Baixo estado de atividade da doença e avaliação de dano permanente em pacientes ambulatoriais com lúpus eritematoso sistêmico

Autores/as

  • Tulio Mendes Quito Alves Pontifícia Universidade Católica de São Paulo, Centro de Ciências Médicas e da Saúde, Departamento de Medicina. Conjunto Hospitalar de Sorocaba. https://orcid.org/0000-0001-7528-9927
  • Wilson Nunes Neto Pontifícia Universidade Católica de São Paulo, Centro de Ciências Médicas e da Saúde, Departamento de Medicina. Conjunto Hospitalar de Sorocaba. https://orcid.org/0000-0002-7063-9112
  • Ricardo Duarte Louro Corrêa de Freita Pontifícia Universidade Católica de São Paulo, Centro de Ciências Médicas e da Saúde, Departamento de Medicina. Conjunto Hospitalar de Sorocaba. https://orcid.org/0000-0001-9948-7215
  • Gilberto Santos Novaes Pontifícia Universidade Católica de São Paulo, Centro de Ciências Médicas e da Saúde, Departamento de Medicina. Conjunto Hospitalar de Sorocaba. https://orcid.org/0000-0003-4574-6255

DOI:

https://doi.org/10.24220/2318-0897v32a2023e5507

Palabras clave:

Patient damage, Inflammation, Systemic Lupus Erythematosus

Resumen

Objective
Verify the association between low disease activity and damage accrual in Systemic Lupus Erythematosus patients.
Methods
We evaluated 60 patients following the Rheumatology Out patient Clinic with American College of Rheumatology and European League Against Rheumatism of Systemic Lupus Erythematosus diagnostic criteria. We evaluated clinical and demographic data like gender, age, and disease duration. We evaluated disease activity using the Systemic Lupus Erythematosus Low disease activity score, and damage accrual we evaluated using the Systemic Lupus International Collaborating Clinics/American College of Rheumatology Damage Index for systemic lupus erythematosus. The Chi-Square test realized statistical analysis, and a level of 0.05 was considered significant.
Results
On 60 patients studied, we found lupus low disease activity state in 45 (75%) and 15 (25%) were in disease activity. Concerning damage accrual, we found that 11 (42.3%) had damage, and 40 (66,6%) did not have damage. Five patients with damage did not have disease activity, and 40 with no activity did not have damage. Of patients with disease activity, 11 we found with damage, and no damage was found in nine. Females predominate in this population with 98.3% of patients; the mean age was 43.4 years old, and the mean disease duration was 12.8 years. The statistical analysis results showed an association between low disease activity and no damage accrual in SLE patients (p<0.005).
Conclusion
Our results demonstrated an association between low disease activity and no damage accrual in systemic lupus erythematosus patients.

Descargas

Los datos de descargas todavía no están disponibles.

Citas

Bouali H, Gilkeson G. New therapies and preventive strategies to treat and minimize damage in lupus. Curr Rheumatol Rep. 2005;7(6):457-62. https://doi.org/10.1007/s11926-005-0052-5 DOI: https://doi.org/10.1007/s11926-005-0052-5

Arnaud L, Tektonidou MG. Long-term outcomes in systemic lupus erythematosus: trends over time and major contributors. Rheumatology (Oxford). 2020;59(Suppl5):29-38. https://doi.org/10.1093/rheumatology/keaa382 DOI: https://doi.org/10.1093/rheumatology/keaa382

Franklyn K, Lau CS, Navarra SV, Louthrenoo W, Lateef A, Hamijoyo L, et al. Definition and initial validation of a Lupus Low Disease Activity State (LLDAS). Ann Rheum Dis. 2016;75:1615-21. https://doi.org/10.1136/annrheumdis-2015-207726 DOI: https://doi.org/10.1136/annrheumdis-2015-207726

Golder V, Kandane-Rathnayake R, Huq M, Nim HT, Louthrenoo W, Luo SF, et al. Lupus low disease activity state as a treatment endpoint for systemic lupus erythematosus: a prospective validation study. Lancet Rheumatol. 2019;1:e95-102. https://doi.org/10.1016/52665-9913(19)30037-23 DOI: https://doi.org/10.1016/S2665-9913(19)30037-2

Ramirez GA, Canti V, Moiola L, Magnoni M, Rovere-Querini P, Coletto LA, et al. Performance of SLE responder index and lupus low disease activity state in real life: a prospective cohort study. Int J Rheum Dis. 2019;22(9):1752-61. https://doi.org/10.1111/1756-185X.13663 DOI: https://doi.org/10.1111/1756-185X.13663

