title: Cytomegalovirus infection in childhood-onset systemic lupus erythematosus.
abstract: Systemic lupus erythematosus (SLE) is a multisystem disease with significant morbidity and even mortality.Cytomegalovirus(CMV) is a ubiquitous herpesvirus that, similar to SLE, can also lead to significant morbidity and mortality in the immunocompromised host. The relationship between SLE and CMV is complex, with observations suggesting that CMV induces the autoimmunity of SLE in addition to occurring in the immunocompromised host with known SLE. In this article, we first consider CMV infection in the immunocompetent host, and further examine how this infection differs in the patient with SLE. We focus on disease mechanisms, CMV detection and treatment. We review the differences between CMV infection, syndrome and disease, as identifying the correct state will determine the appropriate treatment. We propose guidelines for the screening and management of CMV infection in childhood-onset SLE, and recognize that further study in this population is required to increase our understanding of the interplay between these disease entities.
authors: Department of Pediatrics, Hospital for Sick Children & University of Toronto, 555 University Avenue, Toronto, ON, M5G 1X8, Canada.
authors: Evelyn V
authors: EV
authors: Rozenblyum
authors: Department of Pediatrics, Hospital for Sick Children & University of Toronto, 555 University Avenue, Toronto, ON, M5G 1X8, Canada ; Division of Infectious Diseases, Hospital for Sick Children, 555 University Avenue, Toronto, ON, M5G 1X8, Canada.
authors: Upton D
authors: UD
authors: Allen
authors: Department of Pediatrics, Hospital for Sick Children & University of Toronto, 555 University Avenue, Toronto, ON, M5G 1X8, Canada ; Division of Rheumatology, Hospital for Sick Children, 555 University Avenue, Toronto, ON, M5G 1X8, Canada.
authors: Earl D
authors: ED
authors: Silverman
authors: Department of Pediatrics, Hospital for Sick Children & University of Toronto, 555 University Avenue, Toronto, ON, M5G 1X8, Canada ; Division of Rheumatology, Hospital for Sick Children, 555 University Avenue, Toronto, ON, M5G 1X8, Canada.
authors: Deborah M
authors: DM
authors: Levy
keywords: CMV; Cytomegalovirus; childhood; complication; detection; guidelines; infection; lupus; pediatric