Vasculitis & polymyalgia rheumatica

Serum Wnt3A levels are significantly associated with cross-sectional vasculitis activity and end-stage kidney disease during follow-up of patients with antineutrophil cytoplasmic antibody-associated vasculitis

Clin Exp RheumatolPublished Prospective cohort study

Main finding · ESKDResult — go to the resultRelative risk 3.867

Authors' conclusion

This study is the first to demonstrate the clinical potential of serum Wnt3A levels at diagnosis for estimating cross-sectional activity and partially predicting the advancement to ESKD during follow-up in patients with AAV.

Study context

Population
Patients newly diagnosed with AAV at a tertiary hospital (median age 63.5 years; 40% male)
Participants
80 patients
Exposure
Serum Wnt3A ≥407.1 pg/mL vs lower serum Wnt3A levels
Outcome
Association of serum Wnt3A at diagnosis with cross-sectional activity (BVAS) and poor outcomes (all-cause mortality, ESKD) during follow-up
Methodological detailssingle-centre
  • Single-centre

Main finding

ESKD

Relative risk

3.867

As reported in the abstract

Observational data: associations, not effects.

Further findings

Correlation with acute-phase reactants and serum albumin

Serum Wnt3A at diagnosis significantly correlated with cross-sectional acute-phase reactants and serum albumin

Original publication

Serum Wnt3A levels are significantly associated with cross-sectional vasculitis activity and end-stage kidney disease during follow-up of patients with antineutrophil cytoplasmic antibody-associated vasculitis. Clin Exp Rheumatol. Published 4 July 2024. doi:10.55563/clinexprheumatol/i8jnvc

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