Inflammatory myopathies

Interstitial lung disease in adult patients with anti-NXP2 antibody positivity: a multicentre 18-month follow-up study

Clin Exp RheumatolPublished Retrospective cohort study

Authors' conclusion

Adult patients with anti-NXP2 antibody positivity mainly had dermatomyositis. Concurrent ILD is not uncommon, but clinical manifestations are often latent. NSIP and/or OP are the most common patterns. ILD is more common in older age groups.

Study context

Population
Hospitalised adults with anti-NXP2 antibody positivity at three tertiary rheumatology centres, June 2017 to December 202029 with DM
Participants
33 adults
Exposure
Interstitial lung disease (ILD) vs non-ILD in anti-NXP2-positive patients
  • ILDn = 14
Outcome
Pulmonary lesions
Methodological detailsmulticentre, three tertiary rheumatology centres
  • Multicentre
  • Three tertiary rheumatology centres

Main finding

As reported in the abstract

ILD (various types)
14/33, 42.4%
Bilateral pleural effusion
2/33, 6.1%
Diffuse alveolar haemorrhage
1/33, 3%
Respiratory symptoms at onset
3/33, 9.1%
Non-specific interstitial pneumonia (NSIP) and/or organising pneumonia (OP) among ILD
11/14, 78.6%

Observational data: associations, not effects.

Further findings

OutcomeP value
All-cause deathNo associationlog-rank p=0.84
Age, ILD vs non-ILD — Age the only independent predictor for ILD (logistic regression) · ILD older
P = 0.008 · P = 0.002

All-cause death

None of the deaths directly related to ILD

Original publication

Interstitial lung disease in adult patients with anti-NXP2 antibody positivity: a multicentre 18-month follow-up study. Clin Exp Rheumatol. Published 18 February 2022. doi:10.55563/clinexprheumatol/lqjx4h

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