Background: Juvenile systemic lupus erythematosus (JSLE) is a chronic, recurrent multisystem inflammatory disease, caused by a combination of environmental events and genetic risk factors. As cytokines, including interleukin-4 (IL-4), seem to have a role in the pathogenesis of JSLE, this investigation was performed to evaluate the associations of specific SINGLE-NUCLEOTIDE POLYMORPHISMS (SNPs) of IL-4 gene in a case control association study.Methods: Fifty nine patients with JSLE were recruited in this study as patients’ group and compared with 140 healthy volunteers. Genotyping was performed for IL-4 gene at positions -1098, -590 and -33, using polymerase chain reaction with sequence-specific primers method.Findings: Following alleles were found to be more common among patients with JSLE: C at -590 and -33 and T at -1098 of IL-4 gene (P<0.001; OR=4.6, P<0.001; OR=2.7, andP<0.001; OR=2.1, respectively). Moreover, frequency of following alleles were remarkably lower in patients with JSLE, in comparison with controls: T at -590 and -33 and G at -1098 of IL-4 gene (P<0.001; OR=0.2, P<0.001; OR=0.3, and P<0.001; OR=0.4, respectively).Additionally, significant positive associations for the following genotypes were recognized in JSLE cases, compared with controls: C/C and T/T at -33, C/C at -590 and T/T at -1098 of IL-4 gene (P<0.001; OR=5.3, P<0.02, P<0.001; OR=29.5, and P<0.001; OR=3.3, respectively), while following genotypes were less frequent among patients with JSLE: T/C at -33 and -590 and T/G at -1098 of IL-4 gene (P<0.001; OR=0.1, P<0.001; OR=0.03, and P<0.001; OR=0.3, respectively). Furthermore, we noticed an astonishing negative haplotypic association for JSLE for IL-4 (positions -1098, -509, -33) TTC, GCC, and TTT haplotypes (P<0.001). There was also a significant relationship between TCC haplotype (IL-4 gene at positions -1098, -590, -33) and having JSLE (P<0.001).Conclusion: Cytokine gene POLYMORPHISMS may influence susceptibility to JSLE. Particular IL-4 gene variants are associated with JSLE and might have a role in pathophysiology of disease.