Potential of Krebs von den Lungen-6 as a predictor of relapse in interstitial pneumonia with anti-aminoacyl tRNA synthetase antibodies-positive dermatomyositis

Autor: Tohru Takeuchi, Takuya Kotani, Shigeki Makino, Takaaki Ishida, Hiroshi Fujiwara, Kentaro Isoda, Takeshi Shoda, Junichi Konma, Shigeki Arawaka, Kenichiro Hata, Kenichiro Otani
Rok vydání: 2018
Předmět:
Zdroj: The Clinical Respiratory Journal. 12:2235-2241
ISSN: 1752-6981
Popis: OBJECTIVE To identify a predictor of relapse in interstitial pneumonia (IP) in patients with anti-aminoacyl tRNA synthetase antibodies-positive dermatomyositis (ARS-DMIP). METHODS This retrospective cohort study comprised 27 ARS-DMIP patients. We compared clinical and laboratory findings between the relapse and non-relapse groups during 2 years after treatment initiation to find predictors of relapse in IP. Candidate predictors were further assessed by analysing the relationship with the relapse of IP. RESULTS One patient with ARS-DMIP died. About 7 (26.9%) of the remaining 26 patients with ARS-DMIP had a relapse of IP. We found that the levels of serum Krebs von den Lungen-6 (KL-6) in the relapse group were significantly higher than those in the non-relapse group at the time points before treatment (P = .046) and after treatments, including 6 (P = .004), 12 (P = .013), 18 (P = .003) and 24 months (P
Databáze: OpenAIRE
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