Journal of Peking University (Health Sciences) ›› 2025, Vol. 57 ›› Issue (6): 1213-1218. doi: 10.19723/j.issn.1671-167X.2025.06.031

Previous Articles    

王小梦1, 曾晓君2, 李娟*,2,3()   

  • Received:2025-08-18 Online:2025-11-07 Published:2025-11-07
  • Contact: 李娟
  • Supported by:
    High-level Talent Project of the Natural Science Foundation of Hainan Province(824RC554)

RICH HTML

  

CLC Number: 

  • R593.24

Table 1

The clinical manifestations of Han Chinese and Li ethnic patients who were hospitalized for the first time due to SLE"

Items Han Chinese patients (n=1 060) Li ethnic patients (n=67) Statistics P
Gender (Female) 944 (89.1) 64 (95.5) χ2=2.109 0.233
Age/years 35.99±16.50 28.42±13.16 t=3.684 <0.001
Rash 269 (25.4) 24 (35.8) χ2=3.908 0.142
Joint pain 257 (24.3) 26 (38.8) χ2=10.036 0.007
Muscle pain 27 (2.5) 0 (0) χ2=1.776 0.411
Lung involvement 289 (27.3) 20 (29.9) χ2=0.590 0.745
Renal involvement 424 (40.0) 30 (44.8) χ2=1.272 0.529
Neuro-psychiatric system involvement 126 (11.0) 6 (9.0) χ2=8.009 0.018
Leukopenia 261 (24.6) 19 (28.4) χ2=3.487 0.175
Hemolytic anemia 5 (0.5) 0 (0) χ2=0.322 0.851
Thrombocytopenia 101 (9.5) 6 (9.0) χ2=0.129 0.938
Lupus liver involvement 65 (6.1) 5 (7.5) χ2=0.258 0.879
Pulmonary hypertension 35 (3.3) 1 (1.5) χ2=0.701 0.704
Thrombotic microangiopathy 7(0.7) 0 (0) χ2=0.452 0.798
Cardiac involvement 158 (14.9) 6 (9.0) χ2=1.966 0.374
Digestive system involvement 176 (16.6) 10 (14.9) χ2=0.327 0.849
Reynold syndrome 33 (3.1) 5 (7.5) χ2=3.697 0.157
Acute kidney injury 11 (1.0) 2 (3.0) χ2=2.109 0.348
Chronic kidney disease 50 (4.7) 2 (3.0) χ2=0.478 0.787
Maintenance hemodialysis 27 (2.5) 1 (1.5) χ2=0.315 0.854

Table 2

Laboratory tests results of Han Chinese and Li ethnic patients who were hospitalized for the first time due to SLE"

