Systemic sclerosis & Raynaud's

Late skin fibrosis in systemic sclerosis: a study from the EUSTAR cohort

Rheumatology (Oxford)Published Cohort study

Authors' conclusion

Late skin fibrosis is not uncommon in SSc.

Study context

Population
Patients with systemic sclerosis (SSc) in the EUSTAR database with complete modified Rodnan skin score (mRSS); late skin fibrosis defined as >5 years after first non-RP featureout of 19,115 in database
Participants
1,043 patients
Outcome
Prevalence and characteristics of late skin fibrosis (mRSS worsening ≥5 units or ≥25%)
Follow-up
>5 years after first non-RP feature
Methodological detailsEUSTAR database, multicentre
  • EUSTAR database
  • Multicentre

Main finding

As reported in the abstract

Late mRSS worsening

mRSS worsening, whole cohort

n = 208/1043, 19.9%

mRSS worsening, lcSSc or dcSSc at baseline

n = 193/887, 21.8%

Observational data: associations, not effects.

Further findings

Characteristics of late skin fibrosis

Largely due to new skin worsening after the 5-year window or failure to improve with worsening within the 5-year window
Lower baseline mRSS and lcSSc more likely to develop late skin fibrosis
Anti-Scl-70 associated with progression from baseline lcSSc to dcSSc; anticentromere protective

Original publication

Late skin fibrosis in systemic sclerosis: a study from the EUSTAR cohort. Rheumatology (Oxford). Published 22 June 2022. doi:10.1093/rheumatology/keac363

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

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