Demographic and clinical characteristics of patients with the limited cutaneous form at baseline
Characteristics . | Patients with data available, n . | Total lcSSc (N = 827) . | ACA-lcSSc (n = 537) . | P-value . | ATA-lcSSc (n = 194) . | P-value . | ANA-lcSSc (n = 96) . |
---|---|---|---|---|---|---|---|
Female, n (%) | 827 | 740 (89.5) | 498 (92.7) | <0.0001 | 161 (83) | 0.766 | 81 (84.4) |
Age at RP onset, years | 820 | 45.6 (15.2) | 46.9 (15.3) | 0.284 | 44.2 (15.2) | 0.423 | 46.3 (14.5) |
Time from RP to SSc, years, median (IQR) | 820 | 1.9 (0.1–7.9) | 2.5 (0.3–9.9) | <0.0001 | 0.7 (0–3) | 0.978 | 0.8 (0–4) |
Age at SSc onset, years | 827 | 51.4 (13.7) | 53 (13.3) | <0.0001 | 46.9 (14.2) | 0.043 | 51.1 (13.3) |
Age, years | 827 | 52.8 (13.7) | 54.4 (13.3) | <0.0001 | 48.4 (14.3) | 0.05 | 52.4 (13.3) |
Disease duration, years | 827 | 1.4 (0.9) | 1.4 (0.9) | 1.000 | 1.4 (0.9) | 1.000 | 1.4 (0.8) |
BMI | 455 | 25.4 (4.9) | 25.6 (5.1) | 1.000 | 25.5 (4.7) | 1.000 | 25.1 (4.4) |
ESR >20 mm/ha, n (%) | 396 | 113 (28.5) | 65 (26) | 0.08 | 36 (35.3) | 0.344 | 12 (27.3) |
CRP elevation, n (%) | 381 | 58 (13.2) | 25 (8.8) | <0.0001 | 25 (23.6) | 0.665 | 8 (16.7) |
Hba, g/dl | 64 | 13.2 (1.3) | 13.2 (1.3) | 1.000 | 13.3 (1.3) | 0.928 | 13.7 (1.0) |
mRSS | 752 | 4.8 (4.2) | 4.3 (4) | 0.001 | 5.8 (4.8) | 1.000 | 5.1 (3.9) |
Puffy fingers (ever), n (%) | 451 | 207 (45.9) | 123 (42.4) | 0.025 | 62 (56.4) | 0.236 | 22 (43.1) |
DUs ever, n (%) | 820 | 219 (26.7) | 141 (26.5) | 0.893 | 59 (30.7) | 1.000 | 19 (20.0) |
DUs current, n (%) | 820 | 200 (24.4) | 130 (24.4) | 0.759 | 53 (27.6) | 0.315 | 17 (17.9) |
Telangiectasiaa, n (%) | 138 | 67 (48.6) | 49 (55.1) | 0.030 | 10 (30.3) | 0.360 | 8 (50) |
Joint synovitis, n (%) | 821 | 97 (11.8) | 46 (8.6) | 0.002 | 33 (17.2) | 1.000 | 18 (18.8) |
TFRs, n (%) | 819 | 25 (3.1) | 9 (1.7) | 0.008 | 11 (5.7) | 1.000 | 6 (6.3) |
Muscle weakness, n (%) | 821 | 110 (13.4) | 52 (9.8) | <0.0001 | 41 (21.1) | 0.985 | 17 (17.7) |
CK elevation, n (%) | 783 | 55 (7.0) | 18 (3.6) | <0.0001 | 25 (13.3) | 1.000 | 12 (13.3) |
GI involvement, n (%) | 826 | 492 (59.6) | 338 (63.1) | 0.015 | 101 (52.1) | 1.000 | 53 (55.2) |
GERD, n (%) | 824 | 463 (56.2) | 323 (60.5) | 0.005 | 93 (47.9) | 1.000 | 47 (49.0) |
Stomach symptoms, n (%) | 822 | 123 (15) | 74 (13.9) | 0.922 | 31 (16.1) | 1.000 | 18 (18.8) |
Intestinal symptoms, n (%) | 824 | 145 (17.6) | 94 (17.6) | 1.000 | 33 (17) | 1.000 | 18 (18.8) |
SRC, n (%) | 823 | 7 (0.9) | 2 (0.4) | 0.581 | 2 (1) | 0.395 | 3 (3.1) |
Serum creatininea, mg/dl, median (IQR) | 65 | 0.7 (0.7–0.9) | 0.8 (0.7–0.9) | 1.000 | 0.7 (0.7–0.8) | 0.054 | 0.65 (0.55–0.7) |
