To determine the frequency of musculoskeletal system damage among patients in the Hopkins Lupus Cohort, over time, and to determine predictors of musculoskeletal damage (including avascular necrosis of bone, osteoporosis, and fracture) in the same cohort.
Evaluation of the cohort visit database (from 1989 or at the time of entry into the cohort if later than 1989) for the 407 patients with systemic lupus erythematosus (SLE).
Musculoskeletal damage was measured by the SLICC/ACR Damage Index.
Total damage and musculoskeletal damage accumulated from the time of diagnosis of SLE, and musculoskeletal damage continued over time, with avascular necrosis of bone being the most common form.
African-Americans and SLE patients of lower socioeconomic status were more likely to experience musculoskeletal damage.
Use of corticosteroids was a major risk factor for both avascular necrosis of bone and osteoporosis.
Musculoskeletal damage remains one of the major sequela of SLE.
Reduction of the modifiable risk factors (especially prednisone dose) is the key to both primary and secondary prevention efforts.
Mots-clés Pascal : Lupus érythémateux, Disséminé, Complication, Arthrite, Articulation, Arthralgie, Myosite, Epidémiologie, Homme, Etude cohorte, Etats Unis, Amérique du Nord, Amérique, Douleur, Peau pathologie, Tissu conjonctif pathologie, Maladie système, Maladie autoimmune, Immunopathologie, Système ostéoarticulaire pathologie, Arthropathie, Muscle strié pathologie
Mots-clés Pascal anglais : Lupus erythematosus, Disseminated, Complication, Arthritis, Joint, Arthralgia, Myositis, Epidemiology, Human, Cohort study, United States, North America, America, Pain, Skin disease, Connective tissue disease, Systemic disease, Autoimmune disease, Immunopathology, Diseases of the osteoarticular system, Arthropathy, Striated muscle disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0512615
Code Inist : 002B07. Création : 01/03/1996.