Lupus & antiphospholipid syndrome

Maternal Anti‐Ro Antibody Titers Obtained With Commercially Available Immunoassays Are Strongly Associated With Immune‐Mediated Fetal Heart Disease

Arthritis RheumatolPublished Prospective cohort study

Main finding · CNL event rate by anti-Ro 60 titer, group 1 mothers with additional testing (n=122; 9 CNL)Result — go to the resultOdds ratio 13.1

Authors' conclusion

CNL is associated with substantially higher anti-Ro antibody titers than are obtained using a standard CIA.

Study context

Population
Anti-Ro antibody-positive mothers referred since 2018 for fetal echocardiography27 mothers with fetal CNL
Participants
240 vs 18
Exposure
Anti-Ro 60 antibody titer categories in anti-Ro-positive mothers
  • Group 1n = 240
  • Group 2n = 18
Outcome
Association between maternal anti-Ro antibody titers and fetal cardiac manifestations of neonatal lupus (CNL)

Main finding

As reported in the abstract

CNL event rate by anti-Ro 60 titer, group 1 mothers with additional testing (n=122; 9 CNL)

Odds ratio

13.1

P = 0.0008

Events by group

Observational data: associations, not effects.

Further findings

Anti-Ro 60 titer distribution, group 2 mothers with primary CNL diagnosis

Original publication

Maternal Anti‐Ro Antibody Titers Obtained With Commercially Available Immunoassays Are Strongly Associated With Immune‐Mediated Fetal Heart Disease. Arthritis Rheumatol. Published 11 June 2023. doi:10.1002/art.42513

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