Inflammatory myopathies

Clinical-imaging characteristics and management of anti-JO-1 and non-JO-1 anti-synthetase syndrome–associated interstitial lung disease

Rheumatology (Oxford)Published Retrospective cohort study

Authors' conclusion

Patients with ASS-ILD had distinctive clinical-imaging characteristics associated with different antibodies, and non-anti-Jo-1 patients were susceptible to presenting a fibrotic phenotype.

Study context

Population
Patients diagnosed with anti-synthetase syndrome-associated ILD (ASS-ILD) from two centres
Participants
377 patients
Exposure
Anti-Jo-1 vs non-Jo-1 ASS-ILD
  • Anti-Jo-1n = 169
  • Non-Jo-1n = 208
Outcome
Clinical-radiographic characteristics by antibody subgroup
Methodological detailstwo centres
  • Two centres

Main finding

As reported in the abstract

Non-Jo-1 had longer diagnostic periods vs anti-Jo-1
P = 0.037
Non-Jo-1 had more hyperglobulinemia vs anti-Jo-1
P < 0.05
Non-Jo-1 ASS-ILD more frequently combined with secondary SS vs anti-Jo-1
P = 0.003
Organizing pneumonia pattern on high-resolution CT (HRCT), anti-Jo-1
15.6%
Usual interstitial pneumonia (UIP) pattern, non-Jo-1
43.3%
Non-specific interstitial pneumonia (NSIP) pattern, non-Jo-1
52.2%

Observational data: associations, not effects.

Original publication

Clinical-imaging characteristics and management of anti-JO-1 and non-JO-1 anti-synthetase syndrome–associated interstitial lung disease. Rheumatology (Oxford). Published 27 May 2025. doi:10.1093/rheumatology/keaf287

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