Evidence map›Paper›PMID 34601989›Full record

ArticleLupus2021

Neuropsychiatric involvement in juvenile-onset systemic lupus erythematosus: Data from the UK Juvenile-onset systemic lupus erythematosus cohort study.

Teresa Giani, Eve Md Smith, Eslam Al-Abadi, Kate Armon, Kathryn Bailey, Coziana Ciurtin, Joyce Davidson, Janet Gardner-Medwin, Kirsty Haslam, Dan P Hawley and 17 more

Open access · hybridAbstract read
In one paragraph

Article in Lupus, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
4.4field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 37 citations in OpenAlex.

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  7. Neuropsychiatric Systemic Lupus Erythematosus in Children: A Scoping Review.Open access rheumatology : research and reviews · 2026
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

27 authors at 20 institutions in 2 countries.

Teresa GianiRheumatology Unit, AOU Meyer, Florence, Italy.
Eve Md SmithDepartment of Women's & Children's Health, Institute of Life Course and Medical Sciences, University of Liverpool, Liverpool, UK.ORCID https://orcid.org/0000-0002-8371-7597
Eslam Al-AbadiDepartment of Rheumatology, 22078Birmingham Children's Hospital, Birmingham, UK.
Kate ArmonDepartment of Paediatric Rheumatology, 2153Cambridge University Hospitals, Cambridge, UK.
Kathryn BaileyDepartment of Paediatric Rheumatology, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.
Coziana CiurtinCentre for Adolescent Rheumatology, 308348University College London, London, UK.ORCID https://orcid.org/0000-0002-8911-4113
Joyce DavidsonDepartment of Paediatric Rheumatology, 59841Royal Hospital for Sick Children, Edinburgh, UK.
Janet Gardner-MedwinDepartment of Child Health, 3526University of Glasgow, Glasgow, UK.
Kirsty HaslamDepartment of Paediatrics, 111991Bradford Royal Infirmary, Bradford, UK.
Dan P HawleyDepartment of Paediatric Rheumatology, 7361Sheffield Children's Hospital, Sheffield, UK.
Alice LeahyDepartment of Paediatric Rheumatology, 105634Southampton General Hospital, Southampton, UK.
Valentina LeoneDepartment of Paediatric Rheumatology, 4472Leeds Children Hospital, Leeds, UK.
Flora McErlanePaediatric Rheumatology, Great North Children's Hospital, Royal Victoria Infirmary, 105563Institute of Cellular Medicine, Newcastle University, Newcastle Upon Tyne, UK.
Devesh MewarDepartment of Rheumatology, 159020Royal Liverpool University Hospital, Liverpool, UK.
Gita ModgilDepartment of Paediatrics, 156775Musgrove Park Hospital, Taunton, UK.
Robert MootsDepartment of Rheumatology, 889542University Hospital Aintree, Liverpool, UK.
Clarissa PilkingtonDepartment of Paediatric Rheumatology, Great Ormond Street Hospital, London, UK.
Francesca PregnolatoImmunorheumatology Research Laboratory, Auxologico Institute, Milan, Italy.
Athimalaipet V RamananUniversity Hospitals Bristol NHS Foundation Trust & Bristol Medical School, 156596University of Bristol, Bristol, UK.
Satyapal RangarajDepartment of Paediatric Rheumatology, 9820Nottingham University Hospitals, Nottingham, UK.
Phil RileyDepartment of Paediatric Rheumatology, 10554Royal Manchester Children's Hospital, Manchester, UK.
Arani SridharDepartment of Paediatrics, 156756Leicester Royal Infirmary, Leicester, UK.
Nick WilkinsonGuy's & St Thomas's NHS Foundation Trust, 443490Evelina Children's Hospital, London, UK.
Rolando CimazASST Gaetano 4591Pini-CTO, Milan, Italy.
Michael W BeresfordDepartment of Women's & Children's Health, Institute of Life Course and Medical Sciences, University of Liverpool, Liverpool, UK.
Christian M HedrichDepartment of Women's & Children's Health, Institute of Life Course and Medical Sciences, University of Liverpool, Liverpool, UK.ORCID https://orcid.org/0000-0002-1295-6179
UK JSLE Cohort Study
University of Liverpool · GBBirmingham Children's Hospital · GBBradford Royal Infirmary · GBCambridge University Hospitals NHS Foundation Trust · GBGreat Ormond Street Hospital · GBGuy's and St Thomas' NHS Foundation Trust · GBIRCCS Istituto Auxologico Italiano · ITLeeds Teaching Hospitals NHS Trust · GBLeicester Royal Infirmary · GBMusgrove Park Hospital · GBNottingham University Hospitals NHS Trust · GBOxford University Hospitals NHS Trust · GBRoyal Hospital for Children · GBRoyal Manchester Children's Hospital · GBRoyal Victoria Infirmary · GBSheffield Children's Hospital · GBSouthampton General Hospital · GBUniversity College London · GBUniversity Hospitals Bristol NHS Foundation Trust · GBUniversity of Glasgow · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionJuvenile-onset systemic lupus erythematosus (JSLE) is a rare autoimmune/inflammatory disease with significant morbidity and mortality. Neuropsychiatric (NP) involvement is a severe complication, encompassing a heterogeneous range of neurological and psychiatric manifestations.

methodsDemographic, clinical, and laboratory features of NP-SLE were assessed in participants of the UK JSLE Cohort Study, and compared to patients in the same cohort without NP manifestations.

resultsA total of 428 JSLE patients were included in this study, 25% of which exhibited NP features, half of them at first visit. Most common neurological symptoms among NP-JSLE patients included headaches (78.5%), mood disorders (48.6%), cognitive impairment (42%), anxiety (23.3%), seizures (19.6%), movement disorders (17.7%), and cerebrovascular disease (14.9%). Peripheral nervous system involvement was recorded in 7% of NP-SLE patients. NP-JSLE patients more frequently exhibited thrombocytopenia (<100 × 10

conclusionsA significant proportion of JSLE patients experience NP involvement (25%). Juvenile-onset NP-SLE most commonly affects the CNS and is associated with increased overall disease activity and damage.

Indexed as

Lupus Vasculitis, Central Nervous SystemAdolescentChildCohort StudiesFemaleHumansLupus Erythematosus, SystemicMaleMental DisordersUnited Kingdomcentral nervous systemjuvenileneuropsychiatricpediatricperipheral nervous systemSystemic lupus erythematosus

Identifiers

PMID34601989
PMCPMC8649437
OpenAlexW3204312339

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.