RT Book, Section A1 Silverman, Earl D. A2 Rudolph, Colin D. A2 Rudolph, Abraham M. A2 Lister, George E. A2 First, Lewis R. A2 Gershon, Anne A. SR Print(0) ID 7019385 T1 Chapter 204. Systemic Lupus Erythematosus, Overlap Connective Tissue Disease, and Mixed Connective Tissue Disease T2 Rudolph's Pediatrics, 22e YR 2011 FD 2011 PB The McGraw-Hill Companies PP New York, NY SN 978-0-07-149723-7 LK accesspediatrics.mhmedical.com/content.aspx?aid=7019385 RD 2024/04/20 AB Systemic lupus erythematosus (SLE) represents the prototype of a pediatric autoimmune disease with the presence of autoantibodies as its hallmark. The incidence of SLE diagnosed prior to age 18 is approximately 10 to 20 new cases per 100,000 population per year with an overall prevalence of 1 to 2 cases per 1000 adolescents ages 12 to 18. Both the incidence and prevalence rates are higher in African Americans, Asians, Southeast Asians, and Hispanics. The female predominance (4–4.5:1) in pediatric patients is lower than in adults (9:1).1 The mean age at diagnosis is approximately 12 to 13 years, but presentation as young as age 3 or 4 is routinely reported.2 Presentation prior to age 1 is very rare and may manifest as congenital nephrotic syndrome.