Subclinical Gastrointestinal Involvement in Juvenile Systemic Lupus Erythematosus
Evaluation of Subclinical Gastrointestinal Involvement in Juvenile Systemic Lupus Erythematosus at Assiut University Children Hospital
This cross-sectional case-control study aims to evaluate fecal calprotectin levels and intestinal ultrasound findings for the detection of subclinical gastrointestinal involvement in children with juvenile systemic lupus erythematosus compared with healthy controls.
Study Overview
Status
Status
Conditions
Conditions
Detailed Description
Juvenile systemic lupus erythematosus is a chronic multisystem autoimmune disease. Gastrointestinal involvement may be under-recognized and can be subclinical.
This observational study will measure fecal calprotectin and perform intestinal ultrasound in children with JSLE and age- and sex-matched healthy controls to assess subclinical gastrointestinal involvement.
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Contacts and Locations
Study Contact
Study Contact
- Name: Manar k M, Resident
- Phone Number: +20 11 49443518
- Email: mnark024@gmail.com
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Children with juvenile systemic lupus erythematosus and age- and sex-matched healthy controls attending Assiut University Children Hospital.
Description
Inclusion Criteria:
- Children less than 18 years of age
- Diagnosis of juvenile systemic lupus erythematosus according to SLICC criteria
- Disease duration of at least 3 months
- Age- and sex-matched healthy controls
- Written informed consent from parents or legal guardians
Exclusion Criteria:
- - Established diagnosis of inflammatory bowel disease or other primary gastrointestinal disorder
- Significant gastrointestinal manifestations (persistent abdominal pain, diarrhea, vomiting, GI bleeding, significant unexplained weight loss)
- Active gastrointestinal infection within the preceding 4 weeks
- Antibiotics, probiotics, or NSAIDs within the 2 weeks preceding stool sample collection
- Other autoinflammatory or overlapping autoimmune diseases
- Chronic liver or renal disease unrelated to JSLE
Study Plan
How is the study designed?
Design Details
- Observational Models: CASE_CONTROL
- Time Perspectives: CROSS_SECTIONAL
Number of groups / cohorts
Cohorts and Interventions
Group / CohortGroup / Cohort |
|---|
|
Juvenile Systemic Lupus Erythematosus
Children with JSLE according to SLICC criteria with disease duration of at least 3 months. |
|
Healthy Controls
Age- and sex-matched healthy children. |
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Mean fecal calprotectin level
Time Frame: Baseline
|
Mean fecal calprotectin concentration measured by ELISA in µg/g. |
Baseline
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Proportion of children with elevated fecal calprotectin
Time Frame: Baseline
|
Proportion of children with fecal calprotectin level above the laboratory reference range. |
Baseline
|
|
Proportion of children with abnormal intestinal ultrasound findings
Time Frame: Baseline
|
Proportion of children showing bowel-wall thickening or increased vascularity on intestinal ultrasound. |
Baseline
|
|
Mean SLEDAI-2K score
Time Frame: Baseline
|
Mean Systemic Lupus Erythematosus Disease Activity Index 2000 (SLEDAI-2K) score. |
Baseline
|
|
Mean bowel wall thickness on ultrasound
Time Frame: Baseline
|
Mean bowel wall thickness in millimeters measured by intestinal ultrasound. |
Baseline
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Chair: Mostafa s Khalaf, prof, Pediatrics Department, Assiut University Hospitals
Study record dates
Study Major Dates
Study Start (Estimated)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- JSLE-GI-Assiut-2026
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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