Shoghik Akoghlanian

INTRODUCTION: Childhood-onset systemic lupus erythematosus (c-SLE) presents unique challenges due to increased risk for severe morbidity and mortality compared to adult-onset SLE. Effective disease management relies on accurate disease assessment and documentation. Our project aimed to improve the documentation of the Lupus Care Index (LCI), a disease assessment bundle, by implementing a quality improvement (QI) initiative.

1 INTRODUCTION Granulomatosis with polyangiitis (GPA) is one of the anti-nuclear cytoplasmic antibodies (ANCA)-associated vasculitidies (AAV). ANCA, or anti-neutrophil cytoplasmic antibodies, are autoantibodies that activate neutrophils and cause damage to the walls of small vessels, leading to a pauci-immune necrotizing vasculitis.1 Formerly known as Wegener's granulomatosis,2 GPA is an exceedingly rare disorder in children.