Sjögren's disease & overlap diseases

Clinical and prognostic features associated with anti-Ro52 autoantibodies in connective tissue diseases patients with interstitial lung disease

Clin Exp RheumatolPublished Retrospective cohort study

Authors' conclusion

Anti-Ro52 antibodies may predict more severe lung damage in CTD-ILD; however, anti-Ro52 antibodies were not correlated with progression and death in patients with ILD.

Study context

Population
Patients with connective tissue diseases with ILD (connective tissue diseases with interstitial lung disease (CTD-ILD))170 with follow-up
Participants
238 patients
Exposure
Anti-Ro52 positive vs anti-Ro52 negative CTD-ILD
  • Anti-Ro52 positiven = 145
Outcome
Clinical features at baseline
Follow-up
Baseline
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

  • Anti-Ro52 positive more likely to have respiratory symptoms, more organising pneumonia patterns and worse forced vital capacity (FVC)

Observational data: associations, not effects.

Further findings

Mortality during follow-up

log-rank p=0.287

  • Mortality during follow-up: 35 deaths among 170 followed

ILD progression (pulmonary function (PF) or imaging)

Progression in 48 of 170 patients with CTD-ILD
28.24%
No correlation of progression with anti-Ro52 antibodies (logistic analysis)

Factors associated with ILD progression (multivariate logistic analysis)

Older age, worse baseline FVC and DLCO, higher CRP, serum ferritin, IgG and lower absolute lymphocyte count

Original publication

Clinical and prognostic features associated with anti-Ro52 autoantibodies in connective tissue diseases patients with interstitial lung disease. Clin Exp Rheumatol. Published 17 November 2022. doi:10.55563/clinexprheumatol/ntluzy

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