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Epidemiology of primary systemic vasculitis in children: a population-based study from southern Sweden
Lund Univ, Sweden.
Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för läkemedelsforskning. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Hjärt- och Medicincentrum, Njurmedicinska kliniken US.
Lund Univ, Sweden.
Lund Univ, Sweden.
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2018 (Engelska)Ingår i: Scandinavian Journal of Rheumatology, ISSN 0300-9742, E-ISSN 1502-7732, Vol. 47, nr 4, s. 295-302Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Objectives: To estimate the annual incidence rate of paediatric primary systemic vasculitis (PSV) in a defined geographical area in southern Sweden.Methods: Potential cases of PSV [IgA vasculitis (IgAV, Henoch-Schonlein purpura), Kawasaki disease (KD), granulomatosis with polyangiitis (GPA), microscopic polyangiitis (MPA), eosinophilic granulomatosis with polyangiitis (EGPA), polyarteritis nodosa (PAN), and Takayasus arteritis (TAK)] were identified in a comprehensive regional healthcare register. The study area is Skane, the southernmost county of Sweden (population 1.29 million; 21.4% aged amp;lt;18years). Case records for children (0-17years) assigned a diagnosis code between M300 and M319 and/or D690 were reviewed to ascertain diagnosis. Only patients diagnosed between 2004 and 2014 were included.Results: In total, 556 patients with PSV were identified. The annual incidence rate per million children (95% confidence interval) was estimated to be 200 (183-217) for all PSV, 175.5 for IgAV (160-191), 20.1 for KD (14.9-25.4), 1.4 (0-2.8) for each of GPA and MPA, 0.7 (0-1.7) for PAN, and 0.4 (0-1.1) for each of EGPA and TAK. Among children aged amp;lt;10years, 99.5% of cases were either IgAV or KD, both exhibiting a seasonal pattern paralleling infections. There were no deaths, but three cases of end-stage renal disease were noted, all in MPA.Conclusions: Vasculitis is relatively common during childhood. Mild cases associated with the infection season are most common in the youngest age groups, while during adolescence a substantial proportion has more severe forms of vasculitis.

Ort, förlag, år, upplaga, sidor
TAYLOR & FRANCIS LTD , 2018. Vol. 47, nr 4, s. 295-302
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URN: urn:nbn:se:liu:diva-149888DOI: 10.1080/03009742.2017.1412497ISI: 000438147400006PubMedID: 29409373OAI: oai:DiVA.org:liu-149888DiVA, id: diva2:1236404
Anmärkning

Funding Agencies|Faculty of Medicine, Lund University (ALF-medel); Swedish Rheumatism Association (Reumatikerforbundet)

Tillgänglig från: 2018-08-02 Skapad: 2018-08-02 Senast uppdaterad: 2018-08-02

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