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WFRF:(Vazquez del Mercado M)
 

Sökning: WFRF:(Vazquez del Mercado M) > (2015-2019) > The EuroMyositis re...

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FältnamnIndikatorerMetadata
00003884naa a2200577 4500
001oai:prod.swepub.kib.ki.se:137244055
003SwePub
008240701s2018 | |||||||||||000 ||eng|
024a http://kipublications.ki.se/Default.aspx?queryparsed=id:1372440552 URI
024a https://doi.org/10.1136/annrheumdis-2017-2118682 DOI
040 a (SwePub)ki
041 a engb eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
100a Lilleker, JB4 aut
2451 0a The EuroMyositis registry: an international collaborative tool to facilitate myositis research
264 c 2017-08-30
264 1b BMJ,c 2018
520 a The EuroMyositis Registry facilitates collaboration across the idiopathic inflammatory myopathy (IIM) research community. This inaugural report examines pooled Registry data.MethodsCross-sectional analysis of IIM cases from 11 countries was performed. Associations between clinical subtypes, extramuscular involvement, environmental exposures and medications were investigated.ResultsOf 3067 IIM cases, 69% were female. The most common IIM subtype was dermatomyositis (DM) (31%). Smoking was more frequent in connective tissue disease overlap cases (45%, OR 1.44, 95% CI 1.09 to 1.90, p=0.012). Smoking was associated with interstitial lung disease (ILD) (OR 1.32, 95% CI 1.06 to 1.65, p=0.013), dysphagia (OR 1.43, 95% CI 1.16 to 1.77, p=0.001), malignancy ever (OR 1.78, 95% CI 1.36 to 2.33, p<0.001) and cardiac involvement (OR 2.40, 95% CI 1.60 to 3.60, p<0.001).Dysphagia occurred in 39% and cardiac involvement in 9%; either occurrence was associated with higher Health Assessment Questionnaire (HAQ) scores (adjusted OR 1.79, 95% CI 1.43 to 2.23, p<0.001). HAQ scores were also higher in inclusion body myositis cases (adjusted OR 3.85, 95% CI 2.52 to 5.90, p<0.001). Malignancy (ever) occurred in 13%, most commonly in DM (20%, OR 2.06, 95% CI 1.65 to 2.57, p<0.001).ILD occurred in 30%, most frequently in antisynthetase syndrome (71%, OR 10.7, 95% CI 8.6 to 13.4, p<0.001). Rash characteristics differed between adult-onset and juvenile-onset DM cases (‘V’ sign: 56% DM vs 16% juvenile-DM, OR 0.16, 95% CI 0.07 to 0.36, p<0.001). Glucocorticoids were used in 98% of cases, methotrexate in 71% and azathioprine in 51%.ConclusionThis large multicentre cohort demonstrates the importance of extramuscular involvement in patients with IIM, its association with smoking and its influence on disease severity. Our findings emphasise that IIM is a multisystem inflammatory disease and will help inform prognosis and clinical management of patients.
700a Vencovsky, J4 aut
700a Wang, GC4 aut
700a Wedderburn, LR4 aut
700a Diederichsen, LP4 aut
700a Schmidt, J4 aut
700a Oakley, P4 aut
700a Benveniste, O4 aut
700a Danieli, MG4 aut
700a Danko, K4 aut
700a Thuy, NTP4 aut
700a Vazquez-Del Mercado, M4 aut
700a Andersson, H4 aut
700a De Paepe, B4 aut
700a debleecker, JL4 aut
700a Maurer, B4 aut
700a McCann, LJ4 aut
700a Pipitone, N4 aut
700a McHugh, N4 aut
700a Betteridge, ZE4 aut
700a New, P4 aut
700a Cooper, RG4 aut
700a Ollier, WE4 aut
700a Lamb, JA4 aut
700a Krogh, NS4 aut
700a Lundberg, IEu Karolinska Institutet4 aut
700a Chinoy, H4 aut
710a Karolinska Institutet4 org
773t Annals of the rheumatic diseasesd : BMJg 77:1, s. 30-39q 77:1<30-39x 1468-2060x 0003-4967
856u https://ard.bmj.com/content/annrheumdis/77/1/30.full.pdf
8564 8u http://kipublications.ki.se/Default.aspx?queryparsed=id:137244055
8564 8u https://doi.org/10.1136/annrheumdis-2017-211868

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