Systemic sclerosis & Raynaud's

High prevalence and incidence of systemic sclerosis in Reunion Island, a French multi-ethnical and tropical territory

Semin Arthritis RheumPublished Retrospective cohort study

Authors' conclusion

Our study revealed high prevalence and incidence of SSc in Reunion Island which is consistent with the frequently described higher frequency among patients of African origin.

Study context

Population
Systemic sclerosis (SSc) cases (ACR/EULAR 2013 criteria), Reunion Island, 2005–2021175 SSc, 32 MCTD
Participants
207 cases
Exposure
lcSSc vs dcSSc vs ssSSc vs MCTD
  • lcSScn = 108
  • dcSScn = 58
  • ssSScn = 9
  • MCTDn = 32
Outcome
SSc prevalence (2021) and mean annual incidence (2005-2021), adjusted to WHO standards
Follow-up
2021
Methodological detailsmultiple-source case retrieval, WHO standard adjustment
  • Multiple-source case retrieval
  • WHO standard adjustment

Main finding

As reported in the abstract

Prevalence per 100,000 inhabitants in 2021 (95 %IC: 26.1-35.8)

30.9

Mean annual incidence per 100,000 inhabitants/year, 2005-2021 (95 %IC: 1.81-2.45)

2.13

Observational data: associations, not effects.

Further findings

Survival after diagnosis

5-year survival rate
0.93
10-year survival rate
0.82

Clinical features by phototype

Darker phototypes presented more frequently with PAH
Lighter phototypes had more severe gastro-intestinal manifestations and anti-centromere antibody positivity
  • Phototypes determined in 102, ethnicity in 86 patients

Original publication

High prevalence and incidence of systemic sclerosis in Reunion Island, a French multi-ethnical and tropical territory. Semin Arthritis Rheum. Published 19 November 2024. doi:10.1016/j.semarthrit.2024.152594

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