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10.1097/MD.0000000000005037

http://scihub22266oqcxt.onion/10.1097/MD.0000000000005037
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C5059068!5059068 !27749566
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suck abstract from ncbi


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pmid27749566
      Medicine+(Baltimore) 2016 ; 95 (40 ): e5037
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  • Serum IL-18 as biomarker in predicting long-term renal outcome among pediatric-onset systemic lupus erythematosus patients #MMPMID27749566
  • Wu CY ; Yang HY ; Yao TC ; Liu SH ; Huang JL
  • Medicine (Baltimore) 2016[Oct]; 95 (40 ): e5037 PMID27749566 show ga
  • An urge of biomarker identification is needed to better monitor lupus nephritis (LN) disease activity, guide clinical treatment, and predict patient's long-term outcome. With the proinflammatory effect and its association with inflammasomes, the significance of interleukin-18 (IL-18) among pediatric-onset systemic lupus erythematous (pSLE) patient, especially, its importance in predicting long-term renal outcome was investigated.In a pSLE cohort of 96 patients with an average follow-up period of 10.39?±?3.31 years, clinical data and laboratory workups including serum IL-18 were collected at time of disease onset and 6 months after treatment despite their initial renal status. Through Cox regression analysis, the parameters at baseline and at 6 months posttreatment were carefully analyzed.Average age of all cases was 12.74?±?3.01 years old and 65 of them underwent renal biopsy at the time of diagnosis. Nine subjects (9.38%) progressed to end-stage renal disease (ESRD) and 2 cases (2.08%) died during follow-up. Through multivariate analysis, serum IL-18 level 6 months posttreatment was found to be the most unfavorable factor associating poor clinical outcome despite patient's initial renal status. In addition, the presentation of serum IL-18 in its correlation with SLE global disease activity as well as the presence and severity of LN were all significant (P?
  • |*Forecasting [MESH]
  • |Adolescent [MESH]
  • |Biomarkers/blood/urine [MESH]
  • |Biopsy [MESH]
  • |Child [MESH]
  • |Child, Preschool [MESH]
  • |Disease Progression [MESH]
  • |Female [MESH]
  • |Follow-Up Studies [MESH]
  • |Humans [MESH]
  • |Interleukin-18/*metabolism [MESH]
  • |Kidney Failure, Chronic/diagnosis/etiology/*metabolism [MESH]
  • |Kidney/pathology [MESH]
  • |Lupus Erythematosus, Systemic/complications/diagnosis/*metabolism [MESH]
  • |Male [MESH]
  • |Prognosis [MESH]
  • |Retrospective Studies [MESH]


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