Table 2.
System | Diagnosis | Myositis Autoanti-bodies | Gender/Race | Age at Diagnosis (years) | Disease Duration at Death (years) | Cause of Death |
---|---|---|---|---|---|---|
Pulmonary | JCTM†|| | none | Female/White | 15 | 0.3 | Interstitial lung disease, progressive respiratory failure, acute cardiac failure‡ |
JDM | PL-12 | Female/White | 15 | 1.4 | Respiratory failure, pulmonary fibrosis§ | |
JDM | PL-12 | Female/White | 10 | 5.6 | Interstitial lung disease, chronic interstitial pneumonitis‡§ | |
JCTM|| | Ku | Female/White | 8 | 6.6 | Interstitial lung disease (diffuse alveolar damage with marked interstitial fibrosis)‡§ | |
JDM | p155/140 | Female/White | 12 | 7.5 | Interstitial lung disease, secondary pulmonary hypertension‡ | |
JCTM¶ | Jo-1, Ro, La | Female/Black | 17 | 9.5 | Interstitial lung disease‡ | |
JCTM|| | none | Female/Other | 5 | 12.6 | Pulmonary hypertension; multiple spontaneous pneumothoraces; secondary scleroderma, severe malnutrition, superior mesenteric artery syndrome‡ | |
Gastrointestinal | JPM | Ro | Male/White | 1 | 0.5 | Intestinal perforation‡ |
JCTM†|| | Sm | Male/Black | 15 | 4.0 | Colon perforation resulting in E. coli sepsis‡ | |
JDM | p155/140 | Female/White | 7 | 10.3 | Gastrointestinal hemorrhage‡ | |
Multisystem | JPM | none | Female/White | 16 | 0.1 | Myocarditis, tachyarrhythmias, respiratory failure, pneumonia‡ |
JDM | none | Female/Black | 16 | 2.0 | Acute respiratory distress syndrome; sepsis; congestive heart failure; intracranial hemorrhage‡ | |
JCTM# | none | Female/White | 16 | 3.5 | Liver failure, renal failure§ | |
Unknown | JCTM|| | PM-Scl | Female/White | 16 | 16.7 | Unknown |
JDM | MJ | Female/White | 14 | 31.7 | Unknown | |
JDM | none | Male/White | 10 | 35.1 | Unknown | |
JDM | p155/140 | Female/White | 7 | 38.5 | Unknown |
Abbreviations. JDM = juvenile dermatomyositis; JPM = juvenile polymyositis; JCTM = juvenile myositis associated with an underlying connective tissue disease; PL-12=Anti-alanyl-tRNA synthetase autoantibodies; Ku=Anti-Ku autoantibodies; p155/140=Anti-p155/140 autoantibodies; Jo-1=Anti-histidyl tRNA synthetase autoantibodies; Ro=Anti-Ro autoantibodies; La=Anti-La autoantibodies; Sm=Anti-Sm autoantibodies; PM-Scl=Anti-PM-Scl autoantibodies; MJ=Anti-MJ autoantibodies.
Patients were diagnosed between 1981 and 2002 and were a median of 18.4 years (25th, 75th percentile 16.6, 27.4 years) at the time of death
Overlap of JDM and systemic lupus erythematosus.
Information from physician or medical record.
Information from death certificate.
Overlap of JDM and systemic sclerosis.
Overlap of JPM and Sjögren syndrome.
Overlap of JPM and systemic lupus erythematosus.