Proteinuria, n (%) | 781 | 22 (2.8) | 8 (1.6) | 0.011 | 10 (5.4) | 1.000 | 4 (4.4) |
ILD, n (%) | 784 | 163 (20.8) | 52 (10.3) | <0.0001 | 87 (46.3) | 0.004 | 24 (27.0) |
Restrictive LD, n (%) | 783 | 97 (12.4) | 43 (8.4) | <0.0001 | 39 (21.4) | 0.628 | 15 (16.3) |
FVC, % predicted, median (IQR) | 417 | 103 (91–115) | 106 (95–118) | <0.0001 | 95 (84.5–106) | 0.357 | 101 (85–114) |
TLCa, % predicted, median (IQR) | 287 | 99 (88–110) | 100 (90–111) | 0.012 | 93 (81–107) | 0.799 | 97 (82–110) |
DLCO, % predicted, median (IQR) | 656 | 77 (64–89) | 78 (66–90) | 0.006 | 72 (59–86) | 1.000 | 71 (58–90) |
FEV1a, % predicted, median (IQR) | 289 | 99 (86–109) | 100 (90–112) | 0.006 | 94 (83–103) | 0.565 | 98.5 (87–105) |
PHa, n (%) | 321 | 14 (4.4) | 11 (5.1) | 0.350 | 1 (1.4) | 0.439 | 2 (5.6) |
sPAPa, mmHg | 311 | 28.4 (10.7) | 28.5 (11.2) | 1.000 | 27.7 (6.7) | 1.000 | 29.3 (13.2) |
PMI, n (%) | 827 | 154 (18.1) | 100 (18.6) | 1.000 | 36 (18.6) | 1.000 | 18 (18.8) |
PMI (<45%), n (%) | 812 | 147 (17.9) | 95(18.1) | 1.000 | 34(17.8) | 1.000 | 18 (18.8) |
Ejection fractiona, % | 391 | 62.7 (5.8) | 62.7 (5.7) | 1.000 | 62.5 (6.7) | 1.000 | 63.5 (4.5) |
Cardiac blocks, n (%) | 769 | 52 (6.8) | 26 (5.2) | 0.104 | 17 (9.3) | 1.000 | 9 (10.3) |
Diastolic dysfunction, n (%) | 773 | 109 (14.1) | 77 (15.4) | 0.632 | 22 (12.3) | 1.000 | 10 (10.8) |
Pericardial effusiona, n (%) | 398 | 15 (3.8) | 9 (3.5) | 1.000 | 4 (4.1) | 0.483 | 4 (8.7) |
Any severe, n (%) | 827 | 293 (35.4) | 149 (27.7) | <0.0001 | 104 (53.6) | 0.111 | 40 (41.7) |
EScSG activity index 2001, median (IQR) | 827 | 0.5 (0–1) | 0.5 (0–0.5) | <0.0001 | 0.5 (0–1.5) | 0.126 | 0.5 (0–1) |
EScSG activity index 2016a, median (IQR) | 64 | 2.7 (1.3–3.7) | 2.4 (0.7–3.4) | 0.263 | 3.5 (1.5–5) | 0.260 | 2.4 (1.8–2.6) |
EScSG 2001 active, n (%) | 796 | 31 (3.7) | 13 (2.4) | 0.002 | 16 (8.2) | 0.214 | 2 (2.1) |
EScSG 2016 activea, n (%) | 64 | 35 (54.7) | 18 (48.6) | 0.180 | 14 (73.7) | 0.189 | 3 (37.5) |
Corticosteroids, n (%) | 827 | 174 (21) | 73 (13.6) | <0.0001 | 63 (32.5) | 0.464 | 38 (39.6) |
Prednisone equivalent, mg/day, median (IQR) | 827 | 5 (3.5–5) | 5 (2.5–5) | 0.133 | 5 (4–6) | 0.567 | 5 (3.4–5) |
Immunosuppressants, n (%) | 827 | 267 (32.3) | 124 (23.1) | <0.0001 | 90 (46.4) | 0.315 | 53 (55.2) |
Characteristics . | Patients with data available, n . | Total lcSSc (N = 827) . | ACA-lcSSc (n = 537) . | P-value . | ATA-lcSSc (n = 194) . | P-value . | ANA-lcSSc (n = 96) . |
---|---|---|---|---|---|---|---|
Female, n (%) | 827 | 740 (89.5) | 498 (92.7) | <0.0001 | 161 (83) | 0.766 | 81 (84.4) |
Age at RP onset, years | 820 | 45.6 (15.2) | 46.9 (15.3) | 0.284 | 44.2 (15.2) | 0.423 | 46.3 (14.5) |
