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10.1002/acr.22892

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C5292935!5292935 !27015109
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suck abstract from ncbi


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pmid27015109
      Arthritis+Care+Res+(Hoboken) 2016 ; 68 (11 ): 1664-1670
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  • Risk of Cerebrovascular Accidents and Ischemic Heart Disease in Cutaneous Lupus Erythematosus: A Population-Based Cohort Study #MMPMID27015109
  • Singh AG ; Crowson CS ; Singh S ; Denis M ; Davis P ; Maradit-Kremers H ; Matteson EL ; Chowdhary VR
  • Arthritis Care Res (Hoboken) 2016[Nov]; 68 (11 ): 1664-1670 PMID27015109 show ga
  • OBJECTIVE: It is unclear whether isolated cutaneous lupus erythematosus (CLE) affects cardiovascular risk. We estimated the cumulative incidence and mortality of cardiovascular diseases in a population-based CLE cohort and compared the risk with a matched non-CLE cohort. METHODS: All incident cases of CLE in Olmsted County, Minnesota, between 1965 and 2005 were followed until December 2013. The cumulative incidence of cerebrovascular accidents (CVAs [including stroke and transient ischemic attack]), ischemic heart disease (IHD [including coronary artery disease, myocardial infarction, and angina pectoris]), heart failure, and peripheral arterial disease (PAD) was derived and compared to an age-, sex-, and calendar year-matched non-CLE cohort using Cox models. RESULTS: There were 155 patients with CLE (mean?±?SD age at diagnosis 48?±?16 years, 65% female, mean?±?SD BMI 26.3?±?7.1 kg/m(2) , 40% smokers, 9% with diabetes mellitus). During a median followup of 14.6 years, 41 CLE patients had cardiovascular events (15 patients with CVAs, 32 patients with IHD), with a 20-year cumulative incidence of 31.6%. As compared to non-CLE subjects, the risk of CVAs (smoking-adjusted hazard ratio [HR] 2.97 [95% confidence interval (95% CI) 1.13-7.78]) and PAD (HR 2.06 [95% CI 0.99-4.32]) was increased in patients with CLE, but the risk of IHD was not increased (HR 0.94 [95% CI 0.57-1.54]). There was no increase in cardiovascular mortality (HR 1.68 [95% CI 0.76-3.75]). The magnitude of risk for any cardiovascular outcome was not significantly influenced by the extent of cutaneous involvement. CONCLUSION: CLE may be associated with an increased risk of CVAs and PAD, but not IHD. Factors contributing to increased CVA risk in patients with CLE merit evaluation.
  • |Adult [MESH]
  • |Case-Control Studies [MESH]
  • |Cohort Studies [MESH]
  • |Female [MESH]
  • |Follow-Up Studies [MESH]
  • |Heart Failure/epidemiology/*etiology [MESH]
  • |Humans [MESH]
  • |Incidence [MESH]
  • |Lupus Erythematosus, Cutaneous/*complications [MESH]
  • |Male [MESH]
  • |Middle Aged [MESH]
  • |Minnesota/epidemiology [MESH]
  • |Myocardial Ischemia/epidemiology/*etiology [MESH]
  • |Peripheral Arterial Disease/epidemiology/*etiology [MESH]
  • |Proportional Hazards Models [MESH]
  • |Risk Factors [MESH]


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