Vasculitis & polymyalgia rheumatica

Epidemiology and clinical characteristics of biopsy-confirmed adult-onset IgA vasculitis in southern Sweden

RMD OpenPublished Retrospective population-based cohort study

Authors' conclusion

Adult-onset IgAV is rare in southern Sweden with the incidence higher in men than in women. IgAV frequently affects the kidneys and leads to chronic kidney disease in adults, although the long-term renal outcome appears favourable compared with other small-vessel vasculitides affecting the kidneys.

Study context

Population
Adults (≥18 years) with biopsy-confirmed Immunoglobulin A vasculitis (IgAV) (ICD-10 D69.0), Skåne, Sweden, 2000–201919 women
Participants
59 adults
Outcome
Annual incidence and point prevalence of biopsy-confirmed IgAV
Methodological detailsbiopsy-confirmed cases, medical record review
  • Biopsy-confirmed cases
  • Medical record review

Main finding

As reported in the abstract

Annual incidence of biopsy-confirmed adult-onset IgAV

Incidence

3 per 1 000 000

Incidence, men vs women (p=0.004)

4 vs 2/1 000 000

Observational data: associations, not effects.

Further findings

Clinical presentation

Non-thrombocytopenic purpura
97%
Renal involvement
78%
Arthritis/arthralgia
59%
Gastrointestinal symptoms
39%

Renal outcome during follow-up

Developed CKD stage ≥G3 a
15%
Progressed to end-stage kidney disease
1

Original publication

Epidemiology and clinical characteristics of biopsy-confirmed adult-onset IgA vasculitis in southern Sweden. RMD Open. Published 5 February 2024. doi:10.1136/rmdopen-2023-003822

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