Evidence map›Paper›PMID 39959646›Full record

ArticleJournal of inflammation research2025

Clinical Features and Prognosis of Double-Positive Anti-MDA5 and Anti-CCP Antibodies in Dermatomyositis: A Retrospective Study.

Xiayu Xu, Longyang Zhu, Sizhao Li, Guochun Wang, Yongpeng Ge

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Article in Journal of inflammation research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Xiayu XuDepartment of Rheumatology and Immunology, The Second Affiliated Hospital of Hainan Medical University, Haikou, Hainan Province, People's Republic of China.ORCID 0000-0001-8828-034X
Longyang ZhuPeking University, China-Japan Friendship School of Clinical Medicine, Beijing, People's Republic of China.
Sizhao LiDepartment of Rheumatology, The Key Laboratory of Myositis, China-Japan Friendship Hospital, Beijing, People's Republic of China.
Guochun WangDepartment of Rheumatology, The Key Laboratory of Myositis, China-Japan Friendship Hospital, Beijing, People's Republic of China.
Yongpeng GeDepartment of Rheumatology, The Key Laboratory of Myositis, China-Japan Friendship Hospital, Beijing, People's Republic of China.ORCID 0000-0003-3674-9307

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To investigate the clinical features and prognosis of anti-melanoma differentiation-related gene 5 (MDA5) antibody and anti-cyclic citrullinated peptide (CCP) antibody double-positive dermatomyositis (DM) (MDA5+/CCP+ DM). Methods: A retrospective analysis of 264 consecutive cases of MDA5+ DM hospitalized from March 2018 to March 2022, and patients with anti-CCP antibodies were screened out. Patients from MDA5+/CCP- served as the control. Propensity score matching was used to compare the clinical features, as well as the treatment and survival outcomes between the two groups. Results: A total of 18 patients (6.8%) with MDA5+/CCP+ DM were identified. Gottron's sign in 17 cases (94.4%), Heliotrope rash in 14 cases (77.8%), and skin ulcer in 5 cases (27.8%). Arthritis occurred in 10 cases (55.6%) and presented as the initial symptom in 6 cases (33.3%). Only 8 (44.4%) of the patients met the criteria for rheumatoid arthritis (RA). Interstitial lung disease (ILD) was diagnosed in 17 cases (94.4%), with non-specific interstitial pneumonia (NSIP) and organizing pneumonia (OP) combined with NSIP being the most predominant, as they presented in 6 cases (33.3%) each. Two of the ILD cases (11.1%) developed into rapidly progressive ILD (RP-ILD). Arthritis (55.6% vs 15.3%, Conclusion: More than half of the patients with MDA5+/CCP+ DM may present with arthritis as one of the initial symptoms. They may also have an increased risk of malignancy. For MDA5+ DM patients with positive anti-CCP antibodies, thorough screening for tumors is crucial to guide treatment and improve prognosis.

Indexed as

anti-CCP antibodyanti-MDA5 antibodydermatomyositisinterstitial lung diseaserheumatoid arthritis

Identifiers

PMID39959646
PMCPMC11827484

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