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Table 5 The clinical characteristics in patients with SLE flare

From: Risk factors for the flare of systemic lupus erythematosus and its influence on prognosis: a single-center retrospective analysis

 

patient’s self-discontinuation (n = 65 Case)

regular maintenance therapy

(n = 56 Case)

P-value

Age (Year), mean (SD)

38.5(12.5)

41.6(13.7)

0.396

Gender (female/male)

61/4

52/4

1.000

Disease duration (Month), mean (SD)

91.6(82.3)

95.0(78.1)

0.926

SLEDAI-2 k of first onset (score), mean (SD)

10.9(3.8)

12.4(4.4)

0.072

Initial treatment

 glucocorticoid amount (mg/kg/d), mean (SD)

0.9(0.3)

1.0(1.3)

0.153

 Hydroxychloroquine, n (%)

52(80.0)

46(82.1)

0.819

 Immunosuppressive therapy, n (%)

27(41.5)

22(39.3)

0.854

Regular maintenance treatment

/

56

/

  Prednisone(≤5 mg/d)

/

8

/

  Prednisone(≤5 mg/d) + HCQ

/

20

/

  Prednisone(≤5 mg/d) + HCQ + MMF

/

6

/

  Prednisone(≤5 mg/d) + HCQ + AZA

/

9

/

  Prednisone(≤5 mg/d) + HCQ + MTX

/

10

/

  Prednisone(≤5 mg/d) + HCQ + CsA

/

2

/

  Prednisone(≤5 mg/d)HCQ + FK-506

/

1

/

Characteristics of SLE flare

 Flare degree (mild moderate / severe, n/n)

10/55

18/38

0.033

 SLEDAI-2 k (Score), mean (SD)

13.1(6.6)

10.5(5.6)

0.140

 SDI1, mean (SD)

0.20(0.44)

0.25(0.48)

0.270

 SDI2, mean (SD)

2.06(1.45)

1.21(1.07)

0.042*

 SDI increment a, mean (SD)

1.86(1.26)

0.96(0.89)

0.011*

Clinical symptoms of flare, n (%)

 Fever

16(24.6)

13(23.2)

1.000

 Rash

17(26.2)

18(32.1)

0.548

 Arthritis

12(18.5)

11(19.6)

1.000

 oral ulcer

5(7.7)

5(9.0)

1.000

 Serositis

26(40.0)

9(16.1)

0.005*

 Leukopenia b

15(23.1)

15(26.8)

0.677

 Anemia associated with SLE c

36(55.4)

14(25.0)

0.001*

 Thrombocytopenia d

14(21.5)

12(21.4)

1.000

 Vasculitis

10(15.4)

3(5.4)

0.086

 Lupus nephritis

38(58.5)

23(41.1)

0.069

 Neuropsychiatric lupus

11(16.9)

14(25.0)

0.368

 Lupus pneumonia

12(18.5)

7(12.5)

0.456

 Pulmonary hypertension

17(26.2)

3(5.4)

0.003*

 Lupus related cardiac damage

9(13.8)

4(7.1)

0.378

 Lupus related gastrointestinal damage

8(12.3)

6(10.7)

1.000

  1. N Number of cases; SLEDAI-2 K Systemic lupus erythematosus disease activity index-2000; SDI systemic lupus international collaborating clinics and the American College of Rheumatology diagnostic and therapeutic criteria committee damage index; SDI1 SDI at the time of complete or clinical response; SDI2 SDI at the last hospitalization; HCQ Hydroxychloroquine; MMF Mycophenolate mofetil; AZA Azathioprine; MTX Methotrexate; CsA Cyclosporine A; FK-506 Tacrolimus. a: SDI2-SDI1, ‘SDI at the last hospitalization’ – ‘SDI at the time of complete or clinical response’. b: white blood count < 4.0 × 109/L. c: hemoglobin < 110 g/L. d: platelet count < 100 × 109/L. *: P < 0.05