Evidence map›Paper›PMID 40514051›Full record

ArticleLupus science & medicine2025

Pulmonary arterial hypertension in systemic lupus erythematosus: identification of risk factors and haemodynamics characteristics in a multicentre retrospective cohort.

Emiliano Marasco, Christina Düsing, Stefanie Keymel, Alessandra Bortoluzzi, Claudia Bracaglia, Matthieu Canuet, Ilaria Cavazzana, Gamal Chehab, Veronica Codullo, Rebecca Fischer and 17 more

Abstract readMulticenter Study
In one paragraph

Article in Lupus science & medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

27 authors.

Emiliano MarascoDivision of Rheumatology, Department of Internal Medicine and Therapeutic, University of Pavia, Pavia, Italy.ORCID 0000-0001-5346-3357
Christina DüsingDepartment for Rheumatology, University Hospital Düsseldorf, Medical Faculty of Heinrich-Heine-University, Düsseldorf, Germany.
Stefanie KeymelDepartment of Cardiology, Pneumology and Angiology, Heinrich-Heine-Universitat Dusseldorf, Dusseldorf, Germany.
Alessandra BortoluzziSection of Rheumatology, Department of Medical Sciences, University of Ferrara, Ferrara, Italy.
Claudia BracagliaDivision of Rheumatology, Bambino Gesu Pediatric Hospital IRCCS, Roma, Italy.
Matthieu CanuetService de Pneumologie Centre de Compétence de l'Hypertension Artérielle Pulmonaire, Les Hôpitaux Universitaires de Strasbourg, Strasbourg, France.
Ilaria CavazzanaRheumatology and Clinical Immunology Unit, ASST Spedali Civili and Clinical and Experimental Science Department, University of Brescia, Brescia, Italy.
Gamal ChehabDepartment for Rheumatology, University Hospital Düsseldorf, Medical Faculty of Heinrich-Heine-University, Düsseldorf, Germany.
Veronica CodulloDivision of Rheumatology, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
Rebecca FischerDepartment for Rheumatology, University Hospital Düsseldorf, Medical Faculty of Heinrich-Heine-University, Düsseldorf, Germany.
Franco FranceschiniRheumatology and Clinical Immunology Unit, ASST Spedali Civili and Clinical and Experimental Science Department, University of Brescia, Brescia, Italy.
Micaela FrediRheumatology and Clinical Immunology Unit, ASST Spedali Civili and Clinical and Experimental Science Department, University of Brescia, Brescia, Italy.ORCID 0000-0002-6511-4936
Stefano GhioDivision of Cardiology, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
Lisa KellerDivision of Rheumatology and Clinical Immunology, University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany.
Alain MeyerRheumatology, Centre de Référence des Maladies Auto-Immunes Rares, Service de Physiologie et Explorations Fonctionnelles Musculaires, Strasbourg University Hospitals, Strasbourg, France.
Carlomaurizio MontecuccoDivision of Rheumatology, Department of Internal Medicine and Therapeutic, University of Pavia, Pavia, Italy.
Jutta RichterDepartment for Rheumatology, University Hospital Düsseldorf, Medical Faculty of Heinrich-Heine-University, Düsseldorf, Germany.
Marianne RiouService de Pneumologie Centre de Compétence de l'Hypertension Artérielle Pulmonaire, Les Hôpitaux Universitaires de Strasbourg, Strasbourg, France.
Sezgin SahinDepartment of Pediatric Rheumatology, Istanbul University-Cerrahpasa, Istanbul, Turkey.
Oliver SanderDepartment for Rheumatology, University Hospital Düsseldorf, Medical Faculty of Heinrich-Heine-University, Düsseldorf, Germany.
Andreas SchwartingRheumatology, Rheumatology Center Rhineland-Palatinate, Bad Kreuznach, Germany.
Carlo Alberto ScirèDivision of Rheumatology, University of Milan-Bicocca, Milano, Italy.
Ettore SilvagniSection of Rheumatology, Department of Medical Sciences, University of Ferrara, Ferrara, Italy.ORCID 0000-0001-7654-8222
Konstantinos TriantafylliasDivision of Rheumatology and Clinical Immunology, University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany.
Giovanni ZanframundoDivision of Rheumatology, Department of Internal Medicine and Therapeutic, University of Pavia, Pavia, Italy.
Lorenzo Cavagna *Division of Rheumatology, Department of Internal Medicine and Therapeutic, University of Pavia, Pavia, Italy lorenzo.cavagna@unipv.it karl.schneider@hhu.de.
Matthias Schneider *Department for Rheumatology, University Hospital Düsseldorf, Medical Faculty of Heinrich-Heine-University, Düsseldorf, Germany lorenzo.cavagna@unipv.it karl.schneider@hhu.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe aim of our work was to identify specific patterns in clinical features and nailfold capillary changes that may help in screening for pulmonary arterial hypertension (PAH) in patients with systemic lupus erythematosus (SLE).

methodsWe identified patients with SLE and type I PAH (n=20) without other connective tissue diseases and collected demographic, clinical and laboratory features. We selected as controls patients with SLE who underwent cardiopulmonary screening to exclude PAH (n=87): we collected demographic, clinical and laboratory features and performed nailfold videocapillaroscopy (NVC).

resultsAll patients with SLE-PAH were women; age and disease duration were not different from patients with SLE without PAH. Lupus anticoagulant (LAC)+and anti-ribonucleoprotein (RNP)+were more prevalent in patients with SLE-PAH (respectively, PAH 45.0% vs no-PAH 20.5%, p=0.042; PAH 45.0% vs no-PAH 19.5%, p=0.035). No differences were observed for anti-Sm, anti-Ro, anti-La and anti-cardiolipin and anti-beta2GPI antibodies. Among clinical features, mucocutaneous and central nervous system involvement were more prevalent in patients with SLE-PAH than in SLE controls (respectively, PAH 65.0% vs no-PAH 34.5%, p=0.024; PAH 25.0% vs no-PAH 8.0%, p=0.046). Raynaud's phenomenon (RP) was more prevalent in patients with SLE-PAH than in SLE controls (PAH 60.0% vs no-PAH 13.8%, p<0.001). RP was a predictor of PAH in patients with SLE (OR 3.8 (0.9-14.8)). We performed NVC on nine patients with PAH and on controls: we observed a significantly higher prevalence of scleroderma pattern at NVC in SLE-PAH than controls (PAH 66.7% vs no-PAH 9.2%, p<0.001). Patients with SLE-PAH showed a lower number of capillary density and a higher frequency of giant capillaries.

conclusionsOur data showed that LAC+, RNP+, RP and a scleroderma pattern at NVC was indicative for patients with SLE-PAH. Our results pointed to generalised microvascular involvement and a hypercoagulation state in patients with SLE-PAH. The variables we identified could be used to implement a screening algorithm to identify patients with SLE at risk of developing PAH.

Indexed as

Hypertension, PulmonaryLupus Erythematosus, SystemicPulmonary Arterial HypertensionAdultCase-Control StudiesFemaleHemodynamicsHumansLupus Coagulation InhibitorMaleMicroscopic AngioscopyMiddle AgedNailsRetrospective StudiesRisk FactorsLupus Coagulation InhibitorLupus Erythematosus, SystemicPulmonary Arterial HypertensionRisk Factors

Identifiers

PMID40514051
PMCPMC12164622

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.