Urticarial vasculitis in pediatric systemic lupus erythematosus

Ahmed Al Kamzari, Buthaina Al Musalhi, Safiya Al Abrawi, Ibrahim Al-Zakwani, Reem Abdwani*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)


BACKGROUND/OBJECTIVES: To determine the prevalence of urticarial vasculitis (UV) in a pediatric systemic lupus erythematosus (pSLE) cohort of Arab ethnicity from Oman and to describe their demographic, clinical, and laboratory features.

METHODS: We conducted a retrospective multicenter study among pediatric rheumatology centers in Oman over a 10-year period from 2008 to 2018. Analyses were performed using univariate statistics.

RESULTS: A total of 148 pSLE under the age of 13 years were included of which 30% (n = 44) were men. The overall mean age at SLE diagnosis was 7.6 ± 3.5 years while the mean disease duration was 10.1 ± 5.4 years. UV was diagnosed in 36% (n = 53) of pSLE patients. Patients with pSLE and UV were more likely to be male (57% vs 15%; P < .001), diagnosed at a younger age (5.9 vs 8.5 years; P < .001), have a family history of SLE (53% vs 36%; P = .044), and have associated conjunctivitis, (32% vs 5.3%; P < .001) but less likely to have CNS involvement (7.6% vs 20%; P = .045) or hematological manifestations such as leukopenia (9.4% vs 24%; P = .028) and thrombocytopenia (5.7% vs 18%; P = .045). This subgroup was also more likely to be associated with low C3 complement count (94% vs 66%; P < .001) and positive cytoplasmic ANCA (11% vs 0%; P = .022).

CONCLUSION: We report a high occurrence of UV in a pSLE cohort associated with unique demographic, clinical, and laboratory features.

Original languageEnglish
Pages (from-to)651-655
Number of pages5
JournalPediatric Dermatology
Issue number4
Publication statusPublished - Jul 2020
Externally publishedYes


  • Arab
  • children
  • epidemiology
  • Oman
  • systemic lupus erythematosus
  • vasculitis

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Dermatology


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