Koelmeyer R, Nim HT, Nikpour M, Sun YB, Kao A, Guenther O, et al. High disease activity status suggests more severe disease and damage accrual in systemic lupus erythematosus. Lupus Sci Med. 2020;7:e000372. https://doi.org/10.1136/lupus-2019-000372 DOI: https://doi.org/10.1136/lupus-2019-000372

Tselios K, Gladman DD, Urowitz MB. How can we define low disease activity in systemic lupus erythematosus? Semin Arthritis Rheum. 2019;48:1035-40. https://doi.org/10.1016/semarthrit.2018.10.013 DOI: https://doi.org/10.1016/j.semarthrit.2018.10.013

Golder V, Tsang-A-Sjoe MWP. Treatment targets in SLE: remission and low disease activity state. Rheumatology (Oxford). 2020;59:v19-v28. https://doi.org/10.1093/rheumatology/keaa420 DOI: https://doi.org/10.1093/rheumatology/keaa420

Ugarte-Gil MF, Mendoza-Pinto C, Reátegui-Sokolova C, Pons-Estel GJ, van Vollenhoven RF, Bertsias G, et al. Achieving remission or low disease acitivity is associated with better outcomes in patients with systemic lupus erythematosus: a systematic literature review. Lupus Sci Med. 2021;8:e000542. https://doi.org/10.1136/lupus-2021-000542 DOI: https://doi.org/10.1136/lupus-2021-000542

Gladman D, Ginzler E, Goldsmith C, Fortin P, Liang M, Urowitz M, et al. The development and initial validation of the systemic lupus international collaborating clinics/American college of rheumatology damage index for systemic lupus erythematosus. Arthritis Rheum. 1996;39:363-9. https://doi.org/10.1002/art.17803903039 DOI: https://doi.org/10.1002/art.1780390303

Aringer M, Costenbader K, Daikh D, Brinks R, Mosca M, Ramsey-Goldman R, et al. 2019 European League Against Rheumatism/American College of Rheumatology classification criteria for systemic lupus erythematosus. Arthritis Rheumatol. 2019;71:1400-12. https://doi.org/10.1002/art.40930 DOI: https://doi.org/10.1002/art.40930

Castrejón I, Tani C, Jolly M, Huang A, Mosca M. Indices to access patients with systemic lupus erythematosus in clinical trials, long-term observational studies, and clinical care. Clin Exp Rheumatol. 2014;32(Suppl 85):S85-95.

Morand EF, Trasieva T, Berglind A, Illei GG, Tummala R. Lupus low disease activity state (LLDAS) attainment discriminates reponders in a systemic lupus erythematosus trial: post-hoc analysis of the Phase IIb MUSE trial of anifrolumab. Ann Rheum Dis. 2018;77:706-13. https://doi.org/10.1136/annrheumdis-2017-212504 DOI: https://doi.org/10.1136/annrheumdis-2017-212504

Rivest C, Lew RA, Welsing PM, Sangha O, Wright EA, Roberts WN, et al. Association between clinical factors, socioeconomic status, and organ damage in recent onset systemic lupus erythematosus. J Rheumatol. 2000;27:680-4.

Babaoglu H, Li J, Goldman D, Magder LS, Petri M. Predictors of predominant lupus low disease activity state (LLDAS-50). Lupus. 2019;28:1648-55. https://doi.org/10.1177/0961203319886028 DOI: https://doi.org/10.1177/0961203319886028

Al Sawah S, Shang X, Zhu B, Magder LS, Foster SA, Ikuni N, et al. Effect of corticosteroid use by dose on the risk of developing organ damage over time in systemic lupus erythematosus – the Hopkins Lupus Cohort. Lupus Science & Medicine. 2015;2:e000066. https://doi.org/10.11.1136/lupus-2014-000066 DOI: https://doi.org/10.1136/lupus-2014-000066

Publicado

2023-01-01

Cómo citar

Alves, T. M. Q., Neto, W. N., Freita, R. D. L. C. de, & Novaes, G. S. (2023). Baixo estado de atividade da doença e avaliação de dano permanente em pacientes ambulatoriais com lúpus eritematoso sistêmico. Revista De Ciências Médicas, 32. https://doi.org/10.24220/2318-0897v32a2023e5507

Número

Sección

Artigos Originais