<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0186-2391</journal-id>
<journal-title><![CDATA[Acta pediátrica de México]]></journal-title>
<abbrev-journal-title><![CDATA[Acta pediatr. Méx]]></abbrev-journal-title>
<issn>0186-2391</issn>
<publisher>
<publisher-name><![CDATA[Instituto Nacional de Pediatría]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0186-23912018000100001</article-id>
<article-id pub-id-type="doi">10.18233/apm1no1pp1-121535</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Características clínicas y comorbilidades de pacientes con lupus eritematoso sistémico en niños y adultos]]></article-title>
<article-title xml:lang="en"><![CDATA[Clinical features and comorbidities of systemic lupus, differences between children and adults]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Coronado-Alvarado]]></surname>
<given-names><![CDATA[CD.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gámez-Saiz]]></surname>
<given-names><![CDATA[IL.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sotelo-Cruz]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,aff1  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Sonora  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>02</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>02</month>
<year>2018</year>
</pub-date>
<volume>39</volume>
<numero>1</numero>
<fpage>1</fpage>
<lpage>12</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0186-23912018000100001&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0186-23912018000100001&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0186-23912018000100001&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  INTRODUCCIÓN: el lupus eritematoso sistémico es una enfermedad autoinmune crónica; se presenta mayormente en mujeres en etapa reproductiva y es menos frecuente en niños.  OBJETIVO: comparar las manifestaciones clínicas, comorbilidades y farmacoterapia en niños y adultos con lupus eritematoso sistémico (LES).  MATERIAL Y MÉTODOS: se seleccionaron 127 expedientes clínicos de pacientes con diagnóstico de LES; 36 menores de edad de un hospital pediátrico (grupo A) y 91 adultos de un hospital general (grupo B). Recolectamos información respecto a las manifestaciones clínicas al diagnóstico en los niños y adultos, así como las comorbilidades relacionadas y mortalidad, atendiendo los criterios de la American College of Rheumatology, también del tipo de medicamentos empleados. Estadísticas utilizadas: cálculo de frecuencias, porcentajes, la prueba de ji cuadrada, prueba exacta de Fisher, razón de momios e intervalos de confianza.  RESULTADOS: en niños predominaron: eritema malar (p= &lt; 0.01), vasculitis (p&lt; 0.01), fotosensibilidad (p&lt; 0.01), síndrome nefrítico (p&lt; 0.01), alteraciones leucocitarias (p&lt; 0.01), derrame pleural, anemia, derrame pericárdico, sepsis y hepatopatía; además, el número de medicamentos empleados fue mayor. En adultos predominaron: artralgia (p&lt; 0.01), pancitopenia (p= 0.025), alopecia (p&lt; 0.01), sinovitis (p= 0.044) y falla renal crónica (p= 0.04). Los fármacos usados en el grupo A fueron: hidroxicloroquina (p&lt; 0.01), glucocorticoides (p= 0.14) y micofenolato (p= 0.28), la mortalidad en niños fue de 25% y en 91 adultos ocurrió en 5 (0.05%).  CONCLUSIONES: las manifestaciones clínicas en niños muestran mayor lesión cutánea inicial y vasculitis, daño renal, cardiovascular, pulmonar e infecciones; en los adultos predominan afecciones articulares y falla renal crónica. Los niños reciben mayor número de fármacos y su mortalidad es mayor.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  INTRODUCTION: Systemic lupus erythematosus, is a chronic autoimmune disease that occurs mostly in women in the reproductive stage, is less common in children.  OBJECTIVE: To compare the clinical features, comorbidities and pharmacotherapy of the patients diagnosed with systemic lupus erythematous (SLE).  MATERIALS AND METHODS: We reviewed 127 clinical records of patients diagnosed with SLE, 36 patients were from a paediatric hospital (group A) and 91 from a general hospital (group B). The variables explored included the clinical manifestations in children at diagnosis and those of adults as well as the comorbidities related to the disease and mortality, according criteria from American College of Rheumatology, also the type of medication used. The statistical procedures were frequencies and percentages, chi-squared test, Fisher&#8217;s exact test, odds ratios and confidence intervals.  RESULTS: The predominant findings in children were; malar rash (p= &lt; 0.01), vasculitis (p&lt; 0.01), photosensitivity (p&lt; 0.01), nephritic syndrome (p&lt; 0.01), leukocyte&#8217;s abnormalities (p&lt; 0.01), pleural effusion, anaemia, thrombocytopenia, pericardial effusion, sepsis and liver disease; beside, the number of medication used was higher. In adults the findings were: arthralgia (p&lt; 0.01), pancytopenia (p= 0.025), alopecia (p= 0.04), synovitis and chronic kidney disease (p= 0.04). The drugs used in-group A were hydroxychloroquine (p&lt; 0.01), glucocorticoids (p= 0.14) and mycophenolate (p= 0.28), the mortality in children was 25% and in 91 adults were 5 patients (0.05%).  CONCLUSIONS: In children, clinical manifestations show a greater initial, skin and vasculitis, renal damage, cardiovascular, pulmonary, and infection condition than in adults, in these predominate articular affections and chronic renal failure. Children received more medication; the mortality is higher than adults are.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[lupus eritematoso sistémico]]></kwd>
<kwd lng="es"><![CDATA[manifestaciones clínicas]]></kwd>
<kwd lng="es"><![CDATA[niños]]></kwd>
<kwd lng="es"><![CDATA[adultos]]></kwd>
<kwd lng="en"><![CDATA[systemic lupus erythematous]]></kwd>
<kwd lng="en"><![CDATA[clinical manifestations]]></kwd>
<kwd lng="en"><![CDATA[children]]></kwd>
<kwd lng="en"><![CDATA[adults]]></kwd>
</kwd-group>
</article-meta>
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