Urinary CD25 as a Biomarker of Lupus Nephritis Activity in Pediatrics

Document Type : Original Article

Authors

1 Departments of Pediatrics, Faculty of Medicine, Zagazig University, Egypt.

2 Clinical Pathology, Faculty of Medicine, Zagazig University, Egypt.

3 Microbiology and Immunology, Faculty of Medicine, Zagazig University, Egypt.

Abstract

Background
Lupus nephritis is one of the most serious manifestations of Systemic lupus erythematosus. Proteinuria, complement level, anti-dsDNA and creatinine are the most widely used to assess activity.
 
Aim of Work
The aim of this study was to assess the relationship of urinary s CD25 with lupus nephritis activity as a noninvasive biomarker in children.
 
Patients and Methods
The study was conducted on 30 patients divided into 2 groups; Group I: 20 patients of SLE, subdivided into 2 subgroups according to presence of lupus nephritis and Group II: 10 healthy subjects as a control group. Urinary sCD25 was measured in both groups.
 
Results
Urinary sCD25 was significantly higher in active LN in comparison to inactive and controls. Urinary s CD25 level was correlated with SLE activity, proteinuria and blood urea.
 
Conclusion Urinary sCD25 is a useful noninvasive technique for assessment of lupus nephritis as it shows a good correlation with some clinical and laboratory parameters of disease relapse.

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