Prevalence of concomitant rheumatologic diseases and autoantibody specificities among racial and ethnic groups in SLE patients

ObjectiveLeveraging the Manhattan Lupus Surveillance Program (MLSP), a population-based registry of cases of systemic lupus erythematosus (SLE) and related diseases, we investigated the proportion of SLE with concomitant rheumatic diseases, including Sjögren’s disease (SjD), antiphospholipid syndrom...

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Main Authors: Brendan Denvir, Philip M. Carlucci, Kelly Corbitt, Jill P. Buyon, H. Michael Belmont, Heather T. Gold, Jane E. Salmon, Anca Askanase, Joan M. Bathon, Laura Geraldino-Pardilla, Yousaf Ali, Ellen M. Ginzler, Chaim Putterman, Caroline Gordon, Kamil E. Barbour, Charles G. Helmick, Hilary Parton, Peter M. Izmirly
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-03-01
Series:Frontiers in Epidemiology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fepid.2024.1334859/full
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author Brendan Denvir
Philip M. Carlucci
Kelly Corbitt
Jill P. Buyon
H. Michael Belmont
Heather T. Gold
Jane E. Salmon
Anca Askanase
Joan M. Bathon
Laura Geraldino-Pardilla
Yousaf Ali
Ellen M. Ginzler
Chaim Putterman
Caroline Gordon
Kamil E. Barbour
Charles G. Helmick
Hilary Parton
Peter M. Izmirly
author_facet Brendan Denvir
Philip M. Carlucci
Kelly Corbitt
Jill P. Buyon
H. Michael Belmont
Heather T. Gold
Jane E. Salmon
Anca Askanase
Joan M. Bathon
Laura Geraldino-Pardilla
Yousaf Ali
Ellen M. Ginzler
Chaim Putterman
Caroline Gordon
Kamil E. Barbour
Charles G. Helmick
Hilary Parton
Peter M. Izmirly
author_sort Brendan Denvir
collection DOAJ
description ObjectiveLeveraging the Manhattan Lupus Surveillance Program (MLSP), a population-based registry of cases of systemic lupus erythematosus (SLE) and related diseases, we investigated the proportion of SLE with concomitant rheumatic diseases, including Sjögren’s disease (SjD), antiphospholipid syndrome (APLS), and fibromyalgia (FM), as well as the prevalence of autoantibodies in SLE by sex and race/ethnicity.MethodsPrevalent SLE cases fulfilled one of three sets of classification criteria. Additional rheumatic diseases were defined using modified criteria based on data available in the MLSP: SjD (anti-SSA/Ro positive and evidence of keratoconjunctivitis sicca and/or xerostomia), APLS (antiphospholipid antibody positive and evidence of a blood clot), and FM (diagnosis in the chart).Results1,342 patients fulfilled SLE classification criteria. Of these, SjD was identified in 147 (11.0%, 95% CI 9.2–12.7%) patients with women and non-Latino Asian patients being the most highly represented. APLS was diagnosed in 119 (8.9%, 95% CI 7.3–10.5%) patients with the highest frequency in Latino patients. FM was present in 120 (8.9%, 95% CI 7.3–10.5) patients with non-Latino White and Latino patients having the highest frequency. Anti-dsDNA antibodies were most prevalent in non-Latino Asian, Black, and Latino patients while anti-Sm antibodies showed the highest proportion in non-Latino Black and Asian patients. Anti-SSA/Ro and anti-SSB/La antibodies were most prevalent in non-Latino Asian patients and least prevalent in non-Latino White patients. Men were more likely to be anti-Sm positive.ConclusionData from the MLSP revealed differences among patients classified as SLE in the prevalence of concomitant rheumatic diseases and autoantibody profiles by sex and race/ethnicity underscoring comorbidities associated with SLE.
