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Research ArticleArticle

Antinuclear Antibodies and Clinical Associations in a British Cohort with Limited Cutaneous Systemic Sclerosis

ANGELA E. GLIDDON, CAROLINE J. DORÉ, JULIET DUNPHY, ZOË BETTERIDGE, NEIL J. McHUGH, PETER J. MADDISON and the QUINS Trial Study Group
The Journal of Rheumatology April 2011, 38 (4) 702-705; DOI: https://doi.org/10.3899/jrheum.100754
ANGELA E. GLIDDON
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CAROLINE J. DORÉ
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JULIET DUNPHY
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ZOË BETTERIDGE
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NEIL J. McHUGH
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PETER J. MADDISON
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Article Figures & Data

Tables

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    Table 1.

    Frequencies of antinuclear antibodies (ANA).

    ANA TypeNo. Patients (%)
    Systemic sclerosis-specific ANA
      Anticentromere antibody91 (51)
      Antitopoisomerase I16 (9)
      Anti-Th/To RNP14 (8)
      Anti-PM-Scl6 (3)
      Anti-RNA pol I, II, III (one I, III only)5 (3)
      Anti-U3 RNP3 (2)
    Connective tissue disease-associated ANA
      Anti-U1 RNP15 (8)
      Anti-Ro and/or anti-La3 (2)
    Other
      Unidentified ANA22 (12)
      Negative7 (4)
    • View popup
    Table 2.

    Associations of antinuclear antibodies (ANA) with continuous variables. Differences for which 95% CI do not overlap zero, and are therefore significant (p < 0.05), are shown in bold type. For t tests and multiple regression analysis, the difference between the mean for patients with each ANA and the mean for all patients without that ANA is shown. For Mann-Whitney U tests, the difference between median values for patients with each ANA and for all patients without that ANA is given.

    CriteriaDifference Between ACA (n = 91) and not ACA (95% CI)Difference Between Anti-topo I (n = 16) and Not Anti-topo I (95% CI)Difference Between Anti-RNP (n = 15) and not Anti-RNP (95% CI)Difference Between Anti-Th/To (n = 14) and Not Anti-Th/To (95% CI)
    Age at diagnosis of lcSSc, yrs4.6 (1.0 to 8.2)−2.5 (−8.9 to 3.9)−8.6 (−15.1 to −2.0)−4.6 (−11.0 to 1.8)
    Skin score*−2 (−3 to 0)2 (0 to 5)0 (−2 to 2)0 (−3 to 1)
    Expected FVC, %11.6 (6.7 to 16.4)−9.1 (−23 to 5.0)−9.9 (−19.2 to −0.6)1.1 (−6.4 to 14.6)
    Expected DLCO, %−0.18 (−5.1 to 4.7)−6.4 (−18 to 5.6)2.4 (−6.8 to 11.7)−2.1 (−11.4 to 7.2)
    Expected KCO*, %−6 (−12 to 0)6 (−5 to 15)8 (−3 to 19)−2 (−14 to 11)
    Creatinine clearance**−12.4 (−21.5 to −3.3)12.7 (−3.0 to 28.3)−0.9 (−17.5 to 15.7)0.8 (−16.0 to 17.6)
    • ↵* Difference in medians.

    • ↵** Adjusted for age. ACA: anticentromere antibodies; lcSSc: limited cutaneous systemic sclerosis; FVC: forced vital capacity; DLCO: diffusing lung capacity for carbon monoxide; KCO: carbon monoxide transfer coefficient corrected for lung volumes.

    • View popup
    Table 3.

    Associations of antinuclear antibodies (ANA) with categorical variables. All data are percentages. Percentages of patients within each class of ANA who have certain characteristics are given with the probability value from Fisher’s exact test that these are the same percentages in the patients without each particular ANA. Comparisons significant at the 0.05 level are in bold type.

    CriteriaACANot ACApAnti-topo INot Anti-topo IpAnti-RNPNot Anti-RNPpAnti-Th/ToNot Anti-Th/Top
    Telangiectasia6342< 0.0156530.8757< 0.0164520.4
    Calcinosis24150.1331180.30210.0521190.7
    Arthritis29410.1231351.040340.850330.2
    Esophageal involvement52410.1450460.813490.0143461.0
    Pulmonary fibrosis7170.04389< 0.017121.021110.2
    FVC/DLCO > 1.461450.0556530.842540.654531.0
    Pulmonary artery pressure > 30 mm Hg960.6080.6080.6871.0
    • ACA: anticentromere antibodies; FVC: forced vital capacity; DLCO: diffusing lung capacity for carbon monoxide.

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Vol. 38, Issue 4
1 Apr 2011
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Antinuclear Antibodies and Clinical Associations in a British Cohort with Limited Cutaneous Systemic Sclerosis
ANGELA E. GLIDDON, CAROLINE J. DORÉ, JULIET DUNPHY, ZOË BETTERIDGE, NEIL J. McHUGH, PETER J. MADDISON, the QUINS Trial Study Group
The Journal of Rheumatology Apr 2011, 38 (4) 702-705; DOI: 10.3899/jrheum.100754

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Antinuclear Antibodies and Clinical Associations in a British Cohort with Limited Cutaneous Systemic Sclerosis
ANGELA E. GLIDDON, CAROLINE J. DORÉ, JULIET DUNPHY, ZOË BETTERIDGE, NEIL J. McHUGH, PETER J. MADDISON, the QUINS Trial Study Group
The Journal of Rheumatology Apr 2011, 38 (4) 702-705; DOI: 10.3899/jrheum.100754
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