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Author:

Pan, Ying (Pan, Ying.) | Sun, Yining (Sun, Yining.) | He, Lan (He, Lan.)

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SCIE PubMed Web of Science

Abstract:

Aim To investigate the predictive factors of pulmonary arterial hypertension (PAH) in systemic lupus erythematosus (SLE) patients. Method This chart review study included 408 SLE patients. We defined PAH as 2 consecutive systolic pulmonary arterial pressure (PAP) values >= 40 mm Hg by echocardiography. Demographic characteristics, clinical symptoms, autoantibodies, and laboratory tests were studied. Results Thirty-four patients in the SLE/PAH+ group and 374 patients in the SLE/PAH- group were analyzed. The prevalence of PAH in SLE is 8.3% in this study. The occurrences of interstitial pneumonitis, polyserositis and myocardial damage were higher in the SLE/PAH+ group (P = .001, P = .033 and P < .001, respectively). The occurrence of anti-double-stranded DNA and anti-ribosomal RNA protein (anti-rRNP) antibodies were lower in the SLE/PAH+ group (P = .003, .010). Positive rates of anti-Sjogren's syndrome antigen A (anti-SSA)/Ro52 antibodies and anti-SSB antibodies were higher in the SLE/PAH+ group (P = .046, .021). C-reactive protein and immunoglobin G (IgG) were higher in the SLE/PAH+ group (P = .009, .005). Ejection fraction and SLE disease activity index between the 2 groups had no differences. Multivariable logistic regression indicated that interstitial pneumonitis, myocardial damage and high IgG are predictive factors for SLE-associated PAH patients. Conclusion From this study, we found that interstitial pneumonitis, myocardial damage, and high IgG were predictive factors of PAH in SLE patients.

Keyword:

autoantibodies predictive factors pulmonary arterial hypertension systemic lupus erythematosus

Author Community:

  • [ 1 ] [Pan, Ying]Xi An Jiao Tong Univ, Dept Rheumatol & Immunol, Affiliated Hosp 1, Yanta West Rd 277, Xian, Shaanxi, Peoples R China
  • [ 2 ] [Sun, Yining]Xi An Jiao Tong Univ, Dept Rheumatol & Immunol, Affiliated Hosp 1, Yanta West Rd 277, Xian, Shaanxi, Peoples R China
  • [ 3 ] [He, Lan]Xi An Jiao Tong Univ, Dept Rheumatol & Immunol, Affiliated Hosp 1, Yanta West Rd 277, Xian, Shaanxi, Peoples R China

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Source :

INTERNATIONAL JOURNAL OF RHEUMATIC DISEASES

ISSN: 1756-1841

Year: 2021

Issue: 1

Volume: 25

Page: 76-82

2 . 4 5 4

JCR@2020

ESI Discipline: CLINICAL MEDICINE;

ESI HC Threshold:26

Cited Count:

WoS CC Cited Count: 0

SCOPUS Cited Count: 6

ESI Highly Cited Papers on the List: 0 Unfold All

WanFang Cited Count:

Chinese Cited Count:

30 Days PV: 8

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