Time from RP to SSc, years, median (IQR) | 820 | 1.9 (0.1–7.9) | 2.5 (0.3–9.9) | <0.0001 | 0.7 (0–3) | 0.978 | 0.8 (0–4) |
Age at SSc onset, years | 827 | 51.4 (13.7) | 53 (13.3) | <0.0001 | 46.9 (14.2) | 0.043 | 51.1 (13.3) |
Age, years | 827 | 52.8 (13.7) | 54.4 (13.3) | <0.0001 | 48.4 (14.3) | 0.05 | 52.4 (13.3) |
Disease duration, years | 827 | 1.4 (0.9) | 1.4 (0.9) | 1.000 | 1.4 (0.9) | 1.000 | 1.4 (0.8) |
BMI | 455 | 25.4 (4.9) | 25.6 (5.1) | 1.000 | 25.5 (4.7) | 1.000 | 25.1 (4.4) |
ESR >20 mm/ha, n (%) | 396 | 113 (28.5) | 65 (26) | 0.08 | 36 (35.3) | 0.344 | 12 (27.3) |
CRP elevation, n (%) | 381 | 58 (13.2) | 25 (8.8) | <0.0001 | 25 (23.6) | 0.665 | 8 (16.7) |
Hba, g/dl | 64 | 13.2 (1.3) | 13.2 (1.3) | 1.000 | 13.3 (1.3) | 0.928 | 13.7 (1.0) |
mRSS | 752 | 4.8 (4.2) | 4.3 (4) | 0.001 | 5.8 (4.8) | 1.000 | 5.1 (3.9) |
Puffy fingers (ever), n (%) | 451 | 207 (45.9) | 123 (42.4) | 0.025 | 62 (56.4) | 0.236 | 22 (43.1) |
DUs ever, n (%) | 820 | 219 (26.7) | 141 (26.5) | 0.893 | 59 (30.7) | 1.000 | 19 (20.0) |
DUs current, n (%) | 820 | 200 (24.4) | 130 (24.4) | 0.759 | 53 (27.6) | 0.315 | 17 (17.9) |
Telangiectasiaa, n (%) | 138 | 67 (48.6) | 49 (55.1) | 0.030 | 10 (30.3) | 0.360 | 8 (50) |
Joint synovitis, n (%) | 821 | 97 (11.8) | 46 (8.6) | 0.002 | 33 (17.2) | 1.000 | 18 (18.8) |
TFRs, n (%) | 819 | 25 (3.1) | 9 (1.7) | 0.008 | 11 (5.7) | 1.000 | 6 (6.3) |
Muscle weakness, n (%) | 821 | 110 (13.4) | 52 (9.8) | <0.0001 | 41 (21.1) | 0.985 | 17 (17.7) |
CK elevation, n (%) | 783 | 55 (7.0) | 18 (3.6) | <0.0001 | 25 (13.3) | 1.000 | 12 (13.3) |
GI involvement, n (%) | 826 | 492 (59.6) | 338 (63.1) | 0.015 | 101 (52.1) | 1.000 | 53 (55.2) |
GERD, n (%) | 824 | 463 (56.2) | 323 (60.5) | 0.005 | 93 (47.9) | 1.000 | 47 (49.0) |
Stomach symptoms, n (%) | 822 | 123 (15) | 74 (13.9) | 0.922 | 31 (16.1) | 1.000 | 18 (18.8) |
Intestinal symptoms, n (%) | 824 | 145 (17.6) | 94 (17.6) | 1.000 | 33 (17) | 1.000 | 18 (18.8) |
SRC, n (%) | 823 | 7 (0.9) | 2 (0.4) | 0.581 | 2 (1) | 0.395 | 3 (3.1) |
Serum creatininea, mg/dl, median (IQR) | 65 | 0.7 (0.7–0.9) | 0.8 (0.7–0.9) | 1.000 | 0.7 (0.7–0.8) | 0.054 | 0.65 (0.55–0.7) |
Proteinuria, n (%) | 781 | 22 (2.8) | 8 (1.6) | 0.011 | 10 (5.4) | 1.000 | 4 (4.4) |
ILD, n (%) | 784 | 163 (20.8) | 52 (10.3) | <0.0001 | 87 (46.3) | 0.004 | 24 (27.0) |
Restrictive LD, n (%) | 783 | 97 (12.4) | 43 (8.4) | <0.0001 | 39 (21.4) | 0.628 | 15 (16.3) |
FVC, % predicted, median (IQR) | 417 | 103 (91–115) | 106 (95–118) | <0.0001 | 95 (84.5–106) | 0.357 | 101 (85–114) |
TLCa, % predicted, median (IQR) | 287 | 99 (88–110) | 100 (90–111) | 0.012 | 93 (81–107) | 0.799 | 97 (82–110) |
