Neuropsychiatric involvement in juvenile-onset systemic lupus erythematosus
https://doi.org/10.47360/1995-4484-2020-437-442
Abstract
Neuropsychiatric disorders in juvenile-onset systemic lupus erythematosus (SLE) stay in the focus of attention in recent decades due to significant influence of CNS lesions on SLE course in general, necessity to optimize therapeutic interventions and outline prognosis. This paper considers the prevalence of neurolupus in children and adolescents, specific features of the clinical picture, possible relationships with other SLE manifestations and immunological disorders, aspects of neuropsychiatric disorders pathogenesis and potential influence of growing and developing nervous system on SLE course, resulting in varying neurolupus manifestations and prognosis.
About the Authors
M. I. KaledaRussian Federation
34A, Kashirskoe Shosse, Moscow 115522
I. P. Nikishina
Russian Federation
34A, Kashirskoe Shosse, Moscow 115522
References
1. Klein-Gitelman M, Lane J-Ch. Systemic lupus erythematosus. In: Petty R.E., Laxer R.M., Lindsley C.B., Wedderburn L.R. editors. Textbook of Pediatric Rheumatology. Philadelphia, PA: Elsiever Saunders; 2016; 285-318.
2. Aseeva EA, Dubikov AI, Levasheva LA, et al. The registry of systemic lupus erythematosus patients, a Eurasian cohort (RENAISSANCE). Nauchno-Prakticheskaya Revmatologiya = Rheumatology Science and Practice. 2016;54(5):520-526 (In Russ.). doi: http://dx.doi.org/10.14412/1995-4484-2016-520-526.
3. Mina R, Brunner HI. Pediatric lupus-are there differences in presentation, genetics, response to therapy, and damage accrual compared with adult lupus? Rheum Dis Clin North Am. 2010;36(1):53-80. doi:10.1016/j.rdc.2009.12.012.
4. Hoffman IE, Lauwerys BR, De Keyser F, et al. Juvenile-onset systemic lupus erythematosus: different clinical and serological pattern than adult-onset systemic lupus erythematosus. Ann Rheum Dis. 2009;68(3):412-415. doi:10.1136/ard.2008.094813
5. Baqai T, Ioannou Y. Comparison of juvenile and adult onset systemic lupus erythematosus. Br J Hosp Med (Lond). 2012;73(10):558-563. doi:10.12968/hmed.2012.73.10.558
6. Brey RL, Holliday SL, Saklad AR, et al. Neuropsychiatric syndromes in lupus: Prevalence using standardized definitions. Neurology. 2002;58(8):1214-1220. doi:10.1212/wnl.58.8.1214
7. Hanly JG, Urowitz MB, Sanchez-Guerrero J, et al. Neuropsychiatric events at the time of diagnosis of systemic lupus erythematosus: An international inception cohort study. Arthritis Rheum. 2007;56(1):265-273. doi:10.1002/art.22305.
8. Ainiala H, Loukkola J, Peltola J, et al. The prevalence of neuropsychiatric syndromes in systemic lupus erythematosus. Neurology. 2001;57(3):496-500. doi:10.1212/wnl.57.3.496.
9. Mikdashi J, Handwerger B. Predictors of neuropsychiatric damage in systemic lupus erythematosus: Data from the maryland lupus cohort. Rheumatology (Oxford). 2004;43(12):1555-1560. doi:10.1093/rheumatology/keh384.
10. Zhu TY, Tam A-S, Lee VWY, et al. Systemic lupus erythematosis with neuropsychiatric manifestations incurs high diease costs: a cost-of-illness study in Hong Kong. Rheumatology (Oxford). 2009;48(5):564-568. doi:10.1093/rheumatology/kep031.
11. Muscal E, Myones BL. The role of autoantibodies in pediatric neuropsychiatric systemic lupus erythematosus. Autoimmun Rev. 2007;6(4):215-217. doi:10.1016/j.autrev.2006.08.003
12. Sibbitt WL Jr, Brandt JR, Johnson CR, et al. The incidence and prevalence of neuropsychiatric syndromes in pediatric onset systemic lupus erythematosus. J Rheumatol. 2002;29(7):1536-1542.
13. Harel L, Sandborg C, Lee T, et al. Neuropsychiatric manifestations in pediatric systemic lupus erythematosus and association with antiphospholipid antibodies. J Rheumatol. 2006;33(9):1873-1877.
14. Yu HH, Lee JH, Wang LC, Yang YH, Chiang BL. Neuropsychiatric manifestations in pediatric systemic lupus erythematosus: A 20-year study. Lupus. 2006;15(10):651-657. doi:10.1177/0961203306070990
15. Benseler SM, Silverman ED. Neuropsychiatric involvement in pediatric systemic lupus erythematosus. Lupus. 2007;16(8):564- 571. doi:10.1177/0961203307078971.
