Articles Vol. 65 No. 1 18/01/2024

13. CLINICAL AND PARACLINICAL CHARACTERISTICS OF SYSTEMIC LUPUS ERYTHEMATOSUS PATIENTS TREATED AT THE NATIONAL DERMATOLOGY HOSPITAL FROM 01/2022 TO 8/2023

Than Trong Tuy1,2, Do Thi Thu Hien1,2
1 National Dermatology Hospital
2 Bệnh Viện Da liễu Trung ương
Corresponding author: trongtuythan@gmail.com
DOI: 10.52163/yhc.v65i1.886
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Abstract

Objective: To describe the clinical and paraclinical characteristics of female systemic lupus erythematosus patients.

Subjects and methods: Study on a series of cases of 65 female systemic lupus erythematosus patients who came for examination and treatment at the National Dermatology Hospital from January 2022 to August 2023.

Results: The average age of disease was 30.72±15.1. The age group 10-19 accounts for the highest proportion (33.8%), and the age group 0-9 accounts for the lowest proportion (3.1%). The average duration of illness of the patients was 10.15±4.4 months. Skin lesions in SLE patients are diverse, including specific and nonspecific skin lesions. Acute skin lesions are the most common, accounting for 60%, followed by subacute 27.7% and chronic 12.3%. Butterfly rash lesions are most common in specific skin lesions (36.9%), and photosensitivity lesions are the most common in non-specific skin lesions (52.3%). The positive rate of Anti Smith autoantibodies is 23.1%; anti Ro/SSA was 46.2% and anti LA/SSB was 10.8%.

Conclusion: Skin lesions are very common and diverse in patients with systemic lupus erythematosus. Patients need to be examined carefully to detect early and fully all types of specific and non-specific lupus skin lesions, contributing to early diagnosis of SLE disease.