DLCO, % predicted, median (IQR) | 656 | 77 (64–89) | 78 (66–90) | 0.006 | 72 (59–86) | 1.000 | 71 (58–90) |
FEV1a, % predicted, median (IQR) | 289 | 99 (86–109) | 100 (90–112) | 0.006 | 94 (83–103) | 0.565 | 98.5 (87–105) |
PHa, n (%) | 321 | 14 (4.4) | 11 (5.1) | 0.350 | 1 (1.4) | 0.439 | 2 (5.6) |
sPAPa, mmHg | 311 | 28.4 (10.7) | 28.5 (11.2) | 1.000 | 27.7 (6.7) | 1.000 | 29.3 (13.2) |
PMI, n (%) | 827 | 154 (18.1) | 100 (18.6) | 1.000 | 36 (18.6) | 1.000 | 18 (18.8) |
PMI (<45%), n (%) | 812 | 147 (17.9) | 95(18.1) | 1.000 | 34(17.8) | 1.000 | 18 (18.8) |
Ejection fractiona, % | 391 | 62.7 (5.8) | 62.7 (5.7) | 1.000 | 62.5 (6.7) | 1.000 | 63.5 (4.5) |
Cardiac blocks, n (%) | 769 | 52 (6.8) | 26 (5.2) | 0.104 | 17 (9.3) | 1.000 | 9 (10.3) |
Diastolic dysfunction, n (%) | 773 | 109 (14.1) | 77 (15.4) | 0.632 | 22 (12.3) | 1.000 | 10 (10.8) |
Pericardial effusiona, n (%) | 398 | 15 (3.8) | 9 (3.5) | 1.000 | 4 (4.1) | 0.483 | 4 (8.7) |
Any severe, n (%) | 827 | 293 (35.4) | 149 (27.7) | <0.0001 | 104 (53.6) | 0.111 | 40 (41.7) |
EScSG activity index 2001, median (IQR) | 827 | 0.5 (0–1) | 0.5 (0–0.5) | <0.0001 | 0.5 (0–1.5) | 0.126 | 0.5 (0–1) |
EScSG activity index 2016a, median (IQR) | 64 | 2.7 (1.3–3.7) | 2.4 (0.7–3.4) | 0.263 | 3.5 (1.5–5) | 0.260 | 2.4 (1.8–2.6) |
EScSG 2001 active, n (%) | 796 | 31 (3.7) | 13 (2.4) | 0.002 | 16 (8.2) | 0.214 | 2 (2.1) |
EScSG 2016 activea, n (%) | 64 | 35 (54.7) | 18 (48.6) | 0.180 | 14 (73.7) | 0.189 | 3 (37.5) |
Corticosteroids, n (%) | 827 | 174 (21) | 73 (13.6) | <0.0001 | 63 (32.5) | 0.464 | 38 (39.6) |
Prednisone equivalent, mg/day, median (IQR) | 827 | 5 (3.5–5) | 5 (2.5–5) | 0.133 | 5 (4–6) | 0.567 | 5 (3.4–5) |
Immunosuppressants, n (%) | 827 | 267 (32.3) | 124 (23.1) | <0.0001 | 90 (46.4) | 0.315 | 53 (55.2) |
Values are presented as mean (s.d.) unless stated otherwise.
Data available in less than half of patients.
Significant P-values (<0.05) are in bold.
CK: creatine kinase; DLCO: diffusing capacity for carbon monoxide; DUs: digital ulcers; EScSG: European Scleroderma Study Group; FEV1: forced expiratory volume in the first second; FVC: forced vital capacity; GI: gastrointestinal; GERD: gastroesophageal reflux disease; Hb: haemoglobin; ILD: interstitial lung disease; LD: lung disease; sPAP: systolic pulmonary artery pressure; immunosuppressants: CYC, SSZ, HCQ, MTX, LEF, AZA, MMF, ciclosporin A, d-penicillamine, rituximab, imatinib, anti-TNF inhibitors, tocilizumab or abatacept; mRSS: modified Rodnan Skin Score; PH: pulmonary hypertension; PMI: primary myocardial involvement; SRC: scleroderma renal crisis; TFRs: tendon friction rubs; TLC: total lung capacity.