16. Hiraki LT, Benseler SM, Tyrrell PN, et al. Clinical and laboratory characteristics and long-term outcomes of pediatric systemic lupus erythematosus: a longitudinal study. J Pediatr. 2008;152(4):550-556. doi:10.1016/j.jpeds.2007.09.019.
17. Zuniga Zambrano YC, Guevara Ramos JD, Penagos Vargas NE, Benitez Ramirez DC, Ramirez Rodriguez SM, Vargas Niño AC, Izquierdo Bello AH. Risk factors for neuropsychiatric manifestations in children with systemic lupus erythematosus: case-control study. Pediatr Neurol. 2014;51(3):403-9. doi:10.1016/j.pediatrneurol.2014.03.027.
18. Brunner HI, Silverman ED, To T, et al. Risk factors for damage in childhood-onset systemic lupus erythematosus: cumulative disease activity and medication use predict disease damage. Arthritis Rheum. 2002;46(2):436-444. doi:10.1002/art.10072.
19. Brunner HI, Gladman DD, Ibanez D, Urowitz MD, Silverman ED, Urowitz MD, Silverman ED. Difference in disease features between childhood-onset and adult-onset systemic lupus erythematosus. Arthritis Rheum. 2008;58(2):556–62. doi: 10.1002/art.23204.
20. Tucker LB, Uribe AG, Fernández M, Vilá LM, McGwin G, Apte M, Fessler BJ, Bastian HM, Reveille JD, Alarcón GS. Adolescent onset of lupus results in more aggressive disease and worse outcomes: results of a nested matched case-control study within LUMINA, a multiethnic US cohort (LUMINA LVII). Lupus. 2008;17(4):314-22. doi: 10.1177/0961203307087875.
21. The American College of Rheumatology nomenclature and case definitions for neuropsychiatric lupus syndromes. Arthritis Rheum. 1999;42(4):599-608. doi: 10.1002/1529-0131(199904)42:43.0.CO;2-F.
22. Groot N, Graeff ND, Avcin T, et al. European evidence-based recommendations for diagnosis and treatment of childhood-onset systemic lupus erythematosus: the SHARE initiative. Ann Rheum Dis. 2017;76(11):1788-1796. doi: 10.1136/annrheumdis-2016-210960
23. Kaleda MI, Nikishina IP. Current international guidelines for the diagnosis and treatment of juvenileonset systemic lupus erythematosus. Nauchno-Prakticheskaya Revmatologiya = Rheumatology Science and Practice. 2018;56(4):405-415 (In Russ.). doi: http://dx.doi.org/10.14412/1995-4484-2018-405-416.
24. Levy DM, Kamphuis S. Systemic Lupus Erythematosus in Children and Adolescents. Pediat Clin North Amer. 2012;59(2):345-364. doi:10.1016/j.pcl.2012.03.007.
25. Dong J, Li H, Wang JB, Yao Y, Yao Q. Predictors for neuropsychiatric development in Chinese adolescents with systemic lupus erythematosus. Rheumatol Int. 2012;32(9):2681- 2686. doi:10.1007/s00296-011-2042-4
26. Parikh S, Swaiman K, Kim Y. Neurologic characteristics of childhood lupus erythematosus. Pediatr Neurol. 1995;13(3):198- 201. doi:10.1016/0887-8994(95)00186-j.
27. Lopes SRM, Gormezano NWS, Gomes RC, et al. Brazilian Childhood-onset Systemic Lupus Erythematosus Group. Outcomes of 847 childhood-onset systemic lupus erythematosus patients in three age groups. Lupus. 2017;26(9):996-1001. doi: 10.1177/0961203317690616.
28. Ramírez Gómez LA, Uribe Uribe O, OsioUribe O, et al. Childhood systemic lupus erythematosus in Latin America. The GLADEL experience in 230 children. Lupus. 2008;17(6):596- 604. doi:10.1177/0961203307088006
29. Singh S, Gupta MK, Ahluwalia J, Singh P, Malhi P. Neuropsychiatric manifestations and antiphospholipid antibodies in pediatric onset lupus: 14 years of experience from a tertiary center of North India. Rheumatol Int. 2009;29(12):1455-61. doi: 10.1007/s00296-009-0887-6.
30. Lisitsyna TA, Vel’tishchev DYu, Seravina OF, et al. The prevalence of mental disorders in patients with systemic lupus erythematosus: association with disease activity and concomitant chronic disorders. Terapevticheskii arkhiv= Therapeutic Archive Journal. 2009;81(6):10–5 (In Russ.).
31. Muscal E, Nadeem T, Li X, et al. Evaluation and treatment of acute psychosis in children with Systemic Lupus Erythematosus (SLE): consultation-liaison service experiences at a tertiary-care pediatric institution. Psychosomatics. 2010;51(6):508-514. doi:10.1176/appi.psy.51.6.508.
