Table 5.

Therapeutic management of CV in SLE patients

TotalActive SLEInactive SLEP-valuea
(n = 38)(n = 15)(n = 23)
First-line treatment
 Prednisone introduced or increased27/37 (73)b14 (93)13/22 (59)c0.03
 Prednisone, median (IQR), mg/day20 (3.5–60)50 (10–60)20 (0–60)c0.09
 Intravenous methylprednisolone bolus16/37 (43)c8 (53)8/22 (36)c0.33
 Hydroxychloroquine11/37 (30)c,d5 (33)6/22 (27)c0.73
 Colchicine3/37 (8)c1 (7)2/22 (9)c1
 Antihistamines6/37 (16)c1 (7)5/22 (23)c0.37
Immunosuppressive treatment20/37 (54)c11 (73)9/22 (41)c0.09
 Rituximab6/37 (16)c2 (13)4/22 (18)c1
 Mycophenolate mofetil6/37 (16)c,e4 (27)2/22 (9)c0.19
 Methotrexate4/37 (11)c2 (13)2/22 (9)c1
 Azathioprine3/37 (8)c2 (13)1/22 (4)c0.55
 Cyclophosphamide2/37 (5)c1 (7)1/22 (4)c1
 Belimumab1/37 (3)c1 (7)0/22 (0)c0.40
 Baricitinib1/37 (3)c1 (7)0/22 (0)c0.40
TotalActive SLEInactive SLEP-valuea
(n = 38)(n = 15)(n = 23)
First-line treatment
 Prednisone introduced or increased27/37 (73)b14 (93)13/22 (59)c0.03
 Prednisone, median (IQR), mg/day20 (3.5–60)50 (10–60)20 (0–60)c0.09
 Intravenous methylprednisolone bolus16/37 (43)c8 (53)8/22 (36)c0.33
 Hydroxychloroquine11/37 (30)c,d5 (33)6/22 (27)c0.73
 Colchicine3/37 (8)c1 (7)2/22 (9)c1
 Antihistamines6/37 (16)c1 (7)5/22 (23)c0.37
Immunosuppressive treatment20/37 (54)c11 (73)9/22 (41)c0.09
 Rituximab6/37 (16)c2 (13)4/22 (18)c1
 Mycophenolate mofetil6/37 (16)c,e4 (27)2/22 (9)c0.19
 Methotrexate4/37 (11)c2 (13)2/22 (9)c1
 Azathioprine3/37 (8)c2 (13)1/22 (4)c0.55
 Cyclophosphamide2/37 (5)c1 (7)1/22 (4)c1
 Belimumab1/37 (3)c1 (7)0/22 (0)c0.40
 Baricitinib1/37 (3)c1 (7)0/22 (0)c0.40

Data are n (%), unless stated otherwise. Active SLE was defined according to SELENA-SLEDAI score ≥ 6 after excluding the vasculitis item.

a

Comparing active SLE to inactive SLE patient.

b

Prednisone introduction or increase was associated with immunosuppressant treatment (excluding antimalarials and colchicine) in 17.

c

Positive/number of patients evaluated.

d

Nine patients had a diagnosis of SLE simultaneously with CV and two had previously diagnosed SLE but undetectable HCQ blood concentration despite a prescription and were therefore considered not receiving HCQ. All but one received another treatment in addition to hydroxychloroquine.

e

Two patients received rituximab followed by mycophenolate mofetil. One received cyclophosphamide followed by mycophenolate mofetil. Variables with P < 0.05 on univariate analysis are highlighted in bold. IQR: interquartile range.

Table 5.

Therapeutic management of CV in SLE patients

TotalActive SLEInactive SLEP-valuea
(n = 38)(n = 15)(n = 23)
First-line treatment
 Prednisone introduced or increased27/37 (73)b14 (93)13/22 (59)c0.03
 Prednisone, median (IQR), mg/day20 (3.5–60)50 (10–60)20 (0–60)c0.09
 Intravenous methylprednisolone bolus16/37 (43)c8 (53)8/22 (36)c0.33
 Hydroxychloroquine11/37 (30)c,d5 (33)6/22 (27)c0.73
 Colchicine3/37 (8)c1 (7)2/22 (9)c1
 Antihistamines6/37 (16)c1 (7)5/22 (23)c0.37
Immunosuppressive treatment20/37 (54)c11 (73)9/22 (41)c0.09
 Rituximab6/37 (16)c2 (13)4/22 (18)c1
 Mycophenolate mofetil6/37 (16)c,e4 (27)2/22 (9)c0.19
 Methotrexate4/37 (11)c2 (13)2/22 (9)c1
 Azathioprine3/37 (8)c2 (13)1/22 (4)c0.55
 Cyclophosphamide2/37 (5)c1 (7)1/22 (4)c1
 Belimumab1/37 (3)c1 (7)0/22 (0)c0.40
 Baricitinib1/37 (3)c1 (7)0/22 (0)c0.40
TotalActive SLEInactive SLEP-valuea
(n = 38)(n = 15)(n = 23)
First-line treatment
 Prednisone introduced or increased27/37 (73)b14 (93)13/22 (59)c0.03
 Prednisone, median (IQR), mg/day20 (3.5–60)50 (10–60)20 (0–60)c0.09
 Intravenous methylprednisolone bolus16/37 (43)c8 (53)8/22 (36)c0.33
 Hydroxychloroquine11/37 (30)c,d5 (33)6/22 (27)c0.73
 Colchicine3/37 (8)c1 (7)2/22 (9)c1
 Antihistamines6/37 (16)c1 (7)5/22 (23)c0.37
Immunosuppressive treatment20/37 (54)c11 (73)9/22 (41)c0.09
 Rituximab6/37 (16)c2 (13)4/22 (18)c1
 Mycophenolate mofetil6/37 (16)c,e4 (27)2/22 (9)c0.19
 Methotrexate4/37 (11)c2 (13)2/22 (9)c1
 Azathioprine3/37 (8)c2 (13)1/22 (4)c0.55
 Cyclophosphamide2/37 (5)c1 (7)1/22 (4)c1
 Belimumab1/37 (3)c1 (7)0/22 (0)c0.40
 Baricitinib1/37 (3)c1 (7)0/22 (0)c0.40

Data are n (%), unless stated otherwise. Active SLE was defined according to SELENA-SLEDAI score ≥ 6 after excluding the vasculitis item.

a

Comparing active SLE to inactive SLE patient.

b

Prednisone introduction or increase was associated with immunosuppressant treatment (excluding antimalarials and colchicine) in 17.

c

Positive/number of patients evaluated.

d

Nine patients had a diagnosis of SLE simultaneously with CV and two had previously diagnosed SLE but undetectable HCQ blood concentration despite a prescription and were therefore considered not receiving HCQ. All but one received another treatment in addition to hydroxychloroquine.

e

Two patients received rituximab followed by mycophenolate mofetil. One received cyclophosphamide followed by mycophenolate mofetil. Variables with P < 0.05 on univariate analysis are highlighted in bold. IQR: interquartile range.

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