Lupus & antiphospholipid syndrome

Cutaneous vasculitis in systemic lupus erythematosus: epidemiology and risk factors over a 20-year follow-up

Rheumatology (Oxford)Published Prospective cohort study

Authors' conclusion

The incidence rates of CV in SLE decreased over the follow-up period and CV is associated with defined clinical, serological and treatment-related factors.

Study context

Population
SLE patients of the Birmingham Lupus Cohort enrolled within 3 years of meeting their fourth ACR criterion; 95.7% femalemedian follow-up 9.2 years
Participants
392 patients
Outcome
Trends and risk factors for cutaneous vasculitis (CV)
Follow-up
20 years
Methodological detailsobservational longitudinal cohort, multivariable shared frailty Cox proportional hazard model
  • Observational longitudinal cohort
  • Multivariable shared frailty Cox proportional hazard model

Main finding

As reported in the abstract

Cutaneous vasculitis occurrence and incidence rates

Cutaneous vasculitis (CV) occurred in SLE patients

27%

Of those with CV, two or more CV events

43.3%

Incidence rate of CV during first 3 years after enrolment

34.4%

95% CI 29.7, 39.3

Incidence rate of CV after 18 years of follow-up

2.1%

95% CI 0.05, 11.5

Observational data: associations, not effects.

Further findings

Patients with CV more likely to develop at least one item of organ damage

Original publication

Cutaneous vasculitis in systemic lupus erythematosus: epidemiology and risk factors over a 20-year follow-up. Rheumatology (Oxford). Published 11 December 2024. doi:10.1093/rheumatology/keae672

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