Demographic and clinical characteristics of patients with the limited cutaneous form at baseline
Characteristics . | Patients with data available, n . | Total lcSSc (N = 827) . | ACA-lcSSc (n = 537) . | P-value . | ATA-lcSSc (n = 194) . | P-value . | ANA-lcSSc (n = 96) . |
---|---|---|---|---|---|---|---|
Female, n (%) | 827 | 740 (89.5) | 498 (92.7) | <0.0001 | 161 (83) | 0.766 | 81 (84.4) |
Age at RP onset, years | 820 | 45.6 (15.2) | 46.9 (15.3) | 0.284 | 44.2 (15.2) | 0.423 | 46.3 (14.5) |
Time from RP to SSc, years, median (IQR) | 820 | 1.9 (0.1–7.9) | 2.5 (0.3–9.9) | <0.0001 | 0.7 (0–3) | 0.978 | 0.8 (0–4) |
Age at SSc onset, years | 827 | 51.4 (13.7) | 53 (13.3) | <0.0001 | 46.9 (14.2) | 0.043 | 51.1 (13.3) |
Age, years | 827 | 52.8 (13.7) | 54.4 (13.3) | <0.0001 | 48.4 (14.3) | 0.05 | 52.4 (13.3) |
Disease duration, years | 827 | 1.4 (0.9) | 1.4 (0.9) | 1.000 | 1.4 (0.9) | 1.000 | 1.4 (0.8) |
BMI | 455 | 25.4 (4.9) | 25.6 (5.1) | 1.000 | 25.5 (4.7) | 1.000 | 25.1 (4.4) |
ESR >20 mm/ha, n (%) | 396 | 113 (28.5) | 65 (26) | 0.08 | 36 (35.3) | 0.344 | 12 (27.3) |
CRP elevation, n (%) | 381 | 58 (13.2) | 25 (8.8) | <0.0001 | 25 (23.6) | 0.665 | 8 (16.7) |
Hba, g/dl | 64 | 13.2 (1.3) | 13.2 (1.3) | 1.000 | 13.3 (1.3) | 0.928 | 13.7 (1.0) |
mRSS | 752 | 4.8 (4.2) | 4.3 (4) | 0.001 | 5.8 (4.8) | 1.000 | 5.1 (3.9) |
Puffy fingers (ever), n (%) | 451 | 207 (45.9) | 123 (42.4) | 0.025 | 62 (56.4) | 0.236 | 22 (43.1) |
DUs ever, n (%) | 820 | 219 (26.7) | 141 (26.5) | 0.893 | 59 (30.7) | 1.000 | 19 (20.0) |
DUs current, n (%) | 820 | 200 (24.4) | 130 (24.4) | 0.759 | 53 (27.6) | 0.315 | 17 (17.9) |
Telangiectasiaa, n (%) | 138 | 67 (48.6) | 49 (55.1) | 0.030 | 10 (30.3) | 0.360 | 8 (50) |
Joint synovitis, n (%) | 821 | 97 (11.8) | 46 (8.6) | 0.002 | 33 (17.2) | 1.000 | 18 (18.8) |
TFRs, n (%) | 819 | 25 (3.1) | 9 (1.7) | 0.008 | 11 (5.7) | 1.000 | 6 (6.3) |
Muscle weakness, n (%) | 821 | 110 (13.4) | 52 (9.8) | <0.0001 | 41 (21.1) | 0.985 | 17 (17.7) |
CK elevation, n (%) | 783 | 55 (7.0) | 18 (3.6) | <0.0001 | 25 (13.3) | 1.000 | 12 (13.3) |
GI involvement, n (%) | 826 | 492 (59.6) | 338 (63.1) | 0.015 | 101 (52.1) | 1.000 | 53 (55.2) |
GERD, n (%) | 824 | 463 (56.2) | 323 (60.5) | 0.005 | 93 (47.9) | 1.000 | 47 (49.0) |
Stomach symptoms, n (%) | 822 | 123 (15) | 74 (13.9) | 0.922 | 31 (16.1) | 1.000 | 18 (18.8) |
Intestinal symptoms, n (%) | 824 | 145 (17.6) | 94 (17.6) | 1.000 | 33 (17) | 1.000 | 18 (18.8) |
SRC, n (%) | 823 | 7 (0.9) | 2 (0.4) | 0.581 | 2 (1) | 0.395 | 3 (3.1) |
Serum creatininea, mg/dl, median (IQR) | 65 | 0.7 (0.7–0.9) | 0.8 (0.7–0.9) | 1.000 | 0.7 (0.7–0.8) | 0.054 | 0.65 (0.55–0.7) |
