Symptoms and signs of systemic lupus erythematosus in children

Everyone must have talked about systemic lupus erythematosus in children. It is as mysterious as its name, the wolf. People who have known someone with the disease will be terrified at the mention of the disease, while people who have never known someone with the disease do not know the symptoms and signs of systemic lupus erythematosus in children, and this may even delay the treatment of children. Let us take a look at the symptoms and signs of systemic lupus erythematosus in children.

1. General symptoms: fever, irregular fever pattern, accompanied by general discomfort, fatigue, poor appetite, weight loss, hair loss, etc.

2. Rash: Symmetrical butterfly rash on the cheeks, crossing the bridge of the nose, with clear edges, slightly higher than the skin surface, aggravated by sun exposure; erythematous maculopapular rashes may occur on exposed areas such as the upper chest and elbows; palmoplantar erythema, palmar erythema of the fingertips (toes), periungual erythema, and distal erythema under the nails are all caused by vasculitis. There may also be skin bleeding and ulcers. Pay special attention to whether there are ulcers in the nasal and oral mucosa.

3. Joint symptoms: joint and muscle pain, joint swelling and deformity.

4. Heart: It can affect the endocardium, myocardium and pericardium, and may manifest as heart failure.

5. Kidneys From focal glomerulonephritis to diffuse proliferative glomerulonephritis, severe cases can lead to death from uremia. Kidney involvement may also be the first symptom.

6. Polyserositis can affect the pleura, pericardium, and peritoneum, either alone or simultaneously, and generally leaves no sequelae.

7. Nervous system: headache, personality changes, epilepsy, hemiplegia and aphasia, etc.

8. Others: Enlargement of the liver, spleen, and lymph nodes, with symptoms such as cough, chest pain, and difficulty breathing.

9. Lupus crisis Lupus crisis is a systemic disease that occurs rapidly due to extensive acute vasculitis and is often life-threatening. Children are more susceptible to crises than adults, which may manifest as:

(1) Persistent high fever, ineffective with antibiotics.

(2) An outbreak or acute attack with any of the following symptoms: extreme general exhaustion accompanied by severe headache; severe abdominal pain, often similar to acute abdomen; bleeding spots under or around the fingernails; severe oral ulcers.

(3) Progressive decline in renal function, accompanied by hypertension.

(4) Lupus pneumonia or pulmonary hemorrhage occurs.

(5) Manifestations of severe neuropsychiatric lupus.

From the above we know a lot about the symptoms and signs of systemic lupus erythematosus in children. If the children around you have the above characteristics, don't be too scared and seek medical attention immediately. Early detection and early treatment, the health of the child is related to the happiness and harmony of a family, and it is also the wish of all parents and elders.