Lower CH50 as a predictor for intractable or recurrent lupus enteritis: A retrospective observational study.

Abstract:

OBJECTIVES:Lupus enteritis (LE) is a rare but well-known gastrointestinal manifestation of systemic lupus erythematosus (SLE). This study was conducted to identify prognostic factors associated with poor responses in patients with LE. METHODS:We consecutively registered patients diagnosed with LE between January 2009 and October 2019, and retrospectively compared their clinical characteristics based on whether they had good or poor responses to treatment. RESULTS:A total of 13 patients (17 episodes) were included. The median age was 41 years, and 12 patients were female. A comparison of clinical characteristics between groups revealed similar computed tomography (CT) findings. However, serum CH50 levels were significantly lower in the poor response group (median [interquartile ranges (IQR)]; 29.2 [25.3-46.9] U/mL vs 19.3 [7.8-24.0] U/mL, p = .0095). More patients in the poor response group had higher titers of anti-cardiolipin β2-glycoprotein I antibody (anti-CL β2GPI Ab) and were started on glucocorticoids (GCs) at moderate doses. In multivariable analysis, serum CH50 level was independently associated with poor response to induction therapy. CONCLUSION:Lower levels of CH50 at the time of initial treatment predicted inadequate treatment response in patients with LE.

journal_name

Mod Rheumatol

journal_title

Modern rheumatology

authors

Yoshida Y,Omoto T,Kohno H,Tokunaga T,Kuranobu T,Yukawa K,Watanabe H,Oi K,Sugimoto T,Mokuda S,Nojima T,Hirata S,Sugiyama E

doi

10.1080/14397595.2020.1812871

subject

Has Abstract

pub_date

2020-09-07 00:00:00

pages

1-6

eissn

1439-7595

issn

1439-7609

pub_type

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