Lupus & antiphospholipid syndrome

Serological clusters in systemic lupus erythematosus and its clinical and prognostic implications: A longitudinal cohort study

Semin Arthritis RheumPublished Longitudinal cohort study

Authors' conclusion

In our SLE patient population, the serological profile is key not only for clinical stratification but also for prognostic value.

Study context

Population
Systemic lupus erythematosus (SLE) patients from the Spanish Registry RELESSER718 in prospective phase
Participants
1,740 patients
Exposure
Four serological clusters of SLE patients
Outcome
Clinical characteristics of serological clusters
Methodological detailsdescriptive, observational, multicentre, cluster analysis (Gower distance)
  • Descriptive
  • Observational
  • Multicentre
  • Cluster analysis (Gower distance)

Main finding

As reported in the abstract

Four serological clusters identified
Four

Observational data: associations, not effects.

Further findings

Damage and severity · baseline, persisting over 4-year follow-up

Cluster 2 had higher baseline damage scores (SLICC/ACR DI)
Cluster 4 had higher severity scores (Katz Index)
Differences among clusters persisted over the four-year follow-up

Original publication

Serological clusters in systemic lupus erythematosus and its clinical and prognostic implications: A longitudinal cohort study. Semin Arthritis Rheum. Published 28 August 2025. doi:10.1016/j.semarthrit.2025.152819

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