Abstract:
OBJECTIVE:Clinically amyopathic dermatomyositis (CADM) is a subset of dermatomyositis (DM) presenting with the characteristic rash of DM without objective muscle weakness. Asian studies report that anti-melanoma differentiation-associated gene 5 (anti-MDA-5) autoantibody in CADM is associated with interstitial lung disease (ILD), particularly rapidly progressive ILD (RPILD). These associations have not been established in US myositis patients. The goal of our study was to determine the association of anti-MDA-5 autoantibody with ILD, RPILD, and survival in US patients with CADM and classic DM. METHODS:CADM patients were identified in the University of Pittsburgh Myositis Center Database and matched 1:1 (sex and age) to classic DM controls. Anti-MDA-5 was measured by serum enzyme-linked immunosorbent assay. Kaplan-Meier, log rank, and chi-square tests were used for analysis. RESULTS:We identified 61 CADM patients (62% women, mean age 48.2 years) and 61 classic DM controls (64% women, mean age 44.8 years). The frequencies of anti-MDA-5 positivity, ILD, and RPILD were similar in the 2 cohorts (MDA-5 positive: CADM 13.1% [8 of 61] and DM 13.1% [8 of 61], ILD positive: CADM 31.1% [19 of 61] and DM 26.2% [16 of 61], and RPILD positive: CADM 8.2% [5 of 61] and DM 5% [3 of 61]; P = 1, 0.55, and 0.46, respectively). Anti-MDA-5 positivity was significantly associated with ILD, since 50% of MDA-5-positive subjects (8 of 16) had ILD versus 25.5% of MDA-5-negative subjects (27 of 106; P = 0.04). Anti-MDA-5 was strongly associated with RPILD (P < 0.001). Anti-MDA-5-positive patients with ILD had worse baseline pulmonary function testing variables compared to anti-MDA-5-negative patients. Anti-MDA-5 positivity was significantly associated with poor survival (P = 0.007). CONCLUSION:Anti-MDA-5 antibody is significantly associated with ILD, RPILD, worse pulmonary outcome, and survival in US classic DM and CADM patients.
journal_name
Arthritis Care Res (Hoboken)journal_title
Arthritis care & researchauthors
Moghadam-Kia S,Oddis CV,Sato S,Kuwana M,Aggarwal Rdoi
10.1002/acr.22728subject
Has Abstractpub_date
2016-05-01 00:00:00pages
689-94issue
5eissn
2151-464Xissn
2151-4658journal_volume
68pub_type
杂志文章abstract:OBJECTIVE:To investigate physical therapists' knowledge, beliefs, and current practices around falls prevention in osteoarthritis (OA) care. METHODS:Currently registered, practicing Australian physical therapists who care for patients with hip and/or knee OA were invited to participate in this cross-sectional study. A...
journal_title:Arthritis care & research
pub_type: 杂志文章
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journal_title:Arthritis care & research
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更新日期:2017-02-01 00:00:00
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journal_title:Arthritis care & research
pub_type: 杂志文章,随机对照试验
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abstract:OBJECTIVE:Management of systemic lupus erythematosus (SLE) is complex and variability in practices exists. Guidelines have been developed to help improve the management of SLE patients, but there has been no formal evaluation of these guidelines. This study aims to compare the scope, quality, and consistency of clinica...
journal_title:Arthritis care & research
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更新日期:2015-10-01 00:00:00
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更新日期:2016-08-01 00:00:00
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doi:10.1002/acr.23192
更新日期:2017-11-01 00:00:00
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pub_type: 杂志文章,多中心研究
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更新日期:2015-04-01 00:00:00
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更新日期:2011-11-01 00:00:00
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更新日期:2011-11-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2020-01-07 00:00:00
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pub_type: 杂志文章
doi:10.1002/acr.23285
更新日期:2018-03-01 00:00:00
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journal_title:Arthritis care & research
pub_type: 杂志文章,随机对照试验
doi:10.1002/acr.22232
更新日期:2014-06-01 00:00:00
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journal_title:Arthritis care & research
pub_type: 杂志文章,随机对照试验
doi:10.1002/acr.20681
更新日期:2012-03-01 00:00:00
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journal_title:Arthritis care & research
pub_type: 杂志文章
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更新日期:2020-02-01 00:00:00
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journal_title:Arthritis care & research
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更新日期:2011-09-01 00:00:00
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更新日期:2020-04-27 00:00:00
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更新日期:2020-02-01 00:00:00
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更新日期:2011-03-01 00:00:00
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journal_title:Arthritis care & research
pub_type: 杂志文章,随机对照试验
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更新日期:2019-10-01 00:00:00
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journal_title:Arthritis care & research
pub_type: 杂志文章
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更新日期:2011-02-01 00:00:00
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pub_type: 杂志文章
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更新日期:2014-09-01 00:00:00
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pub_type: 杂志文章,多中心研究,随机对照试验
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更新日期:2018-05-01 00:00:00
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更新日期:2020-04-05 00:00:00