Lupus & antiphospholipid syndrome

Reduced circulating Tregs and positive perinuclear antineutrophil cytoplasmic antibody (pANCA) were robustly associated with the occurrence of antiphospholipid syndrome in patients with systemic lupus erythematosus

LupusPublished Retrospective study

Authors' conclusion

The present study revealed a robust association between APS secondary to SLE and reduced Tregs and positive pANCA, which provides essential information regarding the diagnosis and therapeutic possibilities of APS secondary to SLE.

Study context

Population
Patients with systemic lupus erythematosus (SLE) with or without antiphospholipid syndrome (APS)
Exposure
SLE with APS vs SLE without APS
Outcome
Independent risk factors for SLE secondary APS

Main finding

As reported in the abstract

  • Reduced Tregs and positive pANCA were independent risk factors for SLE secondary APS

Observational data: associations, not effects.

Further findings

Clinical features, Systemic lupus erythematosus with APS (SLE-APS) vs without APS

SLE-APS had elevated SLEDAI scores, hospitalization costs and time, and frequencies of CNS symptoms and spontaneous abortion

Antibody positivity, SLE-APS vs None-APS

SLE-APS had higher positive aCL, anti-β2 glycoprotein 1 antibodies and pANCA

Circulating lymphocyte subsets vs healthy controls (HCs)

Altered to some extent in all patients, especially SLE-APS

Original publication

Reduced circulating Tregs and positive pANCA were robustly associated with the occurrence of antiphospholipid syndrome in patients with systemic lupus erythematosus. Lupus. Published 13 April 2023. doi:10.1177/09612033231171287

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

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