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Table 4 Characteristics of patients with alveolitis

From: Functional, radiological and biological markers of alveolitis and infections of the lower respiratory tract in patients with systemic sclerosis

 

BAL: alveolitis

16 patients

BAL: inactive

26 patients

P

Age (years) mean ± sd

57.0 ± 9.8

57.1 ± 11.8

ns

Disease duration (years) median (I.Q. range)

7.5 (3–16)

5 (1.5–12)

ns

Sex n (%)

1 (6.25%)

2 (7.7%)

ns

Autoantibodies pattern:

   

ACA n (%)

2 (12.5%)

8 (30.8%)

ns

AntiScl 70 n (%)

12 (75.0%)

11 (42.3%)

ns

Antinucleolus n (%)

0 (0.0%)

4 (15.4%)

ns

AntiRNP n (%)

1 (6.25%)

1 (3.8%)

ns

ACA/Scl 70/nucleolus/RNP negative n (%)

1 (6.25%)

2 (7.7%)

ns

Skin involvement:

   

dSSc n (%)

12 (75.0%)

5 (19.2%)

0.0009

lSSc n (%)

4 (25.0%)

21 (80.8%)

0.0009

Modified Rodnan Skin Score mean ± sd

16.3 ± 9.4

10.1 ± 9.1

0.038

Modified Rodnan Skin score >14 n (%)

8 (50.0%)

5 (19.2%)

0.036

PFTs: FVC mean (%) ± sd

76.1 ± 27.6

101.9 ± 17.0

0.0005

DLCO mean (%) ± sd

43.9 ± 16.6

54.8 ± 11.0

0.0086

FVC and DLCO ≤ 79% n (%)

12 (75.0%)

2 (7.7%)

< 0.0001

FVC and DLCO ≤ 49% n (%)

10 (62.5%)

2 (7.7%)

< 0.0001

FVC ≥ 80% and DLCO ≤ 79% n (%)

3 (18.8%)

24 (92.3%)

< 0.0001

FVC ≥ 80% and DLCO ≤ 49% n (%)

10 (62.5%)

9 (34.6%)

ns

FVC and DLCO ≥ 80% n (%)

1 (6.3%)

0 (0.0%)

-

PASP ≥ 40 mmHg n (%)

6 (37.5%)

1 (3.8%)

0.008

≥ 60 mm Hg n (%)

1 (6.3%)

0 (0.0%)

-

HRCT: interstitial score mean ± sd

6.9 ± 3.5

7.3 ± 1.9

ns

alveolar score mean ± sd

9.1 ± 5.3

5.0 ± 3.1

0.0095

C reactive protein mean (mg/l) ± sd

8.6 ± 10.8

6.6 ± 6.7

ns

IL-6 plasma levels (pg/ml) mean ± sd

6.0 ± 10.8

2.4 ± 4.1

0.041

BAL with positive microbiological culture n (%)

5 (31.3%)

5 (19.2%)

ns

Smokers n (%)

1 (6.3%)

4 (15.4%)

ns

Ex-smokers n (%)

3 (18.8%)

5 (19.2%)

ns

  1. BAL: bronchoalveolar lavage; ACA: anticentromere antibodies; antiScl 70: antitopoisomerasi I antibodies; antiRNP: antiribonucleoproteins antibodies; dSSc: diffuse skin involvement; lSSc: limited skin involvement; FVC: forced vital capacity; DLCO: diffusing capacity for carbon monoxide; PASP: pulmonary artery systolic pressure; HRCT: high resolution computed tomography.