Lupus & antiphospholipid syndrome

Epidemiology of Isolated Cutaneous Lupus Erythematosus in the Multiethnic Population of Reunion Island: A Retrospective Multicenter Study

J RheumatolPublished Retrospective cohort study

Authors' conclusion

The prevalence and incidence of CLE in the multiethnic population of Reunion Island seem higher than in light-skinned populations.

Study context

Population
Patients with isolated cutaneous lupus erythematosus (CLE) (not fulfilling systemic lupus erythematosus (SLE) criteria), all public hospitals and private dermatology practices in Reunion Island, France; multiethnic population including dark skin218 incident cases
Participants
268 patients
Outcome
Prevalence and incidence of isolated CLE
Follow-up
Incident cases 2008–2021; prevalence on January 1, 2022
Methodological detailsmulticentre, capture-recapture analysis
  • Multicentre
  • Capture-recapture analysis

Main finding

As reported in the abstract

Standardized prevalence (per 100,000 persons)

43

Average annual standardized incidence (per 100,000 person-years (PY))

3.1

Capture-recapture estimated prevalence

99

per 100,000 persons; 95% CI 77.10–136.45

Capture-recapture estimated annual incidence

5.7

per 100,000 PY; 95% CI 4.40–7.95

Observational data: associations, not effects.

Further findings

Clinical characteristics

Mean age at diagnosis (years)
41.7
Female to male ratio
4:1
Patients with dark skin had a higher rate of discoid CLE and were more likely to receive immunosuppressants
Generalized discoid CLE, panniculitis and overlapping CLE subtypes appeared as predictive markers of progression toward SLE

Original publication

Epidemiology of Isolated Cutaneous Lupus Erythematosus in the Multiethnic Population of Reunion Island: A Retrospective Multicenter Study. J Rheumatol. Published 1 December 2024. doi:10.3899/jrheum.2024-0661

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