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Table 5 Univariable associations of hypocomplementaemia with clinical manifestations, treatment, European Scleroderma Study Group disease activity score and physician global assessments

From: The association of low complement with disease activity in systemic sclerosis: a prospective cohort study

Characteristic

Persistent normocomplementaemia (n = 859)

At least one episode of hypocomplementaemia (n = 275)

 

n (%) or mean ± SD or median (IQR)

n (%) or mean ± SD or median (IQR)

p Value

Disease manifestationa

 Raynaud’s phenomenon

803 (93.5 %)

262 (95.6 %)

0.19

 BMI <20 kg/m2

104 (13.0 %)

54 (20.5 %)

0.0030

 Digital ulcers

263 (30.7 %)

82 (30.0 %)

0.848

 Digital gangrene/amputation

76 (8.8 %)

17 (6.2 %)

0.17

 Telangiectasia

716 (83.6 %)

231 (84.6 %)

0.68

 Calcinosis

340 (39.7 %)

99 (36.3 %)

0.31

 Scleroderma

565 (66.2 %)

198 (72.8 %)

0.044

 Tendon friction rub

88 (10.3 %)

24 (8.8 %)

0.47

 Joint contracture

332 (38.9 %)

99 (36.4 %)

0.46

 Synovitis

241 (28.3 %)

82 (30.0 %)

0.59

Muscle atrophy

147 (17.2 %)

63 (23.2 %)

0.029

 MRSS >20

158 (18.7 %)

49 (18.0 %)

0.81

 Myocardial disease

70 (8.1 %)

17 (6.2 %)

0.30

 Pericardial effusion

45 (5.3 %)

25 (9.1 %)

0.023

 PAH

90 (10.4 %)

30 (10.9 %)

0.82

 Pulmonary fibrosis

263 (30.8 %)

77 (30.1 %)

0.40

 Gastrointestinal involvement

493 (57.5 %)

145 (52.7 %)

0.17

  GAVE

86 (10.1 %)

27 (9.9 %)

0.94

  Reflux oesophagitis

722 (83.8 %)

236 (85.8 %)

0.41

  Oesophageal stricture

109 (12.8 %)

23 (8.4 %)

0.051

  Oesophageal dysmotility

346 (40.5 %)

111 (40.8 %)

0.92

  Bowel dysmotility

226 (26.4 %)

71 (25.9 %)

0.88

  Pseudo-obstruction

25 (2.9 %)

12 (4.4 %)

0.23

 Renal crises

36 (4.2 %)

8 (2.9 %)

0.34

 eGFR <60 ml/minute

229 (22.8 %)

68 (25.0 %)

0.55

 Myositis

37 (5.2 %)

21 (8.5 %)

0.055

 CRP >8 mg/L

266 (31.1 %)

67 (24.9 %)

0.051

 ESR >30 mm/h

252 (29.6 %)

71 (26.1 %)

0.27

 Blood CK >200 IU/L

105 (12.1 %)

44 (16.0 %)

0.098

 Anaemia

302 (35.1 %)

101 (36.7 %)

0.62

 FVC <80 %

225 (26.9 %)

73 (27.0 %)

0.97

 DLCO <80 %

631 (80.5 %)

201 (78.2 %)

0.43

Treatmenta

 Corticosteroids

380 (43.9 %)

126 (45.8 %)

0.58

 Immunotherapy

364 (42.1 %)

131 (47.6 %)

0.11

 Biologic therapy

9 (1.0 %)

7 (2.6 %)

0.065

 Home oxygen

32 (3.7 %)

9 (3.3 %)

0.74

EScSG scoreb

2.5 (1.4)

2 (1–4)

0.16

Physician global assessmentsb

 Health

4 (3–6)

4 (3–6)

0.25

 Activity

3 (2–5)

3 (2–5)

0.076

 Damage

4 (2.5–6)

4 (3–6)

0.44

  1. Abbreviations: MRSS Modified Rodnan skin score, EScSG European Scleroderma Study Group, PAH Pulmonary arterial hypertension, ILD Interstitial lung disease, GAVE Gastric antral vascular ectasia, BMI Body mass index, eGFR Estimated glomerular filtration rate, CRP C-reactive protein, ESR Erythrocyte sedimentation rate, CK Creatinine kinase, FVC Forced vital capacity, DLCO Diffusing capacity of the lung for carbon monoxide corrected for haemoglobin
  2. aEver from disease onset to most recent visit
  3. bMean score from all visits