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. 2019 Dec 18;51(6):989–995. [Article in Chinese] doi: 10.19723/j.issn.1671-167X.2019.06.002

1.

IMNM不同抗体组临床特征的比较

Comparisons of clinical features of different serological subgroups of IMNM

Features IMNM(n=104) Anti-SRP(n=47) Anti-HMGCR(n=23) MSAs negative(n=34) P
ILD, interstitial lung diseases; CTD, connective tissue diseases; IMNM, immune mediated necrotizing myopathies; SRP, signal recognition particle; HMGCR, 3-hydroxy-3-methylglutaryl-coenzyme A reductase; MSAs, myositis specific autoantibodies. Data are shown as n(%) and x±s. * P<0.017, between anti-HMGCR group and anti-SRP /MSAs negative group; # P<0.017, between anti-SRP and anti-HMGCR/MSAs negative group; △ P<0.017, between MSAs negative and anti-SRP/anti-HMGCR group.
Female 73 (70.2) 38 (80.9) 13 (56.5) 22 (64.7) 0.078
Age/years 46.24±15.38 47.49±15.76 46.09±18.08 44.62±12.02 0.712
Age of onset/years 44.63±16.03 46.11±16.21 44.13±20.83 42.91±11.82 0.671
Duration/months 20.85±27.79 19.01±25.08 25.5±35.03 10.23±26.36 0.652
Chronic progression (>12 months) 59 (56.7) 28 (59.6) 12 (52.2) 19 (55.9) 0.836
Fever 5 (4.8) 3 (6.4) 1 (4.3) 1 (2.9) 0.763
Loss of weight 31 (29.8) 14 (29.8) 4 (17.1) 13 (32.8) 0.241
Muscle weakness 96 (92.3) 44 (93.6) 21 (91.3) 31 (91.1) 0.902
Severe muscle weakness 48 (46.2) 22 (46.8) 9 (39.1) 17 (50.0) 0.716
Muscle atrophy 15/73(20.5) 5/33 (15.6) 4/17 (23.5) 6/24 (25.0) 0.651
Myalgia 29 (27.9) 13 (27.7) 8 (34.8) 8 (23.5) 0.649
Arthritis 10 (9.6) 4 (8.5) 1 (4.3) 5 (14.7) 0.404
Skin involvement 27 (26.0) 12 (25.5) 8 (34.8) 7 (20.6) 0.485
Heliotrope rash 7 (7.7) 3 (6.4) 2 (8.7) 3 (8.8) 0.902
Gottron’s sign 2 (1.9) 1 (2.1) 0 1 (2.9) 0.723
“V” sign 11 (10.6) 2 (4.3) 7 (30.4) 2 (5.9) 0.002*
Shawl sign 6 (5.8) 2 (4.3) 4 (17.4) 0 0.018
Raynaud phenomenon 4 (3.8) 3 (6.4) 0 1 (2.9) 0.404
ILD 46/99 (46.5) 29/45 (64.4) 7/23 (30.4) 10/31 (29.0) 0.004#
Cough 2/46 (4.3) 2/29 (6.9) 0/7 0/10 0.542
Dyspnea 4/46 (8.7) 3/29 (10.3) 0/7 1/10 (10.0) 0.675
Asymptomatic 41/46 (89.1) 25/29 (86.2) 7/7 (100.0) 9/10 (90.0) 0.572
Dysphagia 35 (33.7) 17 (36.2) 8 (34.8) 10 (29.4) 0.576
Cancer 4 (3.8) 3 (6.4) 1 (4.3) 0 0.334
With other CTD 16 (15.4) 4 (8.5) 1 (4.3) 11 (32.4) 0.003
Death 5 (4.8) 3 (6.4) 1 (4.3) 1 (2.9) 0.769