Pediatric rheumatology

Juvenile Dermatomyositis in Afro-Caribbean children: a cohort study in the French West Indies

Pediatr Rheumatol Online JPublished Retrospective cohort study

Authors' conclusion

They had higher rate of calcinosis and similar respiratory involvement. Overall outcomes during childhood were similar to North America and European countries.

Study context

Population
Afro-Caribbean children with Juvenile Dermatomyositis (JDM) followed up in the French West Indies, 2000–202323 year-period
Participants
21 children
Outcome
Clinical and biological features during childhood
Methodological detailsmultiple-source case ascertainment, ILAR criteria
  • Multiple-source case ascertainment
  • ILAR criteria

Main finding

As reported in the abstract

Median age at onset (Range: 2.5-13.9)
8.1 years
Median follow up (Range: 2-19)
8 years
Dysphagia at onset
14/21
Respiratory involvement
33%
Specific autoantibodies, most frequently anti-Mi-2 (13 patients)
58%
Median number of flares during childhood (1-9)
3
Calcinosis lesions during childhood
76%

Observational data: associations, not effects.

Further findings

Number of flares, boys vs girls · childhood

P = 0.04

Needing more than one background therapy, boys vs girls · childhood

P = 0.03

Original publication

Juvenile Dermatomyositis in Afro-Caribbean children: a cohort study in the French West Indies. Pediatr Rheumatol Online J. Published 7 October 2023. doi:10.1186/s12969-023-00904-w

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