Rheumatoid arthritis

AA amyloidosis in inflammatory joint diseases: A systematic review

Semin Arthritis RheumPublished Systematic review

Study context

Population
Histologically proven AA amyloidosis (AAA) in inflammatory joint disease (IJD); MEDLINE, EMBASE and Cochrane searched until October 202433 studies
Outcome
Incidence, prevalence, mortality and response to treatment of IJD-related AAA
Methodological detailscohorts and case series (≥ 10 patients), histologically proven AAA
  • Cohorts and case series (≥ 10 patients)
  • Histologically proven AAA

Pooled result

As reported in the abstract

IJD-related AAA incidence, prevalence and mortality

AAA prevalence in RA before 2010

16.7 % to 25.2 %

AAA prevalence in RA after 2010

0.7 %

AAA prevalence in AS before 2010

6.1 % to 8.5 %

AAA prevalence in AS after 2010

1.1 % to 1.3 %

Further pooled results

Response to treatment (AAA biomarkers: GFR, serum amyloid A)

Immunomodulating therapies (especially biologics) seemed to improve AAA biomarkers, such as glomerular filtration rate and serum amyloid A level

Original publication

AA amyloidosis in inflammatory joint diseases: A systematic review. Semin Arthritis Rheum. Published 6 June 2025. doi:10.1016/j.semarthrit.2025.152762

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