Items Han Chinese patients Li ethnic patients Statistic P
Blood routine examination
  Lymphocyte count/(×109/L) 1.15 (0.72, 1.74) 1.12 (0.62, 2.00) U=13 977.500 0.179
  Neutrophil count/(×109/L) 3.50 (2.30, 5.69) 3.44 (2.47, 6.59) U=32 527.500 0.263
  Low white blood cell (< 4×109/L) 280/1 060 (26.4) 21/67 (31.3) χ2=3.518 0.172
  Low hemoglobin (< 120 g/L) 766/1 060 (72.3) 54/67 (80.6) χ2=2.583 0.275
Low platelet (< 100×109/L) 140/1 060 (13.2) 7/67 (10.4) χ2=0.573 0.751
hsCRP/(mg/L) 3.16 (1.01, 10.70) 3.60 (0.06, 14.36) U=21 425.500 0.356
ESR/(mm/h) 44.00 (20.25, 81.00) 46.50±58.75 U=21 227.500 0.490
Lupus nephritis 429/916 (46.8) 29/57 (50.9) χ2=1.241 0.534
24-UTP/(mg/24 h) 586.85 (211.05, 2 261.20) 860.71 (306.23, 2 886.63) U=9 184.500 0.092
Blood biochemistry
  Creatinine/(μmol/L) 67.20 (52.40, 94.98) 60.25 (46.50, 98.43) U=33 395.500 0.801
  BUN/(mmol/L) 5.40 (3.91, 8.92) 4.88 (3.19, 8.73) U=30 527.500 0.275
  ALT/(U/L) 22.73 (16.00, 34.93) 23.37 (16.00, 28.67) U=31 302.500 0.190
  AST/(U/L) 25.00 (17.00, 38.00) 21.00 (14.50, 31.50) U=34 528.000 0.965
  ALP/(U/L) 67.50 (53.00, 86.75) 57.50 (38.25, 78.50) U=28 690.000 0.027
  γ-GGT/(U/L) 24.00 (14.00, 46.00) 20.71 (14.00, 40.24) U=30 873.000 0.194
SLE-related antibodies
  ANA 893/936 (95.4) 63/63 (1) χ2=3.072 0.215
  Anti-dsDNA 338/901 (37.5) 19/63 (30.2) χ2=3.062 0.216
  Anti-SSA 406/850 (47.8) 30/61 (49.2) χ2=0.046 0.831
  Anti-SSB 98/850 (11.5) 3/61 (4.9) χ2=2.524 0.112
  Anti-Ro-52 324/850 (38.1) 18/61 (29.5) χ2=1.799 0.180
  Anti-U1-RNP/Sm 301/850 (35.4) 25/60 (41.7) χ2=0.954 0.329
  Anti-Sm 150/850 (17.6) 19/61 (31.1) χ2=6.866 0.009
  Anti-histone 143/850 (16.8) 11/60 (18.3) χ2=0.091 0.763
  Anti-nucleosome 173/850 (20.4) 13/60 (21.7) χ2=0.059 0.807
  Anti-ribosomal P protein 174/848 (20.5) 12/59 (20.3) χ2=0.001 0.974
  LA 34/145 (23.4) 1/2 (50) χ2=0.767 0.381
  aCL 52/468 (11.1) 0/32 (0) χ2=3.968 0.046
  Anti-β2GPⅠ 108/476 (22.7) 4/33 (12.1) χ2=2.008 0.156
  P-ANCA 263/652 (40.3) 20/49 (40.8) χ2=0.004 0.947
  C-ANCA 6/652 (0.9) 0/49 (0) χ2=0.455 0.500
  Anti-MPO 48/528 (9.1) 4/38 (10.5) χ2=0.088 0.767
  Anti-PR3 2/528 (0.4) 0/38 (0) χ2=0.145 0.704
Low C3 650/1 060 (61.3) 43/67 (64.2) χ2=1.812 0.404
Low C4 382/1 060 (36.0) 30/67 (44.8) χ2=2.651 0.266
SLEDAI-2K 7.00 (4.00, 9.00) 6.00 (4.00, 10.00) U=33 260.000 0.402

Table 3

Analysis of comorbidities in Han Chinese and Li ethnic patients who were hospitalized for the first time due to SLE"

Items Han Chinese patients (n=1 060) Li ethnic patients (n=67) χ2 P
Thalassemia 20 (1.9) 6 (9.0) 14.006 <0.001
HT 101 (10.4) 3 (4.5) 2.022 0.364
RA 35 (3.3) 0 (0) 2.317 0.314
SS 18 (1.7) 1 (1.5) 0.033 0.984
T2DM 36 (3.4) 1 (1.5) 0.754 0.686
Hypertension 180 (17.0) 8 (11.9) 1.353 0.508
Cataract 31 (2.9) 1 (1.5) 0.498 0.780
Fracture 22 (2.1) 3 (4.5) 1.701 0.427
HBsAg+ 24 (2.3)a 5 (7.5) 6.814 0.033
1
Rees F , Doherty M , Grainge MJ , et al. The worldwide incidence and prevalence of systemic lupus erythematosus: A systematic review of epidemiological studies[J]. Rheumatology, 2017, 56 (11): 1945- 1961.

doi: 10.1093/rheumatology/kex260
2
Molineros JE , Yang W , Zhou XJ , et al. Confirmation of five novel susceptibility loci for systemic lupus erythematosus (SLE) and integrated network analysis of 82 SLE susceptibility loci[J]. Hum Mol Genet, 2017, 26 (6): 1205- 1216.
3
Deng GM , Tsokos GC . Pathogenesis and targeted treatment of skin injury in SLE[J]. Nat Rev Rheumatol, 2015, 11 (11): 663- 669.

doi: 10.1038/nrrheum.2015.106
4
Li M , Zhao Y , Zhang Z , et al. 2020 Chinese guidelines for the diagnosis and treatment of systemic lupus erythematosus[J]. Rheumatol Immunol Res, 2020, 1 (1): 5- 23.

