Evidence map›Paper›PMID 41250783›Full record

ArticleCureus2025

Living Young With Lupus: A Case Report on the Challenges of Multi-System Disease in a Young Adult.

Pavraj Manu, Kavitha Nadesalingam

Abstract readCase Reports
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

2 authors.

Pavraj ManuRheumatology, Bradford Royal Infirmary, Bradford, GBR.
Kavitha NadesalingamRheumatology, Bradford Royal Infirmary, Bradford, GBR.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Systemic erythematosus lupus (SLE) is a multisystem autoimmune disease that can present aggressively within young people. The presence of severe multi-organ disease poses multiple challenges including physical, psycho-social, and, in this case, medico-legal considerations. We present the case of a young person's journey in navigating these complexities. A 16-year-old girl, whilst on holiday abroad, presented with polyarthralgia, weight loss, severe fatigue and lower limb myalgia. Immunological markers revealed high titres of antinuclear antibody (ANA), anti-double-stranded DNA (anti-dsDNA) and anti-Smith (anti-Sm) antibodies, confirming a diagnosis of SLE. On return to the United Kingdom (UK), she developed recurrent pericardial effusion, pleural effusion and suspected lupus nephritis ensued after difficulties with treatment adherence and declining of renal biopsy. This case explores how personal autonomy, psychosocial health and treatment adherence intersect to impact disease progression and patient outcome. Ultimately, this case highlights the importance of utilising a cross-specialty approach and seeking governance support early for preparedness in acute situations and support complex decision-making. This must be balanced with careful planning to empower young people with SLE to take an active role in their condition, which can be achieved with utilisation of rheumatology transition clinics.

Indexed as

juvenile-onsetlupus nephritismedico-legal issuespericardial effusionsystemic lupus erythematosustransitional caretreatment non-adherence

Identifiers

PMID41250783
PMCPMC12619916

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.