Inflammatory myopathies

Analysis of clinical features and risk factors for patients with idiopathic inflammatory myopathy complicated by Pneumocystis jirovecii pneumonia

Clin Exp RheumatolPublished Retrospective cohort study

Authors' conclusion

Dermatomyositis, rash, decreased absolute lymphocyte count, and concurrent viral infection are independent risk factors for the occurrence of PJP in idiopathic inflammatory myopathy patients.

Study context

Population
Patients with IIM
Participants
432 patients
Exposure
IIM with Pneumocystis jirovecii pneumonia (PJP) vs IIM without PJP
  • PJP+IIMn = 34
Outcome
Independent risk factors for PJP occurrence
Methodological detailsunivariate and multiple logistic regression analysis, ROC curves for (1-3)-β-DG-glucan
  • Univariate and multiple logistic regression analysis
  • ROC curves for (1-3)-β-DG-glucan

Main finding

As reported in the abstract

Independent risk factors for PJP (multiple logistic regression)
  • DM, rash, decreased absolute lymphocyte count and concurrent viral infection were the most important independent risk factors for PJP

Observational data: associations, not effects.

Further findings

Risk factors for PJP (univariate analysis)

DM, anti-MDA5 antibodies, rash, concomitant respiratory symptoms, decreased absolute lymphocyte count, increased ESR, increased ferritin and concurrent bacterial or viral infections were risk factors for PJP

Original publication

Analysis of clinical features and risk factors for patients with idiopathic inflammatory myopathy complicated by Pneumocystis jirovecii pneumonia. Clin Exp Rheumatol. Published 6 February 2025. doi:10.55563/clinexprheumatol/fpbkc8

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