References
[1]
Danchenko N, Satia JA, Anthony MS, Google Scholar
[2]
Epidemiology of systemic lupus erythematosus: Google Scholar
[3]
a comparison of worldwide disease burden; Google Scholar
[4]
Lupus, 15(5), 2006, 308–318.101 Google Scholar
[5]
Chakravarty EF, Bush TM, Manzi S et Google Scholar
[6]
al., Prevalence of Adult Systemic Lupus Google Scholar
[7]
Erythematosus in California and Pennsylvania Google Scholar
[8]
in 2000: Estimates Using Hospitalization Data; Google Scholar
[9]
Arthritis Rheum, 56(6), 2007, 2092–2094. Google Scholar
[10]
Olsen NJ, Kovacs WJ, Case report: testosterone Google Scholar
[11]
treatment of systemic lupus erythematosus in a Google Scholar
[12]
patient with Klinefelter’s syndrome; Am J Med Google Scholar
[13]
Sci, 310(4), 1995, 158–160. Google Scholar
[14]
Shoenfeld Y, Cervera R, Gershwin ME et al., Google Scholar
[15]
Diagnostic criteria in autoimmune diseases; Google Scholar
[16]
Humana Press, Totowa, NJ, 2008. Google Scholar
[17]
Dubois’bLupus Erythematosus and Related Google Scholar
[18]
Syndromes-8th Edition. <https://www.elsevier. Google Scholar
[19]
com/books/dubois-lupus-erythematosus-and Google Scholar
[20]
related syndromes/9781437718935>, accessed: Google Scholar
[21]
[22]
Gordon C, Long-term complications of systemic Google Scholar
[23]
lupus erythematosus; Rheumatology (Oxford), Google Scholar
[24]
(10), 2002, 1095–1100. Google Scholar
[25]
Sherer Y, Gorstein A, Fritzler MJ et al., Google Scholar
[26]
Autoantibody explosion in systemic lupus Google Scholar
[27]
erythematosus: more than 100 different Google Scholar
[28]
antibodies found in SLE patients, Seminars in Google Scholar
[29]
Arthritis and Rheumatism, 2, 2004, 501–537. Google Scholar
[30]
Cozzani E, Drosera M, Gasparini G et al., Google Scholar
[31]
Serology of Lupus Erythematosus: Correlation Google Scholar
[32]
between Immunopathological Features and Google Scholar
[33]
Clinical Aspects. Autoimmune Dis. Epub 2014 Google Scholar
[34]
[35]
Lê Huyền My, Nghiên cứu một số tự kháng thể Google Scholar
[36]
và mối tương quan với tổn thương da trên bệnh Google Scholar
[37]
nhân lupus ban đỏ hệ thống, Luận văn Tiến sĩ Y Google Scholar
[38]
học chuyên ngành Da Liễu, Trường Đại học Y Google Scholar
[39]
Hà Nội, 2018. Google Scholar
[40]
Wang CL, Ooi L, Wang F, Prevalence and clinical Google Scholar
[41]
significance of antibodies to ribonucleoproteins Google Scholar
[42]
in systemic lupus erythematosus in Malaysia. Google Scholar
[43]
Rheumatology, 35(2), 1996, 129–132. Google Scholar
[44]
Hussain N, Clinical and laboratory manifestations Google Scholar
[45]
of systemic lupus erythematosus in Pakistani Google Scholar
[46]
lupus patients; Pakistan Journal of Zoology, Google Scholar
[47]
(3), 2013. Google Scholar
[48]
Nguyễn Hữu Trường, Nghiên cứu mối tương Google Scholar
[49]
quan giữa mức độ hoạt động của bệnh với một số Google Scholar
[50]
tự kháng thể trong lupus ban đỏ hệ thống, Luận Google Scholar
[51]
án tiến sĩ, Đại học Y Hà Nội, 2017. Google Scholar
[52]
Li J, Leng X, Li Z et al., Chinese SLE treatment Google Scholar
[53]
and research group registry: III. association Google Scholar
[54]
of autoantibodies with clinical manifestations Google Scholar
[55]
in Chinese patients with systemic lupus Google Scholar
[56]
erythematosus; Journal of immunology Google Scholar
[57]
research, 2014. Google Scholar
[58]
Nguyễn Thị Hà Vinh, Mối liên quan giữa kháng Google Scholar
[59]
thể kháng Ro/SSA với biểu hiện lâm sàng, cận Google Scholar
[60]
lâm sàng của bệnh nhân lupus ban đỏ hệ thống, Google Scholar
[61]
Luận văn thạc sỹ y học, Đại học Y Hà Nội, 2014. Google Scholar
[62]
Mowla MR, Alam M, Hoque MG et al., The Google Scholar
[63]
spectrum of cutaneous manifestations in lupus Google Scholar
[64]
erythematosus: the tertiary hospital experience; Google Scholar
[65]
Journal of Chittagong Medical College Teachers’ Google Scholar
[66]
Association, 21(1), 2010, 34–39. Google Scholar
[67]
Faria AC, Barcellos KSA, Andrade LEC, Google Scholar
[68]
Longitudinal fluctuation of antibodies to Google Scholar
[69]
extractable nuclear antigens in systemic lupus Google Scholar
[70]
erythematosus; The Journal of rheumatology, Google Scholar
[71]
(7), 2005, 1267–1272. Google Scholar
[72]
Sawalha AH, Harley JB, Antinuclear Google Scholar
[73]
autoantibodies in systemic lupus erythematosus. Google Scholar
[74]
Current opinion in rheumatology, 16(5), 2004, Google Scholar
[75]
[76]
Arroyo-Ávila M, Santiago-Casas Y, McGwin G et Google Scholar
[77]
al., Clinical associations of anti-Smith antibodies Google Scholar
[78]
in PROFILE: a multi-ethnic lupus cohort. Clin Google Scholar
[79]
Rheumatol, 34(7), 2015, 1217–1223. Google Scholar
[80]
Patsinakidis N, Gambichler T, Lahner N et al., Google Scholar
[81]
Cutaneous characteristics and association with Google Scholar
[82]
antinuclear antibodies in 402 patients with Google Scholar
[83]
different subtypes of lupus erythematosus. Acad Google Scholar
[84]
Dermatol Venereol, 30(12), 2016, 2097–2104. Google Scholar
[85]
Cozzani E, Drosera M, Gasparini G et al., Google Scholar
[86]
Serology of lupus erythematosus: correlation Google Scholar
[87]
between immunopathological features and Google Scholar
[88]
clinical aspects; Autoimmune diseases, 2014. Google Scholar
[89]
Huỳnh Phan Phúc Linh, Nghiên cứu một số Google Scholar
[90]
kháng thể trên bệnh nhân lupus ban đỏ hệ thống Google Scholar
[91]
và một số yếu tố liên quan; Y học TP Hồ Chí Google Scholar
[92]
Minh, 2014, 148–154. Google Scholar
[93]
Zaid FE, Abudsalam N, Cutaneous manifestation Google Scholar
[94]
of systemic lupus erythematosus [SLE], Google Scholar
[95]
correlation with specific organ involvement, Google Scholar
[96]
specific auto antibodies and disease activity and Google Scholar
[97]
outcome; Dermatol Case Rep, 1(108), 2, 2016. Google Scholar