Table 5.
Incidence of flares in SLE pregnancy
Reference | Country | Pregnancies | Flare Definition | Incidence of Flare per Person-Month
|
||
---|---|---|---|---|---|---|
Non-Pregnant Patients | Pregnancy | Postpartum | ||||
Mintz 1986[29] | Mexico | 102 | Onset of new signs of active disease in a previously inactive organ system, measured by clinical and laboratory variables | 0.04 | 0.06 | -- |
Petri 1991[8] | US | 40 | Change of ≥1.0 in PGA score since the preceding visit or during the last 93 days | 0.05 | 0.14 | 0.05 |
Wong 1991[13] | China | 29 | Evidence of acute synovitis; pleuritis or pericarditis with radiographic or echocardiographic changes; new neurologic or psychiatric symptoms; thrombocytopenia (<100x 109/L); leukopenia (<4 x 109/L); hemolytic anemia (positive antiglobulin [Coombs’] test); new cutaneous lesions; or active kidney disease (with abnormal urinalysis results, increasing proteinuria, and/or low C3 and C4 levels) | 0.04 | 0.08 | -- |
Ruiz-Irastorza 1996[9] | UK | 78 | Increase of ≥0.26 or more from the minimum Lupus Activity (LAI) score during follow-up | 0.04 | 0.08 | 0.15 |
Present analysis | US | 398 | Change of ≥1.0 in PGA score since the preceding visit | 0.03 | 0.05 | 0.03–0.05 |
Change of ≥4 in SELENA-SLEDAI score since the preceding visit | 0.04 | 0.05 | 0.04–0.06 |