Systemic sclerosis & Raynaud's

Pulmonary involvement in systemic sclerosis: can sex play a role?

Rheumatology (Oxford)Published Retrospective cohort study

Authors' conclusion

Our results showed that, although ILD is more common in male SSc patients, SAD was more prevalent among female individuals. Importantly, female sex remained an independent predictor of SAD.

Study context

Population
Consecutive patients with systemic sclerosis (SSc) visiting the authors' department up to January 2024female-to-male ratio 6:1
Participants
393 patients
Exposure
Female vs male patients with SSc
Outcome
Pulmonary involvement, primarily small airway disease (SAD)
Methodological detailsconsecutive patients, multivariate analysis
  • Consecutive patients
  • Multivariate analysis

Main finding

As reported in the abstract

Small airway involvement
  • Female patients had a lower maximal-mid expiratory flow rate (MMEF)
  • Female patients had a higher ratio of residual volume to total lung capacity
  • Sex remained an independent predictor of MMEF in multivariate analysis

Observational data: associations, not effects.

Further findings

ILD

Male patients had a higher prevalence of ILD and shorter time until ILD diagnosis

Other disease features

Median time to diagnosis after Raynaud's onset significantly longer for female patients
ECG abnormalities more common in male patients
Telangiectasias, calcinosis and arthralgias more common in female patients

Original publication

Pulmonary involvement in systemic sclerosis: can sex play a role? Rheumatology (Oxford). Published 25 November 2024. doi:10.1093/rheumatology/keae639

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

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