Proteinuria, n (%) | 781 | 22 (2.8) | 8 (1.6) | 0.011 | 10 (5.4) | 1.000 | 4 (4.4) |
ILD, n (%) | 784 | 163 (20.8) | 52 (10.3) | <0.0001 | 87 (46.3) | 0.004 | 24 (27.0) |
Restrictive LD, n (%) | 783 | 97 (12.4) | 43 (8.4) | <0.0001 | 39 (21.4) | 0.628 | 15 (16.3) |
FVC, % predicted, median (IQR) | 417 | 103 (91–115) | 106 (95–118) | <0.0001 | 95 (84.5–106) | 0.357 | 101 (85–114) |
TLCa, % predicted, median (IQR) | 287 | 99 (88–110) | 100 (90–111) | 0.012 | 93 (81–107) | 0.799 | 97 (82–110) |
DLCO, % predicted, median (IQR) | 656 | 77 (64–89) | 78 (66–90) | 0.006 | 72 (59–86) | 1.000 | 71 (58–90) |
FEV1a, % predicted, median (IQR) | 289 | 99 (86–109) | 100 (90–112) | 0.006 | 94 (83–103) | 0.565 | 98.5 (87–105) |
PHa, n (%) | 321 | 14 (4.4) | 11 (5.1) | 0.350 | 1 (1.4) | 0.439 | 2 (5.6) |
sPAPa, mmHg | 311 | 28.4 (10.7) | 28.5 (11.2) | 1.000 | 27.7 (6.7) | 1.000 | 29.3 (13.2) |
PMI, n (%) | 827 | 154 (18.1) | 100 (18.6) | 1.000 | 36 (18.6) | 1.000 | 18 (18.8) |
PMI (<45%), n (%) | 812 | 147 (17.9) | 95(18.1) | 1.000 | 34(17.8) | 1.000 | 18 (18.8) |
Ejection fractiona, % | 391 | 62.7 (5.8) | 62.7 (5.7) | 1.000 | 62.5 (6.7) | 1.000 | 63.5 (4.5) |
Cardiac blocks, n (%) | 769 | 52 (6.8) | 26 (5.2) | 0.104 | 17 (9.3) | 1.000 | 9 (10.3) |
Diastolic dysfunction, n (%) | 773 | 109 (14.1) | 77 (15.4) | 0.632 | 22 (12.3) | 1.000 | 10 (10.8) |
Pericardial effusiona, n (%) | 398 | 15 (3.8) | 9 (3.5) | 1.000 | 4 (4.1) | 0.483 | 4 (8.7) |
Any severe, n (%) | 827 | 293 (35.4) | 149 (27.7) | <0.0001 | 104 (53.6) | 0.111 | 40 (41.7) |
EScSG activity index 2001, median (IQR) | 827 | 0.5 (0–1) | 0.5 (0–0.5) | <0.0001 | 0.5 (0–1.5) | 0.126 | 0.5 (0–1) |
EScSG activity index 2016a, median (IQR) | 64 | 2.7 (1.3–3.7) | 2.4 (0.7–3.4) | 0.263 | 3.5 (1.5–5) | 0.260 | 2.4 (1.8–2.6) |
EScSG 2001 active, n (%) | 796 | 31 (3.7) | 13 (2.4) | 0.002 | 16 (8.2) | 0.214 | 2 (2.1) |
EScSG 2016 activea, n (%) | 64 | 35 (54.7) | 18 (48.6) | 0.180 | 14 (73.7) | 0.189 | 3 (37.5) |
Corticosteroids, n (%) | 827 | 174 (21) | 73 (13.6) | <0.0001 | 63 (32.5) | 0.464 | 38 (39.6) |
Prednisone equivalent, mg/day, median (IQR) | 827 | 5 (3.5–5) | 5 (2.5–5) | 0.133 | 5 (4–6) | 0.567 | 5 (3.4–5) |
Immunosuppressants, n (%) | 827 | 267 (32.3) | 124 (23.1) | <0.0001 | 90 (46.4) | 0.315 | 53 (55.2) |
Characteristics . | Patients with data available, n . | Total lcSSc (N = 827) . | ACA-lcSSc (n = 537) . | P-value . | ATA-lcSSc (n = 194) . | P-value . | ANA-lcSSc (n = 96) . |
---|---|---|---|---|---|---|---|
Female, n (%) | 827 | 740 (89.5) | 498 (92.7) | <0.0001 | 161 (83) | 0.766 | 81 (84.4) |
Age at RP onset, years | 820 | 45.6 (15.2) | 46.9 (15.3) | 0.284 | 44.2 (15.2) | 0.423 | 46.3 (14.5) |