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spelling doaj.art-e3b479c4958641598efa1d20dfa4338b2024-08-03T08:17:49ZengFrontiers Media S.A.Frontiers in Epidemiology2674-11992024-03-01410.3389/fepid.2024.13348591334859Prevalence of concomitant rheumatologic diseases and autoantibody specificities among racial and ethnic groups in SLE patientsBrendan Denvir0Philip M. Carlucci1Kelly Corbitt2Jill P. Buyon3H. Michael Belmont4Heather T. Gold5Jane E. Salmon6Anca Askanase7Joan M. Bathon8Laura Geraldino-Pardilla9Yousaf Ali10Ellen M. Ginzler11Chaim Putterman12Caroline Gordon13Kamil E. Barbour14Charles G. Helmick15Hilary Parton16Peter M. Izmirly17Department of Medicine, New York University Grossman School of Medicine, New York, NY, United StatesDepartment of Medicine, New York University Grossman School of Medicine, New York, NY, United StatesDivision of Rheumatology, Department of Medicine, New York University Grossman School of Medicine, New York, NY, United StatesDivision of Rheumatology, Department of Medicine, New York University Grossman School of Medicine, New York, NY, United StatesDivision of Rheumatology, Department of Medicine, New York University Grossman School of Medicine, New York, NY, United StatesDepartment of Population Health, New York University Grossman School of Medicine, New York, NY, United StatesDivision of Rheumatology, Department of Medicine, Hospital for Special Surgery, Weill Cornell Medical College, New York, NY, United StatesDivision of Rheumatology, Department of Medicine, Columbia University College of Physicians & Surgeons, New York, NY, United StatesDivision of Rheumatology, Department of Medicine, Columbia University College of Physicians & Surgeons, New York, NY, United StatesDivision of Rheumatology, Department of Medicine, Columbia University College of Physicians & Surgeons, New York, NY, United StatesDivision of Rheumatology, Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, United StatesDivision of Rheumatology, Department of Medicine, SUNY Downstate Health Sciences University, Brooklyn, NY, United StatesAzrieli Faculty of Medicine, Zefat, IsraelRheumatology Research Group, Institute of Inflammation and Ageing, College of Medical and Dental Sciences, University of Birmingham, Birmingham, United Kingdom0Division of Population Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA, United States0Division of Population Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA, United States1Division of Disease Control, Bureau of Communicable Disease, New York City Department of Health and Mental Hygiene, Long Island City, NY, United StatesDivision of Rheumatology, Department of Medicine, New York University Grossman School of Medicine, New York, NY, United StatesObjectiveLeveraging the Manhattan Lupus Surveillance Program (MLSP), a population-based registry of cases of systemic lupus erythematosus (SLE) and related diseases, we investigated the proportion of SLE with concomitant rheumatic diseases, including Sjögren’s disease (SjD), antiphospholipid syndrome (APLS), and fibromyalgia (FM), as well as the prevalence of autoantibodies in SLE by sex and race/ethnicity.MethodsPrevalent SLE cases fulfilled one of three sets of classification criteria. Additional rheumatic diseases were defined using modified criteria based on data available in the MLSP: SjD (anti-SSA/Ro positive and evidence of keratoconjunctivitis sicca and/or xerostomia), APLS (antiphospholipid antibody positive and evidence of a blood clot), and FM (diagnosis in the chart).Results1,342 patients fulfilled SLE classification criteria. Of these, SjD was identified in 147 (11.0%, 95% CI 9.2–12.7%) patients with women and non-Latino Asian patients being the most highly represented. APLS was diagnosed in 119 (8.9%, 95% CI 7.3–10.5%) patients with the highest frequency in Latino patients. FM was present in 120 (8.9%, 95% CI 7.3–10.5) patients with non-Latino White and Latino patients having the highest frequency. Anti-dsDNA antibodies were most prevalent in non-Latino Asian, Black, and Latino patients while anti-Sm antibodies showed the highest proportion in non-Latino Black and Asian patients. Anti-SSA/Ro and anti-SSB/La antibodies were most prevalent in non-Latino Asian patients and least prevalent in non-Latino White patients. Men were more likely to be anti-Sm positive.ConclusionData from the MLSP revealed differences among patients classified as SLE in the prevalence of concomitant rheumatic diseases and autoantibody profiles by sex and race/ethnicity underscoring comorbidities associated with SLE.https://www.frontiersin.org/articles/10.3389/fepid.2024.1334859/fullsystemic lupus erythematosusSjögren's diseaseantiphospholipid syndromefibromyalgiaautoantibodies
spellingShingle Brendan Denvir
Philip M. Carlucci
Kelly Corbitt
Jill P. Buyon
H. Michael Belmont
Heather T. Gold
Jane E. Salmon
Anca Askanase
Joan M. Bathon
Laura Geraldino-Pardilla
Yousaf Ali
Ellen M. Ginzler
Chaim Putterman
Caroline Gordon
Kamil E. Barbour
Charles G. Helmick
Hilary Parton
Peter M. Izmirly
Prevalence of concomitant rheumatologic diseases and autoantibody specificities among racial and ethnic groups in SLE patients
Frontiers in Epidemiology
systemic lupus erythematosus
Sjögren's disease
antiphospholipid syndrome
fibromyalgia
autoantibodies
title Prevalence of concomitant rheumatologic diseases and autoantibody specificities among racial and ethnic groups in SLE patients
title_full Prevalence of concomitant rheumatologic diseases and autoantibody specificities among racial and ethnic groups in SLE patients
title_fullStr Prevalence of concomitant rheumatologic diseases and autoantibody specificities among racial and ethnic groups in SLE patients
title_full_unstemmed Prevalence of concomitant rheumatologic diseases and autoantibody specificities among racial and ethnic groups in SLE patients
title_short Prevalence of concomitant rheumatologic diseases and autoantibody specificities among racial and ethnic groups in SLE patients
title_sort prevalence of concomitant rheumatologic diseases and autoantibody specificities among racial and ethnic groups in sle patients
topic systemic lupus erythematosus
Sjögren's disease
antiphospholipid syndrome
fibromyalgia
autoantibodies
url https://www.frontiersin.org/articles/10.3389/fepid.2024.1334859/full
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