骨骼受累是最常见的表现之一。肌肉骨骼症状可能是由疾病活动本身、SLE活动引起的器官损害、药物暴露或合并症引起的。虽然它们不会危及生命,但它们仍然对残疾严重程度和社会排斥产生重大影响。本文讨论了儿童期和青春期起病的SLE中引起肌肉骨骼表现的各种原因的临床特征,充分解释这些特征对于SLE活动性的诊断和评估以及纠正疾病的治疗,从而改善患者的长期预后和生活质量具有重要意义。
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