Sjögren's disease & overlap diseases

Anti-SMN autoantibodies in mixed connective tissue disease are associated with a severe systemic sclerosis phenotype

RMD OpenPublished Retrospective cohort study

Authors' conclusion

Their presence, especially at high-titres, was associated with a severe systemic sclerosis (scleroderma) phenotype including myositis, myocarditis and lower GI involvement.

Study context

Population
Anti-U1RNP+ mixed connective tissue disease (MCTD) patients; median age at MCTD diagnosis 40.6 years, follow-up 12 yearsretrospective MCTD cohort
Participants
66 patients
Exposure
Anti-SMN+ vs anti-SMN- anti-U1RNP+ MCTD patients
  • Anti-SMN+n = 39
Outcome
Phenotypic (clinical) features of MCTD with vs without anti-SMN aAbs
Methodological detailstwo-tailed Fisher's exact test, logistic regression
  • Two-tailed Fisher's exact test
  • Logistic regression

Main finding

As reported in the abstract

Clinical features, anti-SMN+ vs anti-SMN-

Fingertip pitting scars: anti-SMN+ 23% vs anti-SMN- 4%, p=0.04

23% vs 4%

Observational data: associations, not effects.

Further findings

OutcomeAnti-SMN+
Prevalence of anti-SMN aAbsBased on the highest available titre59%
Low titre10 (26%)
High titre29 (74%)

Original publication

Anti-SMN autoantibodies in mixed connective tissue disease are associated with a severe systemic sclerosis phenotype. RMD Open. Published 4 October 2023. doi:10.1136/rmdopen-2023-003431

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.