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Five factor score of more than 1 is associated with relapse during the first 2 year-follow up in patients with eosinophilic granulomatosis with polyangiitis

Authors
 Dae Sik Kim  ;  Jason Jungsik Song  ;  Yong‐Beom Park  ;  Sang‐Won Lee 
Citation
 International Journal of Rheumatic Diseases, Vol.20(9) : 1261-1268, 2017 
Journal Title
 International Journal of Rheumatic Diseases 
ISSN
 1756-1841 
Issue Date
2017
Keywords
MPO-ANCA ; Relapse ; eosinophilic granulomatosis with polyangiitis ; kidney involvement
Abstract
AIM: We investigated what variables at diagnosis might be associated with the relapse of eosinophilic granulomatosis with polyangiitis (EGPA) and whether five factor score (FFS) at diagnosis might predict it. METHODS: We reviewed the medical records of 30 patients with EGPA having results of myeloperoxidase (MPO)-antineutrophil cytoplasmic antibodies (ANCA) and proteinase 3 (PR3)-ANCA and having achieved remission during the first therapeutic regimen administration within follow-up duration for at least more than 2 years. Clinical manifestations, the presence of relapse and items for FFS at diagnosis were collected and compared among groups. RESULTS: The mean age of patients (18 women) was 50.3 years and the mean follow-up duration was 2175 days. EGPA patients having MPO-ANCA had shown higher frequency of skin involvement and proteinuria over 1 g/day than those having PR3-ANCA and no ANCA. EGPA patients with relapse had more frequent baseline MPO-ANCA and kidney involvement,including proteinuria over 1 g/day and renal insufficiency and higher FFS at diagnosis than those without. However, only FFS showed the predictive significance for relapse (Exp(B) 2.624, P = 0.014) on Cox Hazard model analysis. When the cutoff of FFS for the relapse was set as 1, relapse was identified more frequently in patients with FFS ≥ 1 than those with FFS <1 (68.8% vs. 7.1%, P = 0.001; relative risk 28.6). CONCLUSION: In this study, FFS at diagnosis was associated with relapse and FFS ≥ 1 was the independent predictor of relapse during follow-up for more than 2 years.
URI
http://ir.ymlib.yonsei.ac.kr/handle/22282913/160981
DOI
10.1111/1756-185X.13056
Appears in Collections:
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실)
Yonsei Authors
박용범(Park, Yong Beom) ; 송정식(Song, Jung Sik) ; 이상원(Lee, Sang Won)
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Full Text
https://onlinelibrary.wiley.com/doi/abs/10.1111/1756-185X.13056
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