In this study, we have analyzed the clinical and serological features
related to 16 Tunisian children in whom diagnosis of systemic lupus ey
thematosus was made before or at the age of 15. Renal involvement was
found in 75% of cases and renal biopsies have mostly revealed severe h
istologic patterns. All of the patients who have been followed receive
d corticosteroids and in some cases required additional cytotoxic drug
s in order to control disease activity. Five children died in a contex
t of a renal failure. This study of childhood lupus in Tunisia confirm
s that the clinical course of this disease in children is often aggres
sive.