32. Pego-Reigosa JM, Isenberg DA. Psychosis due to systemic lupus erythematosus: characteristics and long-term outcome of this rare manifestation of the disease. Rheumatology (Oxford). 2008;47(10):1498-502. doi:10.1093/rheumatology/ken260.
33. Appenzeller S, Cendes F, Costallat LT. Acute psychosis in systemic lupus erythematosus. Rheumatol Int. 2008;28(3):237- 243. doi:10.1007/s00296-007-0410-x.
34. Williams TS, Aranow C, Ross GS, et al. Neurocognitive Impairment in Childhood-onset Systemic Lupus Erythematosus: Measurement Issues in Diagnosis. Arthritis Care Res (Hoboken). 2011;63(8):1178-87. doi: 10.1002/acr.20489.
35. Bortoluzzi A, Scirè CA, Bombardieri S, et al. Study Group on Neuropsychiatric Systemic Lupus Erythematosus of the Italian Society of Rheumatology. Development and validation of a new algorithm for attribution of neuropsychiatric events in systemic lupus erythematosus. Rheumatology (Oxford). 2015;54(5):891-8. doi: 10.1093/rheumatology/keu384.
36. AlE’ed A, Vega-Fernandez P, Muscal E, et al. Challenges of Diagnosing Cognitive Dysfunction With Neuropsychiatric Systemic Lupus Erythematosus in Childhood. Arthritis Care Res (Hoboken). 2017;69(10):1449–1459. doi:10.1002/acr.23163.
37. Khajezadeh M-A, Zamani G, Bobak Moazzami B, et al. Neuropsychiatric Involvement in Juvenile-Onset Systemic Lupus Erythematosus. Neurol Res Int. 2018;2018:2548142. doi:10.1155/2018/2548142
38. Kaleda MI, Nikishina IP, Glukhova SI. Neuropsychiatric manifestations in childhood-onset systemic lupus erythematosus: retrospective study in one single center. Ann Rheum Dis. 2019; 78(Suppl. 2): AB1030. p.1980. doi: 10.1136/annrheumdis-2019-eular.4971.
39. Popescu A, Kao AH. Neuropsychiatric systemic lupus erythematosus. Curr Neuropharmacol. 2011;9(3):449-57. doi:10. 2174/157015911796557984.
40. Muscal E, Brey RL. Neurologic manifestations of systemic lupus erythematosus in children and adults. Neurol Clin. 2010;28(1):61–73. doi:10.1016/j.ncl.2009.09.004.
41. Hanly JG, Walsh NM, Sangalang V. Brain pathology in systemic lupus erythematosus. J Rheumatol. 1992;19(5):732-41.
42. Abbott NJ, Mendonça LL, Dolman DE. The blood-brain barrier in systemic lupus erythematosus. Lupus. 2003;12(12):908-15. 43. Zaccagni H, Fried J, Cornell J, Padilla P, Brey RL. Soluble adhesion molecule levels, neuropsychiatric lupus and lupusrelated damage. Front Biosci. 2004;9:1654-1659. doi:10.2741/1273
43. Nishimura K, Harigai M, Omori M, Sato E, Hara M. Bloodbrain barrier damage as a risk factor for corticosteroid-induced psychiatric disorders in systemic lupus erythematosus. Psychoneuroendocrinology. 2008; 33(3):395-403. doi:10.1016/j.psyneuen.2007.12.007.
44. Knight A, Vickery M, Doshi J, Erus G, Vossough A, Furth S. Regional Brain Gray Matter Volume Loss in Children and Adolescents with SLE [abstract]. Arthritis Rheumatol. 2016; 68 (suppl 10). https://acrabstracts.org/abstract/regional-brain-graymatter-volume-loss-in-children-and-adolescents-with-sle/.
45. Arain M, Haque M, Johal L, et al. Maturation of the adolescent brain. Neuropsychiatr Dis Treat. 2013;9:449–461. doi:10.2147/NDT.S39776.
46. Nagy Z, Westerberg H, Klingberg T. Maturation of white matter is associated with the development of cognitive functions during childhood. J Cogn Neurosci. 2004;16(7):1227–33. PubMed:15453975.
47. Lisitsina TA, Veltishchev DYu, Krasnov VN, Nasonov EL. Clinical and pathogenetic relationships between immunoinflammatory rheumatic diseases and psychic disorders. Clinical Medicine. 2014;92(1):12-20 (In Russ.).УДК: 616-002.77-06:616.89]-092.
48. Brunner HI, Ruth NM, German A, et al. Initial validation of the Pediatric Automated Neuropsychological Assessment Metrics for childhood-onset systemic lupus erythematosus. Arthritis Rheum. 2007;57(7):1174-1182. doi:10.1002/art.23005.
Review
For citations:
Kaleda M.I., Nikishina I.P. Neuropsychiatric involvement in juvenile-onset systemic lupus erythematosus. Rheumatology Science and Practice. 2020;58(4):437-442. (In Russ.) https://doi.org/10.47360/1995-4484-2020-437-442