Lupus & antiphospholipid syndrome

Diving deep into lupus: Gastrointestinal involvement insights from the Oman lupus study

LupusPublished Multicentre longitudinal cohort study

Authors' conclusion

A higher mortality rate was found to be associated with organ involvement, disease duration, autoantibody profile, and specific complications.

Study context

Population
Patients meeting classification criteria for systemic lupus erythematosus (SLE), Oman Lupus Study, January 2006 to February 202091 with gastrointestinal (GI) manifestations
Participants
1,160 patients
Exposure
Paediatric vs adult SLE patients; patients with vs without GI involvement
Outcome
Prevalence of GI manifestations in lupus patients
Methodological detailspart of the Oman Lupus Study
  • Part of the Oman Lupus Study

Main finding

As reported in the abstract

Prevalence of GI manifestations

P = 0.755

Observational data: associations, not effects.

Further findings

Factors associated with ischemic colitis

Longer disease duration
P < 0.001
B2-glycoprotein I (B2GPI) autoantibody positivity
P < 0.0001
Hematologic manifestations
P = 0.001
LN
P = 0.007
Pulmonary complications
P = 0.000-.039
Some cardiac complications
P = 0.012-.269

Mortality in patients with GI involvement

Mortality rate with GI involvement (greater)
24.37%
Ischemic colitis
P = 0.005
Chronic peritonitis
P < 0.001
Spleen/liver infarction
P = 0.001
Sepsis, thrombocytopenia and internal organ involvement rates significantly associated with increased mortality

Original publication

Diving deep into lupus: Gastrointestinal involvement insights from the Oman lupus study. Lupus. Published 14 October 2024. doi:10.1177/09612033241292704

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