Study of the sleep in Egyptian children with Juvenile SLE and it's effect on their scholastic achievement

Abstract

The clinical spectrum of neuropsychiatric manifestations of juvenile systemic lupus erythematosus (JSLE) can be quite variable and sleep problems have been reported as being one of the under-recognized needs of SLE patients.Aim Determination of sleep abnormalities among lupus children and their effects on children's scholastic achievements.Subjects This study was carried out on 38 children with systemic lupus erythematosus and thirty healthy children, whom their guardians agreed to volunteer in the study .Methods In the current cross sectional study all children were subjected to full clinical examination, MRI brain of the patients, sleep history, Epworth sleepiness scale and the Sleep disturbances scale for childrenResults 52.6% of the studied children had different sleep patterns, as follows:13.2% disorders of initiating and maintaining sleep (DIMS), 2.6% with Sleep breathing disorders (SBD), 10.5% with disorders of arousal (DA), 5.3% with sleep-wake transition disorders (SWTD), 2.6% with disorders of excessive somnolence (DOES), 7.9% with Sleep Hyperhidrosis (SHY), 7.9% with pathological total sleep disturbances score.5.3% of children had excessive daytime sleepiness and 21% had moderate daytime sleepiness and 73.7% had normal daytime sleepiness.Children with positive findings in brain MRI had different sleep disorders demonstrated as follows, 33.3% had disorders of initiating and maintaining sleep (DIMS). 16.7% had Sleep Hyperhidrosis (SHY).16.7% had pathological total sleep disturbances score.