Vasculitis & polymyalgia rheumatica

Evidence of subclinical atherosclerosis in eosinophilic granulomatosis with polyangiitis

Rheumatology (Oxford)Published Case-control study

Authors' conclusion

Ultrasound markers of subclinical atherosclerosis are increased in EGPA patients as compared with controls, independently of traditional cardiovascular risk factors.

Study context

Population
Patients with eosinophilic granulomatosis with polyangiitis (EGPA) and matched controls
Participants
40 vs 80
Comparison
EGPA patients vs matched controls
  • EGPAn = 40
  • Controlsn = 80reference
Outcome
Common carotid artery (CCA) intima-media thickness (IMT) on US
Methodological detailsmatched by age, sex and traditional cardiovascular risk factors
  • Matched by age, sex and traditional cardiovascular risk factors

Main finding

As reported in the abstract

Median CCA-IMT
  • EGPA vs Controls: P = 0.002

Observational data: associations, not effects.

Further findings

OutcomeP value
Proportion with increased CCA-IMT and with CCA plaquesSignificantly higher in EGPAP < 0.001 for both

CCA-IMT vs disease duration and corticosteroid cumulative dose (within EGPA)

CCA-IMT tended to increase with disease duration
P = 0.034
CCA-IMT tended to increase with corticosteroid cumulative dose
P = 0.004

CCA-IMT vs ANCA status, other clinical features and therapies

No significant associations
Prevalence of traditional CV risk factors comparable in patients with vs without increased CCA-IMT

Original publication

Evidence of subclinical atherosclerosis in eosinophilic granulomatosis with polyangiitis. Rheumatology (Oxford). Published 21 July 2022. doi:10.1093/rheumatology/keac427

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.