Table 1.
Clinical outcome and treatment-related morbidity of patients with polychondritis or SLE in complete remission
Patient* | Follow up (months) | ANA† | Anti-double-stranded DNA† ELISA‡ (U/ml) CL-IF | Cardiolipin†§ (U/ml) IgG/IgM | Other parameters† | Complement† (md/dl) C3/C4 | Steroid dosage (mg/day)†¶ | Karnofsky score (%)† | ECLAM score† | Side effects during immunoablation |
1 PC/female/41 years/1985 | 21 | No relevance | No relevance | No relevance | Tracheal involvement, costosternal pain, arthralgias | No relevance | 62.5 | 60 | No relevance | SIRS**: WHO grade IV Local infection Interstitial pneumonia and capillary leakage DIC Reactivation of gastrointestinal ulcer |
↓ | ↓ | ↓ | ||||||||
Complete resolution | 3 | 100 | ||||||||
2 SLE/female/27 years/1987 | 19 | 1:5120 | 518 / 1:64 | 38 / 54 | ∅ | 82 / 10 | 35 | 40 | 6.5 | SIRS**: WHO grade IV Septicaemia and pneumonia in aplasia: WHO grade I Flares of disease (abdominal vasculitis, arthralgias, serositis) |
↓ | ↓ ↓ | ↓ ↓ | ↓ ↓ | ↓ | ↓ | ↓ | ||||
Negligible | <cut-off ∅ | <31 <31 | 140 22 | 5 | 100 | 2 | ||||
3 SLE/female/48 years/1993 | 16 | 1:5120 | 5040 / 1:128 | 88 / 379 | α -Ro+ | 122 / 14 | 20 | 60 | 6 | SIRS**: WHO grade IV Septicaemia Local infection Liver haematoma: WHO grade II SIRS**: WHO grade IV |
↓ | ↓ ↓ | ↓ ↓ | ↓ | ↓ ↓ | ↓ | ↓ | ↓ | |||
1:80 | <cut-off ∅ | <31 <31 | ∅ | 164 27 | 4 | 100 | 2 | |||
4 SLE/male/37 years/1989 | 10 | 1:2560 | 976 / 1:128 | 33 / 56 | α-Ro/ Proteinuria α-La+ 8.8 g/day | <44 / <5 | 100 | 70 | 10 | |
↓ | ↓ ↓ | ↓ ↓ | ↓ ↓ | ↓ ↓ | ↓ | ↓ | ↓ | |||
1:160 | <cut-off ∅ | <31 <31 | ∅ 0.8 g/day | 120 22 | 5 | 100 | 2 |
*Characteristics: number/disease/sex/age/year of diagnosis. †Values above the arrow represent the admission values and those below the arrow represent the present status. ‡ELISA cut-off was 118 iU/ml. §The cut-offs for IgG and IgM anticardiolipin were 48 and 44 U/ml, respectively. ¶Doses corresponding to prednisolone equivalents. **SIRS due to application of cyclophosphamide and ATG. CL-IF, Crithidia luciliae immunofluorescence; PC, relapsing polychondritis; DIC, disseminated intravascular coagulation; ELISA, enzyme-linked immunosorbent assay; SIRS, systemic inflammatory response syndrome; WHO, World Health Organization.