Lupus & antiphospholipid syndrome

Retrospective cohort study identifying pulmonary complications in a cohort of patients with systemic lupus erythematosus

LupusPublished Retrospective cohort study

Authors' conclusion

While our study is limited by the retrospective nature, our results show that certain factors, namely smoking, older age, or male sex should prompt clinicians to have a higher suspicion for lung disease in SLE patients.

Study context

Population
Adults (>18 years) with systemic lupus erythematosus (SLE) confirmed by a rheumatologist (SLICC or 2019 ACR/EULAR criteria) with imaging; mean age 42.5 years, 86.7% femalepatients with imaging
Participants
220 adults
Outcome
Pulmonary manifestations on CT and chest X-ray and associated risk factors
Methodological detailselectronic health record data, generalized estimating equations
  • Electronic health record data
  • Generalized estimating equations

Main finding

As reported in the abstract

Factors associated with pulmonary disease on imaging
  • Smoking (present/prior) associated with radiologist-reported disease on computerized tomography (CT)
  • Smoking (present/prior), older age and male sex associated with pulmonary disease on chest X-ray

Observational data: associations, not effects.

Further findings

Most common findings on CT and X-ray

Increased lung density (CT, X-ray)
24%, 12%
Atelectasis (CT, X-ray)
18%, 10%

Most common disease on CT

Pleural effusion
24%
Mediastinal/axillary lymphadenopathy
16%

Original publication

Retrospective cohort study identifying pulmonary complications in a cohort of patients with systemic lupus erythematosus. Lupus. Published 12 August 2024. doi:10.1177/09612033241273071

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

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.