doi: 10.2478/rir-2020-0009
5
Hochberg MC . Updating the American College of Rheumatology revised criteria for the classification of systemic lupus erythematosus[J]. Arthritis Rheum, 1997, 40 (9): 1725.
6
Bombardier C , Gladman DD , Urowitz MB , et al. Derivation of the SLEDAI. A disease activity index for lupus patients. The Committee on Prognosis Studies in SLE[J]. Arthritis Rheum, 1992, 35 (6): 630- 640.

doi: 10.1002/art.1780350606
7
Lewis MJ , Jawad AS . The effect of ethnicity and genetic ancestry on the epidemiology, clinical features and outcome of systemic lupus erythematosus[J]. Rheumatology, 2017, 56 (Suppl 1): i67- i77.
8
史曼曼, 王语欣, 马毓华, 等. 系统性红斑狼疮的遗传学研究进展[J]. 内科理论与实践, 2022, 17 (3): 267- 272.
9
Metry AM , Al Salmi I , Al Balushi F , et al. Systemic lupus erythematosus: Symptoms and signs at initial presentations[J]. Antiinflamm Antiallergy Agents Med Chem, 2019, 18 (2): 142- 150.

doi: 10.2174/1871523018666181128161828
10
Al Dhanhani AM , Agarwal M , Othman YS , et al. Incidence and prevalence of systemic lupus erythematosus among the native Arab population in UAE[J]. Lupus, 2017, 26 (6): 664- 669.

doi: 10.1177/0961203316678677
11
AlSaleh J , Jassim V , ElSayed M , et al. Clinical and immunological manifestations in 151 SLE patients living in Dubai[J]. Lupus, 2008, 17 (1): 62- 66.

doi: 10.1177/0961203307084297
12
Alballa SR . Systemic lupus erythematosus in Saudi patients[J]. Clin Rheumatol, 1995, 14 (3): 342- 346.

doi: 10.1007/BF02208351
13
Hammoudeh M , Al-Momani A , Sarakbi H , et al. Oral manifestations of systemic lupus erythematosus patients in Qatar: A pilot study[J]. Int J Rheumatol, 2018, 2018, 6052326.
14
Petri M , Purvey S , Fang H , et al. Predictors of organ damage in systemic lupus erythematosus: The Hopkins Lupus Cohort[J]. Arthritis Rheum, 2012, 64 (12): 4021- 4028.

doi: 10.1002/art.34672
15
Rúa-Figueroa I , López-Longo FJ , Calvo-Alén J , et al. National registry of patients with systemic lupus erythematosus of the Spa-nish Society of Rheumatology: Objectives and methodology[J]. Reumatol Clin, 2014, 10 (1): 17- 24.

doi: 10.1016/j.reuma.2013.04.013
16
Nightingale AL , Davidson JE , Molta CT , et al. Presentation of SLE in UK primary care using the Clinical Practice Research Data-link[J]. Lupus Sci Med, 2017, 4 (1): e000172.

doi: 10.1136/lupus-2016-000172
17
Yu P , Zhu Q , Chen C , et al. Association between major histocompatibility complex class Ⅰ chain-related gene polymorphisms and susceptibility of systemic lupus erythematosus[J]. Am J Med Sci, 2017, 354 (4): 430- 435.

doi: 10.1016/j.amjms.2017.06.003
18
Li M , Wang Y , Zhao J , et al. Chinese SLE treatment and research group (CSTAR) registry 2009-2019: Major clinical cha-racteristics of Chinese patients with systemic lupus erythematosus[J]. Rheumatol Immunol Res, 2021, 2 (1): 43- 47.

doi: 10.2478/rir-2021-0001
19
Wang M , Zhang X , Zhang Y , et al. Prevalence and genetic analysis of thalassemia and hemoglobinopathy in different ethnic groups and regions in Hainan Island, southeast China[J]. Front Genet, 2022, 13, 874624.

doi: 10.3389/fgene.2022.874624
20
Tao F , Lai Y , Chen J , et al. Prevalence of thalassaemia among childbearing-age Li and Han populations in Hainan Province[J]. Hematology, 2024, 29 (1): 2417524.

