https://ogma.newcastle.edu.au/vital/access/ /manager/Index en-au 5 Significance of anti-neutrophil cytoplasmic antibodies in systemic sclerosis https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:44990 p < 0.001), anti-MPO positive vs anti-MPO negative (38.5% vs 13.6%, p  = 0.006) and anti-PR3 positive vs anti-PR3 negative patients (44.4% vs 13.4%, p  < 0.001). A higher prevalence of interstitial lung disease (ILD) was found in the ANCA positive (44.8% vs 21.8%, p  < 0.001) and the anti-PR3 positive groups (50.0% vs 23.4%, p  = 0.009). In multivariable analysis, ANCA-positive status remained associated with ILD after adjusting for anti-Scl-70 antibodies. Pulmonary embolism (PE) was more common in ANCA-positive patients (8.6% vs 3.0%, p  = 0.002) and anti-PR3-positive patients (16.7% vs 3.3%, p  = 0.022). ANCA-positive status remained associated with PE in a multivariable analysis adjusting for anti-phospholipid antibodies. Kaplan-Meier analysis revealed increased mortality in ANCA-positive patients (p  = 0.006). In Cox regression analysis, ANCA was associated with increased mortality, after adjusting for age and sex. Conclusions: ANCA is associated with increased prevalence of ILD and PE in SSc. ANCA should be tested in SSc, as it identifies individuals with worse prognosis who require close monitoring for adverse outcomes.]]> Wed 26 Oct 2022 09:28:52 AEDT ]]> A Composite Serum Biomarker Index for the Diagnosis of Systemic Sclerosis–Associated Interstitial Lung Disease: A Multicenter, Observational Cohort Study https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:50684 Wed 01 May 2024 15:04:24 AEST ]]>