Time from RP to SSc, years, median (IQR) | 820 | 1.9 (0.1–7.9) | 2.5 (0.3–9.9) | <0.0001 | 0.7 (0–3) | 0.978 | 0.8 (0–4) |
Age at SSc onset, years | 827 | 51.4 (13.7) | 53 (13.3) | <0.0001 | 46.9 (14.2) | 0.043 | 51.1 (13.3) |
Age, years | 827 | 52.8 (13.7) | 54.4 (13.3) | <0.0001 | 48.4 (14.3) | 0.05 | 52.4 (13.3) |
Disease duration, years | 827 | 1.4 (0.9) | 1.4 (0.9) | 1.000 | 1.4 (0.9) | 1.000 | 1.4 (0.8) |
BMI | 455 | 25.4 (4.9) | 25.6 (5.1) | 1.000 | 25.5 (4.7) | 1.000 | 25.1 (4.4) |
ESR >20 mm/ha, n (%) | 396 | 113 (28.5) | 65 (26) | 0.08 | 36 (35.3) | 0.344 | 12 (27.3) |
CRP elevation, n (%) | 381 | 58 (13.2) | 25 (8.8) | <0.0001 | 25 (23.6) | 0.665 | 8 (16.7) |
Hba, g/dl | 64 | 13.2 (1.3) | 13.2 (1.3) | 1.000 | 13.3 (1.3) | 0.928 | 13.7 (1.0) |
mRSS | 752 | 4.8 (4.2) | 4.3 (4) | 0.001 | 5.8 (4.8) | 1.000 | 5.1 (3.9) |
Puffy fingers (ever), n (%) | 451 | 207 (45.9) | 123 (42.4) | 0.025 | 62 (56.4) | 0.236 | 22 (43.1) |
DUs ever, n (%) | 820 | 219 (26.7) | 141 (26.5) | 0.893 | 59 (30.7) | 1.000 | 19 (20.0) |
DUs current, n (%) | 820 | 200 (24.4) | 130 (24.4) | 0.759 | 53 (27.6) | 0.315 | 17 (17.9) |
Telangiectasiaa, n (%) | 138 | 67 (48.6) | 49 (55.1) | 0.030 | 10 (30.3) | 0.360 | 8 (50) |
Joint synovitis, n (%) | 821 | 97 (11.8) | 46 (8.6) | 0.002 | 33 (17.2) | 1.000 | 18 (18.8) |
TFRs, n (%) | 819 | 25 (3.1) | 9 (1.7) | 0.008 | 11 (5.7) | 1.000 | 6 (6.3) |
Muscle weakness, n (%) | 821 | 110 (13.4) | 52 (9.8) | <0.0001 | 41 (21.1) | 0.985 | 17 (17.7) |
CK elevation, n (%) | 783 | 55 (7.0) | 18 (3.6) | <0.0001 | 25 (13.3) | 1.000 | 12 (13.3) |
GI involvement, n (%) | 826 | 492 (59.6) | 338 (63.1) | 0.015 | 101 (52.1) | 1.000 | 53 (55.2) |
GERD, n (%) | 824 | 463 (56.2) | 323 (60.5) | 0.005 | 93 (47.9) | 1.000 | 47 (49.0) |
Stomach symptoms, n (%) | 822 | 123 (15) | 74 (13.9) | 0.922 | 31 (16.1) | 1.000 | 18 (18.8) |
Intestinal symptoms, n (%) | 824 | 145 (17.6) | 94 (17.6) | 1.000 | 33 (17) | 1.000 | 18 (18.8) |
SRC, n (%) | 823 | 7 (0.9) | 2 (0.4) | 0.581 | 2 (1) | 0.395 | 3 (3.1) |
Serum creatininea, mg/dl, median (IQR) | 65 | 0.7 (0.7–0.9) | 0.8 (0.7–0.9) | 1.000 | 0.7 (0.7–0.8) | 0.054 | 0.65 (0.55–0.7) |
Proteinuria, n (%) | 781 | 22 (2.8) | 8 (1.6) | 0.011 | 10 (5.4) | 1.000 | 4 (4.4) |
ILD, n (%) | 784 | 163 (20.8) | 52 (10.3) | <0.0001 | 87 (46.3) | 0.004 | 24 (27.0) |
Restrictive LD, n (%) | 783 | 97 (12.4) | 43 (8.4) | <0.0001 | 39 (21.4) | 0.628 | 15 (16.3) |
FVC, % predicted, median (IQR) | 417 | 103 (91–115) | 106 (95–118) | <0.0001 | 95 (84.5–106) | 0.357 | 101 (85–114) |
TLCa, % predicted, median (IQR) | 287 | 99 (88–110) | 100 (90–111) | 0.012 | 93 (81–107) | 0.799 | 97 (82–110) |
