Lupus & antiphospholipid syndrome

Progression of atherosclerotic plaques over 3 years in patients with systemic lupus erythematosus is inversely associated with continuous hydroxychloroquine treatment

Scand J RheumatolPublished Prospective cohort study

Main finding · Atherosclerotic plaque progressionResult — go to the resultB −2.5

Authors' conclusion

Despite quiescent disease state, atherosclerosis progresses over time in patients with SLE.

Study context

Population
Well-characterized patients with systemic lupus erythematosus (SLE) assessed twice, 3 years apart, with high-frequency ultrasound (HFUS) for intima-media thickness (IMT) and atherosclerotic plaques50 females
Participants
57 patients
Exposure
Hydroxychloroquine use vs no hydroxychloroquine at follow-up
Outcome
Atherosclerotic plaque progression (predictors)
Follow-up
3 years
Methodological details3-year follow-up, multivariable logistic regression
  • 3-year follow-up
  • Multivariable logistic regression

Main finding

Atherosclerotic plaque progression · 3 year follow-up

B

−2.5

P = 0.047

As reported in the abstract

Plaque progression
27 (47.4%)
Atherosclerotic plaques at follow-up
29/57 (50.9%)

Observational data: associations, not effects.

Further findings

Common carotid IMT in patients with plaque progression · 3 year follow-up

IMT increased significantly in patients with plaque progression
P = 0.04

OxyP vs plaque progression or damage accrual

OxyP not significantly associated with plaque progression or damage accrual

Original publication

Progression of atherosclerotic plaques over 3 years in patients with systemic lupus erythematosus is inversely associated with continuous hydroxychloroquine treatment. Scand J Rheumatol. Published 5 November 2025. doi:10.1080/03009742.2025.2570588

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