Τίτλος:
Sjögren’s syndrome: The clinical spectrum of male patients
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
Background: To compare the clinical, serological and histologic features between male and female patients with Sjögren’s syndrome (SS) and explore the potential effect of gender on lymphoma development. Methods: From a multicenter population (Universities of Udine, Pisa and Athens, Harokopion and Ioannina (UPAHI)) consisting of consecutive SS patients fulfilling the 2016 ACR/EULAR criteria, male patients were identified, matched and compared with female controls. Data-driven multivariable logistic regression analysis was applied to identify independent lymphoma-associated factors. Results: From 1987 consecutive SS patients, 96 males and 192 matched female controls were identified and compared. Males had a higher frequency of lymphoma compared to females (18% vs. 5.2%, OR = 3.89, 95% CI: 1.66 to 8.67; p = 0.0014) and an increased prevalence of serum anti-La/SSB antibodies (50% vs. 34%, OR = 1.953, 95% CI: 1.19 to 3.25; p = 0.0128). No differences were observed in the frequencies of lymphoma predictors between the two genders. Data-driven multivariable logistic regression analysis revealed negative association of the female gender with lymphoma and positive association with lymphadenopathy. Conclusion: Male SS patients carry an increased risk of lymphoma development. Although statistics showed no difference in classical lymphoma predictors compared to females, data-driven analysis revealed gender and lymphadenopathy as independent lymphoma-associated features. © 2020 by the authors. Licensee MDPI, Basel, Switzerland.
Συγγραφείς:
Chatzis, L.
Pezoulas, V.C.
Ferro, F.
Gandolfo, S.
Donati, V.
Binutti, M.
Callegher, S.Z.
Venetsanopoulou, A.
Zampeli, E.
Mavrommati, M.
Argyropoulou, O.D.
Michalopoulos, G.
Voulgari, P.V.
Exarchos, T.
Baldini, C.
Skopouli, F.N.
Fotiadis, D.I.
De Vita, S.
Moutsopoulos, H.M.
Tzioufas, A.G.
Goules, A.V.
Περιοδικό:
Journal of Clinical Medicine Research
Λέξεις-κλειδιά:
complement component C4; La antibody, adolescent; adult; aged; Article; cancer growth; cancer risk; controlled study; disease association; disease duration; female; gender; histology; human; human tissue; logistic regression analysis; lymphadenopathy; lymphoma; major clinical study; male; onset age; phenotype; phenotypic variation; predictor variable; risk factor; serology; Sjoegren syndrome