doi: 10.1080/16078454.2024.2417524
[1] Kai ZHAO, Fu'ai LU, Yongfu WANG. Central nervous system infection mimicking neuropsychiatric systemic lupus erythematosus: A case report [J]. Journal of Peking University (Health Sciences), 2025, 57(6): 1188-1192.
[2] Jing CHAI, Yue WANG, Rong MU, Jinxia ZHAO. Systemic lupus erythematosus involving the fornix column leading to hyponatremia: A case report [J]. Journal of Peking University (Health Sciences), 2024, 56(6): 1115-1118.
[3] Mingxia WANG, Ling DING, Min WANG, Chanjuan ZOU, Siyu YAN, Yingwen LIANG, Weijia WANG, Shanzhi HE. Safe pregnancy and delivery in a female patient with systemic lupus erythematosus after discontinuation of dual-target chimeric antigen receptor T cells therapy [J]. Journal of Peking University (Health Sciences), 2024, 56(6): 1119-1125.
[4] 佳佳 乔,聪 田,晓波 黄,军 刘. [J]. Journal of Peking University (Health Sciences), 2024, 56(4): 745-749.
[5] Limin REN,Chuchu ZHAO,Yi ZHAO,Huiqiong ZHOU,Liyun ZHANG,Youlian WANG,Lingxun SHEN,Wenqiang FAN,Yang LI,Xiaomei LI,Jibo WANG,Yongjing CHENG,Jiajing PENG,Xiaozhen ZHAO,Miao SHAO,Ru Li. Low disease activity and remission status of systemic lupus erythematosus in a real-world study [J]. Journal of Peking University (Health Sciences), 2024, 56(2): 273-278.
[6] Zhi-jun LUO,Jia-jia WU,You SONG,Chun-li MEI,Rong DU. Systemic lupus erythematosus associated macrophage activation syndrome with neuropsychiatric symptoms: A report of 2 cases [J]. Journal of Peking University (Health Sciences), 2023, 55(6): 1111-1117.
[7] Lu ZHANG,Cheng CHEN,Mei-ting WENG,Ai-ping ZHENG,Mei-ling SU,Qing-wen WANG,Yue-ming CAI. Characteristics of serum autoantibodies in patients with lupus nephritis and tubulointerstitial damage [J]. Journal of Peking University (Health Sciences), 2022, 54(6): 1094-1098.
[8] Lin-qi ZHANG,Jing ZHAO,Hong-yan WANG,Zong-yi WANG,Ying-ni LI,Ji-yang TANG,Si-ying LI,Jin-feng QU,Ming-wei ZHAO. Relationship between anti-ENO1 antibody and systemic lupus erythematosus patients with retinopathy [J]. Journal of Peking University (Health Sciences), 2022, 54(6): 1099-1105.
[9] Min LI,Lin-qing HOU,Yue-bo JIN,Jing HE. Clinical and immunological characteristics of systemic lupus erythematosus with retinopathy [J]. Journal of Peking University (Health Sciences), 2022, 54(6): 1106-1111.
[10] TIAN Jia-yi,ZHANG Xia,CHENG Gong,LIU Qing-hong,WANG Shi-yang,HE Jing. Serum interleukin-2 receptor α as a clinical biomarker in patients with systemic lupus erythematosus [J]. Journal of Peking University (Health Sciences), 2021, 53(6): 1083-1087.
[11] Jian-mei ZOU,Li-jun WU,Cai-nan LUO,Ya-mei SHI,Xue WU. Relationship of serum 25- hydroxy vitamin D and systemic lupus erythematosus [J]. Journal of Peking University (Health Sciences), 2021, 53(5): 938-941.
[12] XIA Fang-fang,LU Fu-ai,LV Hui-min,YANG Guo-an,LIU Yuan. Clinical characteristics and related factors of systemic lupus erythematosus with interstitial pneumonia [J]. Journal of Peking University (Health Sciences), 2021, 53(2): 266-272.
[13] Qian GUO, Xiao-xu MA, Hui GAO, Lian-jie SHI, Yu-chao ZHONG, Lin-feng XIE, Miao SHAO, Xue-wu ZHANG. Association of Semaphorin 3A with thrombocytopenia in systemic lupus erythematosus [J]. Journal of Peking University (Health Sciences), 2020, 52(5): 892-896.
[14] Ying-ni LI,Xiao-hong XIANG,Jing ZHAO,Yun LI,Feng SUN,Hong-yan WANG,Ru-lin JIA,Fan-lei HU. Significance of anti-carbamylated fibrinogen antibodies in systemic lupus erythematosus [J]. Journal of Peking University(Health Sciences), 2019, 51(6): 1019-1024.
[15] Ying WANG,Ming-hui LI,Yan ZHANG,Xiao-yan HU,Rui-xia MA. Relationship between podocyte injury and macrophage infiltration in renal tissues of patients with lupus nephritis [J]. Journal of Peking University(Health Sciences), 2019, 51(4): 723-727.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
No Suggested Reading articles found!