Inflammatory myopathies

Unique characteristics of anti-MDA-5 associated dermatomyositis in Southern California with a large Hispanic population

Semin Arthritis RheumPublished Retrospective case series

Authors' conclusion

ILD was the most common presentation of anti-MDA-5 dermatomyositis in our cohort and was associated with higher ferritin levels. Hispanic patients had a younger age of diagnosis than non-Hispanic patients. Necrotic skin lesions and inflammatory arthritis were frequently seen.

Study context

Population
Patients diagnosed with anti-MDA-5 DM, June 2015 to March 2023, four medical centres in Los Angeles, California; majority Hispanic population21 female (70 %)
Participants
30 patients
Exposure
Hispanic vs Non-Hispanic
  • Hispanicn = 22
Outcome
Clinical characteristics of anti-MDA-5 DM
Methodological detailsmulticentre
  • Multicentre

Main finding

As reported in the abstract

Hispanic
22 (73 %)
Median age
40.5 years
Hispanic patients diagnosed at younger age than non-Hispanic
p = 0.025
Inflammatory arthritis prominent; more males than females affected
p = 0.027
Amyopathic
13 (43 %)
Interstitial lung disease (ILD)
25 (83.3 %)
Higher ferritin level associated with ILD
p = 0.049
Deaths
6 (20 %)
Deaths ascribed to rapidly progressive ILD
5 (17 %)

Observational data: associations, not effects.

Original publication

Unique characteristics of anti-MDA-5 associated dermatomyositis in Southern California with a large Hispanic population. Semin Arthritis Rheum. Published 15 March 2024. doi:10.1016/j.semarthrit.2024.152434

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