DLCO, % predicted, median (IQR) | 656 | 77 (64–89) | 78 (66–90) | 0.006 | 72 (59–86) | 1.000 | 71 (58–90) |
FEV1a, % predicted, median (IQR) | 289 | 99 (86–109) | 100 (90–112) | 0.006 | 94 (83–103) | 0.565 | 98.5 (87–105) |
PHa, n (%) | 321 | 14 (4.4) | 11 (5.1) | 0.350 | 1 (1.4) | 0.439 | 2 (5.6) |
sPAPa, mmHg | 311 | 28.4 (10.7) | 28.5 (11.2) | 1.000 | 27.7 (6.7) | 1.000 | 29.3 (13.2) |
PMI, n (%) | 827 | 154 (18.1) | 100 (18.6) | 1.000 | 36 (18.6) | 1.000 | 18 (18.8) |
PMI (<45%), n (%) | 812 | 147 (17.9) | 95(18.1) | 1.000 | 34(17.8) | 1.000 | 18 (18.8) |
Ejection fractiona, % | 391 | 62.7 (5.8) | 62.7 (5.7) | 1.000 | 62.5 (6.7) | 1.000 | 63.5 (4.5) |
Cardiac blocks, n (%) | 769 | 52 (6.8) | 26 (5.2) | 0.104 | 17 (9.3) | 1.000 | 9 (10.3) |
Diastolic dysfunction, n (%) | 773 | 109 (14.1) | 77 (15.4) | 0.632 | 22 (12.3) | 1.000 | 10 (10.8) |
Pericardial effusiona, n (%) | 398 | 15 (3.8) | 9 (3.5) | 1.000 | 4 (4.1) | 0.483 | 4 (8.7) |
Any severe, n (%) | 827 | 293 (35.4) | 149 (27.7) | <0.0001 | 104 (53.6) | 0.111 | 40 (41.7) |
EScSG activity index 2001, median (IQR) | 827 | 0.5 (0–1) | 0.5 (0–0.5) | <0.0001 | 0.5 (0–1.5) | 0.126 | 0.5 (0–1) |
EScSG activity index 2016a, median (IQR) | 64 | 2.7 (1.3–3.7) | 2.4 (0.7–3.4) | 0.263 | 3.5 (1.5–5) | 0.260 | 2.4 (1.8–2.6) |
EScSG 2001 active, n (%) | 796 | 31 (3.7) | 13 (2.4) | 0.002 | 16 (8.2) | 0.214 | 2 (2.1) |
EScSG 2016 activea, n (%) | 64 | 35 (54.7) | 18 (48.6) | 0.180 | 14 (73.7) | 0.189 | 3 (37.5) |
Corticosteroids, n (%) | 827 | 174 (21) | 73 (13.6) | <0.0001 | 63 (32.5) | 0.464 | 38 (39.6) |
Prednisone equivalent, mg/day, median (IQR) | 827 | 5 (3.5–5) | 5 (2.5–5) | 0.133 | 5 (4–6) | 0.567 | 5 (3.4–5) |
Immunosuppressants, n (%) | 827 | 267 (32.3) | 124 (23.1) | <0.0001 | 90 (46.4) | 0.315 | 53 (55.2) |
Values are presented as mean (s.d.) unless stated otherwise.
Data available in less than half of patients.
Significant P-values (<0.05) are in bold.
CK: creatine kinase; DLCO: diffusing capacity for carbon monoxide; DUs: digital ulcers; EScSG: European Scleroderma Study Group; FEV1: forced expiratory volume in the first second; FVC: forced vital capacity; GI: gastrointestinal; GERD: gastroesophageal reflux disease; Hb: haemoglobin; ILD: interstitial lung disease; LD: lung disease; sPAP: systolic pulmonary artery pressure; immunosuppressants: CYC, SSZ, HCQ, MTX, LEF, AZA, MMF, ciclosporin A, d-penicillamine, rituximab, imatinib, anti-TNF inhibitors, tocilizumab or abatacept; mRSS: modified Rodnan Skin Score; PH: pulmonary hypertension; PMI: primary myocardial involvement; SRC: scleroderma renal crisis; TFRs: tendon friction rubs; TLC: total lung capacity.
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