Systemic sclerosis & Raynaud's

Haematological malignancies in systemic sclerosis: a population-based nationwide register study

RMD OpenPublished Population-based nationwide register cohort study

Main finding · Haematological malignanciesResult — go to the resultHazard ratio 2.2 95% CI 1.4–3.1

Authors' conclusion

Individuals with SSc are afflicted by an increased risk of haematological malignancies, especially B-cell malignancies. The risk is highest in men. Myeloid malignancies tend to present closer to SSc diagnosis than lymphoid malignancies.

Study context

Population
Swedish residents with systemic sclerosis (SSc) diagnosed 2004–2019 and matched general population comparators11,480 and 131,021 person-years
Participants
1,720 vs 16,983
Exposure
SSc vs matched general population comparators without SSc
  • SScn = 1,720
  • Comparatorsn = 16,983reference
Outcome
Haematological malignancies
Methodological detailsmatched general population comparators, Poisson regression, flexible parametric models
  • Matched general population comparators
  • Poisson regression
  • Flexible parametric models

Main finding

As reported in the abstract

Hazard ratio

2.2

95% CI 1.4–3.1

SScvs Comparators
HR 2.2 (95% CI 1.4–3.1)

Observational data: associations, not effects.

Further findings

OutcomeHR (95% CI)
B-cell malignancies3.0 (1.7–4.8)
OutcomeMyeloid malignanciesLymphoid malignancies
Time from SSc diagnosis to malignancy presentationmedian 0.1 (IQR 8.2) years after SSc diagnosismedian 3.1 (IQR 9.5)

Haematological malignancies by sex and age (subgroups)

The incidence rate and the HR were highest in men
SSc over-representation most evident in individuals aged 18-49 years at SSc diagnosis

Original publication

Haematological malignancies in systemic sclerosis: a population-based nationwide register study. RMD Open. Published 11 November 2025. doi:10.1136/rmdopen-2025-005873

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