RHUPUS Syndrome in Children: A Case Series and Literature Review

Objective. Overlap of juvenile idiopathic arthritis (JIA) and juvenile systemic lupus erythematosus (JSLE) is a rare clinical condition in children. This condition has been described as RHUPUS syndrome. Prevalence of this syndrome and 3 cases are reported in this paper. Cases Presentation. During 10...

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Main Authors: Vahid Ziaee, Mohammad Hassan Moradinejad, Reyhaneh Bayat
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Case Reports in Rheumatology
Online Access:http://dx.doi.org/10.1155/2013/819629
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author Vahid Ziaee
Mohammad Hassan Moradinejad
Reyhaneh Bayat
author_facet Vahid Ziaee
Mohammad Hassan Moradinejad
Reyhaneh Bayat
author_sort Vahid Ziaee
collection DOAJ
description Objective. Overlap of juvenile idiopathic arthritis (JIA) and juvenile systemic lupus erythematosus (JSLE) is a rare clinical condition in children. This condition has been described as RHUPUS syndrome. Prevalence of this syndrome and 3 cases are reported in this paper. Cases Presentation. During 10 years, 3 patients with SLE had chronic arthritis before or after diagnosis of SLE. Prevalence of this disorder in JSLE was 2.5%. Two patients were females and one of them was a male. According to our review, mean delay between chronic joint involvement and JSLE diagnosis was 50.1 months. In our case report, two females had joint erosion and one of them died due to heart failure, but in the literature review, just 45% cases had joint erosion and 70% cases were polyarticulare form. Conclusion. RHUPUS is unusual presentation of lupus in children. It seems that clinical feature and outcome of RHUPUS syndrome are different in children due to difference between RA and JIA. We suggest juvenile RHUPUS for overlap of JIA and JSLE.
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spelling doaj-art-4363ecf1c3a74b089a021a73fa16bcff2025-08-20T03:35:57ZengWileyCase Reports in Rheumatology2090-68892090-68972013-01-01201310.1155/2013/819629819629RHUPUS Syndrome in Children: A Case Series and Literature ReviewVahid Ziaee0Mohammad Hassan Moradinejad1Reyhaneh Bayat2Department of Pediatrics, Tehran University of Medical Sciences, Tehran, IranDepartment of Pediatrics, Tehran University of Medical Sciences, Tehran, IranGrowth and Development Research Center, Tehran University of Medical Sciences, Tehran, IranObjective. Overlap of juvenile idiopathic arthritis (JIA) and juvenile systemic lupus erythematosus (JSLE) is a rare clinical condition in children. This condition has been described as RHUPUS syndrome. Prevalence of this syndrome and 3 cases are reported in this paper. Cases Presentation. During 10 years, 3 patients with SLE had chronic arthritis before or after diagnosis of SLE. Prevalence of this disorder in JSLE was 2.5%. Two patients were females and one of them was a male. According to our review, mean delay between chronic joint involvement and JSLE diagnosis was 50.1 months. In our case report, two females had joint erosion and one of them died due to heart failure, but in the literature review, just 45% cases had joint erosion and 70% cases were polyarticulare form. Conclusion. RHUPUS is unusual presentation of lupus in children. It seems that clinical feature and outcome of RHUPUS syndrome are different in children due to difference between RA and JIA. We suggest juvenile RHUPUS for overlap of JIA and JSLE.http://dx.doi.org/10.1155/2013/819629
spellingShingle Vahid Ziaee
Mohammad Hassan Moradinejad
Reyhaneh Bayat
RHUPUS Syndrome in Children: A Case Series and Literature Review
Case Reports in Rheumatology
title RHUPUS Syndrome in Children: A Case Series and Literature Review
title_full RHUPUS Syndrome in Children: A Case Series and Literature Review
title_fullStr RHUPUS Syndrome in Children: A Case Series and Literature Review
title_full_unstemmed RHUPUS Syndrome in Children: A Case Series and Literature Review
title_short RHUPUS Syndrome in Children: A Case Series and Literature Review
title_sort rhupus syndrome in children a case series and literature review
url http://dx.doi.org/10.1155/2013/819629
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