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Do vaccinations affect the clinical course of systemic necrotising vasculitis? A prospective observational web-based study.

Abstract：

OBJECTIVES:To estimate the impact of vaccinations, infections and traumatic life events on the disease activity of a web-based cohort of systemic necrotising vasculitis (SNV) patients. METHODS:Adults diagnosed with SNV self-reported vaccinations, infectious episodes and traumatic life events every 3 months during follow-up on a secure dedicated website. Participants reported information on disease activity assessed with 3 scores: the French version of the Medical Outcome Study Short Form-36 (SF-36), the visual numerical scale for Patient Global Assessment (PGA) and the modified Disease Extent Index (mDEI). RESULTS:Between December 2005 and October 2008, 145 participants (mean ± SD age 53±13 years; 57% males) were included. Mean follow-up was 445±325 days. SNVs were distributed as follows: 46% granulomatosis with polyangiitis (Wegener's), 22% eosinophilic granulomatosis with polyangiitis (Churg-Strauss), 18% polyarteritis nodosa and 8% microscopic polyangiitis. During follow-up, 94 vaccinations, 57 acute infectious episodes and 274 traumatic life events were reported. In univariate and multivariate analyses, only traumatic life events were significantly associated with decreased SF-36 mental and physical component scores. No significant SF-36, PGA and mDEI scores variations were reported during the 3 months following acute infectious episode or vaccine administration. CONCLUSIONS:No significant clinical impact of vaccinations on SNV activity was found in this prospective observational study.

journal_name

Clin Exp Rheumatol

journal_title

Clinical and experimental rheumatology

authors

Kernéis S,Turbelin C,Pagnoux C,Launay O,Mahr AD,Guillevin L,Boëlle PY,Hanslik T

subject

Has Abstract

pub_date

2016-05-01 00:00:00

pages

S89-92

issue

3 Suppl 97

eissn

0392-856X

issn

1593-098X

pii

10137

journal_volume

34

pub_type

杂志文章

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