Lupus & antiphospholipid syndrome

Utility of pan-immune-inflammation value as a predictor of the prognosis of childhood lupus

LupusPublished Retrospective cohort study

Authors' conclusion

Our work suggests the PIIV might be a reasonable predictor for organ involvement and disease activity in newly diagnosed cSLE

Study context

Population
Childhood SLE (cSLE) patients meeting EULAR/ACR-19 criteria, immunosuppressive drug-naïve at diagnosis, minimal follow-up 12 months, participating centres January 2010–December 2022104 female
Participants
125 patients
Outcome
Disease activity (SLEDAI-2K) and organ involvement predicted by PIIV at diagnosis
Follow-up
12 months
Methodological detailsobservational, multicentre
  • Observational
  • Multicentre

Main finding

As reported in the abstract

Prediction of disease activity, PIIV cut-off 250
GroupCut-offSensitivitySpecificity
Pan-immune inflammation value (PIIV)25045%86%

Pan-immune inflammation value (PIIV)

Cut-off250
Sensitivity45%
Specificity86%

Observational data: associations, not effects.

Further findings

OutcomeValues
PIIV at diagnosisPIIV median 139 (IQR 229.6)

SLEDAI at diagnosis and 12 months

Median SLEDAI at diagnosis
12 (IQR 6.5)
Median SLEDAI at 12 months
3.5 (IQR 7.0)

Most frequent organ involvement at 12 months

Renal
40.0%
Hematological
39.2%
Musculoskeletal
15.2%
Mucocutaneous
10.4%

Original publication

Utility of pan-immune-inflammation value as a predictor of the prognosis of childhood lupus. Lupus. Published 16 August 2024. doi:10.1177/09612033241275227

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