Journal Article

SAT0510 Cutaneous manifestations in idiopathic inflamatory myopathies: factors associated with calcinosis

Lojo, L., Barbadillo, M.C., Cobo-Ibáñez, T., García de Yébenes, M.J., Muñoz-Fernández, S., Carreira, P., Pérez, A., Llorente, I., López-Longo, F.J., Blázquez, M. Á., López Robledillo, J.C., Almodóvar, R., García-De la Peña, P., Nuño, L., Joven, B.

2018

Overview

BackgroundCalcinosis is a cutaneous manifestation that produces disability and complications in patients with idiopathic inflammatory myopathies (IIM). Studies about associated factors are limited.ObjectivesTo investigate cutaneous manifestations and factors associated with calcinosis in patients with IIM from the REMICAM registry.MethodsA multicenter retrospective study (1980–2014) was performed. Patients were classified as primary dermatomyositis (DM), primary polymyositis (PM), cancer associated myositis (CAM), overlap myositis (OM), inclusion body myositis, immune-mediated necrotising myopathy (IMNM) and juvenile myositis (JuM). A description of the cutaneous manifestations in each subgroup of IIM was done. The associations between calcinosis and demographic data, clinical characteristics, antibodies and treatments were analysed independently for JuM and adult IIM.Results479 patients were included, of whom 49 (10%) had calcinosis with the following distribution: 27 JuM (55%), 9 DM (18%), 9 OM (18%), 3 PM (6%) and 1 IMNM (2%). Non- characteristic cutaneous manifestations were more prevalent in DM, OM, CAM and IMNM. At multivariate analysis, disease duration (OR=2; p=0.016), immunoglobulin treatment (OR=5.68; p=0.036) and immunosuppressants (OR=8.94; p=0.01) were associated with calcinosis in JuM. In addition, dysphagia (OR=21.3; p=0.008), positivity for anti-PM-Scl (OR=34.1; p=0.01), baseline ESR (OR=1.05; p=0.04) and interstitial lung disease (OR=10.2; p=0.039) were associated with calcinosis in adult.ConclusionsOur results suggest that factors associated with calcinosis might be different in adult and juvenile myositis, but in both cases, they are related to more severe disease.Disclosure of InterestNone declared

• Publisher: Elsevier Limited
• Subject: Calcinosis / Cancer / Dermatomyositis / Dysphagia / Immunosuppressive agents / Inflammation / Lung diseases / Multivariate analysis / Myopathy / Myositis / Patients / Polymyositis / Rheumatology / Skin / Systematic review / Ulcers