Vasculitis & polymyalgia rheumatica

Pulmonary arterial wall thickness increased in Behçet’s disease patients with major organ involvement: Is it a sign of severity?

Rheumatology (Oxford)Published Cross-sectional study

Authors' conclusion

We observed that PA wall thickness was significantly higher in BD with major organ involvement compared with patients with only mucocutaneous limited disease, HCs and NIPE.

Study context

Population
Patients with behçet's disease (BD), patients with non-inflammatory pulmonary embolism (NIPE) and healthy controls (HCs)
Participants
77 / 33 / 57
Exposure
BD vs NIPE vs healthy controls
  • BDn = 77
  • NIPEn = 33
  • HCsn = 57reference
Outcome
PA wall thickness by thickness by transthoracic echocardiography (TTE), measured at the mid-portion of the main PA
Methodological detailsechocardiographers blinded to cases
  • Echocardiographers blinded to cases

Main finding

As reported in the abstract

PA wall thickness (TTE)

HCs vs NIPE: P < 0.001 · HCs vs BD: P < 0.001 · BD vs NIPE: P = 0.6

Observational data: associations, not effects.

Further findings

OutcomeValuesP value
PA wall thickness in BD: major organ involvement vs mucocutaneous limited disease (subgroup)Major organ involvement vs mucocutaneous limited disease · significantly higher with major organ involvementmajor organ involvement 4.7 (SD 0.4) mm · mucocutaneous limited disease 3.7 (SD 0.4) mmP < 0.001
PA wall thickness in BD: major organ involvement vs mucocutaneous limited disease (subgroup)Major organ involvement vs HCsP < 0.001
PA wall thickness in BD: major organ involvement vs mucocutaneous limited disease (subgroup)Major organ involvement vs NIPEP = 0.006
PA wall thickness in BD: vascular vs non-vascular major organ involvement (subgroup)Comparablevascular 4.6 (SD 0.5) mmP = 0.3

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Pulmonary arterial wall thickness increased in Behçet’s disease patients with major organ involvement: Is it a sign of severity? Rheumatology (Oxford). Published 9 August 2022. doi:10.1093/rheumatology/keac452

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