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. 2024 Oct 1;11(2):e001332. doi: 10.1136/lupus-2024-001332

Table 2. Clinical presentation and radiological features of antiphospholipid antibody-associated chorea.

PUMCH(n=13) Literature(n=167) Overall(n=180)
Episodes
=1 9/12 (75) 111/167 (66.5) 120/179 (67.0)
>1 3/12 (25) 56/167 (33.5) 59/179 (33.0)
Mean (range) 1.2 (1, 2) 1.5 (1, 6) 1.5 (1, 6)
Localisation
Unilateral or bilateral
 Bilateral 8/12 (66.7) 86/148 (58.1) 94/160 (58.8)
 Unilateral 4/12 (33.3) 62/148 (41.9) 66/160 (37.5)
Upper limb, lower limb, both
 Both 10/12 (83.3) 92/105 (87.6) 102/117 (87.2)
 Upper limb 2/12 (16.7) 13/105 (12.4) 15/117 (12.8)
 Lower limb 0/12 (0) 0/105 (0) 0/117 (0)
Head or face involvement 9/12 (75) 74/102 (72.5) 83/114 (72.8)
Precipitating factors
Oral contraceptive 0/12 (0) 14/167 (8.4) 14/179 (7.8)
Pregnancy 1/12 (8.3) 12/167 (7.2) 13/179 (7.3)
None 10/12 (83.3) 139/167 (83.2) 149/179 (83.2)
Duration from onset to improvement
Days 0/12 (0) 2/154 (1.3) 2/166 (1.2)
Weeks 0/12 (0) 30/154 (19.5) 30/166 (18.1)
Months 12/12 (100) 85/154 (55.2) 97/166 (58.4)
Years 0/12 (0) 37/154 (24.0) 37/166 (22.3)
Duration of follow-up, months
Median (range) 24.9 (3.1, 97.1) 18 (0.2, 588) 22.8 (0.2, 588)
MRI
Availability 11/13 (84.6) 124/167 (74.3) 135/180 (75.0)
Abnormality 7/11 (63.6) 58/124 (46.8) 65/135 (48.1)
Basal ganglia lesions 1/7 (14.3) 19/58 (32.8) 20/65 (30.8)
White matter hyperintensities 5/7 (71.4) 25/42 (59.5) 30/49 (61.2)
Atrophy 0/7 (0) 4/42 (9.5) 4/49 (8.2)
PET-CT/MRI
Availability 5/13 (38.5) 11/167 (6.6) 16/180 (8.9)
Abnormality 5/5 (100.0) 11/11 (100.0) 16/16 (100.0)
Hypermetabolism of basal ganglia 5/5 (100.0) 11/11 (100.0) 16/16 (100.0)
Hypometabolism of other regions 3/5 (60.0) 3/11 (27.3) 6/16 (37.5)
Repeat in complete remission 1/5 (20.0) 5/11 (45.5) 6/16 (37.5)
Back to normal 1/1 (100.0) 5/5 (100.0) 6/6 (100.0)

PETpositron emission tomographyPUMCHPeking Union Medical College Hospital