Toczeń układowy u 14-letniej pacjentki z łuszczycą
4th Department of Pediatric Rheumatology and Endocrinology, Regional Specialized Children’s Hospital in Olsztyn, Poland
Department and Clinic of Dermatology, Sexually Transmitted Diseases and Clinical Immunology, University of Warmia and Mazury, Olsztyn, Poland
Department of Rheumatology, Municipal Hospital Complex, Olsztyn, Poland
Department of Internal Medicine, School of Medicine, Collegium Medicum, University of Warmia and Mazury, Olsztyn, Poland
Department of Pediatrics, Faculty of Medicine and Health Sciences, Andrzej Frycz Modrzewski Krakow University, Poland
Ward for Older Children with Neurology and Rheumatology Subdivision, St. Louis Regional Specialized Children’s Hospital in Krakow, Poland
Data nadesłania: 04-11-2019
Data ostatniej rewizji: 21-12-2019
Data akceptacji: 29-01-2020
Data publikacji online: 28-02-2020
Data publikacji: 28-02-2020
Reumatologia 2020;58(1):48-55
Immune-mediated inflammatory diseases are a group of diseases characterized by generalized inflammation that results from immune dysregulation, especially involving the mechanisms of acquired immunity. These diseases may be familial, showing that genetic factors play an important role in their development. Additionally, the occurrence of one disease makes a patient prone to other diseases. However, the coexistence of systemic lupus erythematosus (SLE) and psoriasis (Ps) is very rare due to their distinct genetic determinants and mechanisms of pathogenesis. Treatment is also challenging, as medications used to treat one condition exacerbate or even trigger the symptoms of the other. This paper presents the case of a Ps patient with a family history of autoimmune diseases, who developed systemic lupus erythematosus during puberty, as well as a discussion on the coexistence of SLE and Ps in developmental age based on available literature searching for PubMed database and American College of Rheumatology and European League Against Rheumatism abstracts particularly in this subject.
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