Lupus & antiphospholipid syndrome

Therapeutic strategies and outcomes in neuropsychiatric systemic lupus erythematosus: an international multicentre retrospective study

Rheumatology (Oxford)Published Retrospective cohort study

Authors' conclusion

NP manifestations attributed to SLE by clinical judgment and treated with immunosuppressants demonstrated improved 12-month outcomes.

Study context

Population
Patients with neuropsychiatric systemic lupus erythematosus (NPSLE) experiencing their first neuropsychiatric (NP) manifestation350 events
Outcome
Clinical outcome of NP events (physician seven-point Likert scale); predictors of clinical improvement/resolution
Follow-up
12 months
Methodological detailsinternational, multicentre, multivariable logistic regression
  • International
  • Multicentre
  • Multivariable logistic regression

Main finding

As reported in the abstract

Clinical improvement in NP manifestations

Patients with clinical improvement in NP manifestations

64%

Observational data: associations, not effects.

Further findings

Treatment

Immunosuppressants and corticosteroids more frequently initiated/escalated for SLE-attributed central diffuse or focal NP manifestations

Original publication

Therapeutic strategies and outcomes in neuropsychiatric systemic lupus erythematosus: an international multicentre retrospective study. Rheumatology (Oxford). Published 24 February 2024. doi:10.1093/rheumatology/keae119

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