الفهرس 
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Abstract
Screening of growth impairment in juvenile rheumatoid arthritis, systemic lupus erythematosus and autoimmune chronic liver disorders
Hanan A.El-Gamal*, Manal M.Abd EL-Gwad** and Mourad A.Kassem***
Introduction: Autoimmune diseases are associated with growth impairment. This may be a consequence the inflammation with disease activity and is caused by the high-dose corticosteroids treatment.
Aim: Screening of growth impairment in juvenile rheumatoid arthritis (JRA), systemic lupus erythematosus (SLE) and autoimmune chronic liver disorders (ACLD).
Methods: 1000 cases of school children and adolescents (both sexes) of JRA, SLE and ACLD. The study will be conducted in the 4 main pediatric hospitals in Alexandria, to detect growth impairment and delayed puberty in these group children and adolescents using axiological parameters and Tanner staging from June 2010 to August 2015.
Results: In JRA group of school age children (both sexes) in 3rd - <10th height percentile, the percentage of males and females were 51.7 and 46.5 respectively. Pubertal assessment (Tanner staging) of the studied SLE group of school age male children and adolescents shows that 48% of cases were in the Tanner stage 1 category which means delayed puberty was in a large number of cases.
Conclusions: JRA, SLE and ACLD are associated with growth impairment and delayed puberty.
Keywords: growth impairment, delayed puberty, short stature, under-weight.
*Professor of pediatrics, Medical StudiesDepartment for Children, Institute of Post-Graduate Childhood Studies Ain-Shams University
** Assistant professor of pediatrics,Faculty of Medicine,Alexandria University
*** Nutritionist, Ramelh pediatrics hospital ,Alexandria