1. Eosinophilia predicts poor clinical outcomes in recent-onset arthritis: results from the ESPOIR cohort
- Author
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Dewi Guellec, Gabriel J. Tobón, Morgane Milin, Divi Cornec, Gilles Chiocchia, Alain Saraux, Valérie Devauchelle-Pensec, Olivier Vittecocq, Sandrine Jousse-Joulin, Thierry Marhadour, CHRU Brest - Service de Rhumatologie (CHU - BREST - Rhumato), Centre Hospitalier Régional Universitaire de Brest (CHRU Brest), Lymphocytes B, Autoimmunité et Immunothérapies (LBAI), Université de Brest (UBO)-Institut National de la Santé et de la Recherche Médicale (INSERM)-LabEX IGO Immunothérapie Grand Ouest-Institut Brestois Santé Agro Matière (IBSAM), Université de Brest (UBO), Department of Internal Medicine (Dep Med - Div Rheum - CALI), Fundacion Vallee del Lili, Infection et inflammation (2I), Université de Versailles Saint-Quentin-en-Yvelines (UVSQ)-Institut National de la Santé et de la Recherche Médicale (INSERM), Service de rhumatologie [CHU Rouen], CHU Rouen, Normandie Université (NU)-Normandie Université (NU)-Université de Rouen Normandie (UNIROUEN), Normandie Université (NU), Physiopathologie et biothérapies des maladies inflammatoires et autoimmunes, Université de Rouen Normandie (UNIROUEN), Normandie Université (NU)-Normandie Université (NU)-Institut National de la Santé et de la Recherche Médicale (INSERM), Centre d'Investigation Clinique [CHU Rouen] (CIC Rouen), Hôpital Charles Nicolle [Rouen]-CHU Rouen, Normandie Université (NU)-Institut National de la Santé et de la Recherche Médicale (INSERM), Centre d'Investigation Clinique (CIC - Brest), Université de Brest (UBO)-Institut National de la Santé et de la Recherche Médicale (INSERM), Lymphocyte B et Auto-immunité (LBAI), and Université de Brest (UBO)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Institut Brestois Santé Agro Matière (IBSAM)
- Subjects
Pathology ,MESH: Osteopontin ,Inflammatory arthritis ,[SDV]Life Sciences [q-bio] ,Arthritis ,DMARDs (biologic) ,Early Arthritis ,0302 clinical medicine ,Early Rheumatoid Arthritis ,Immunology and Allergy ,Medicine ,Eosinophilia ,MESH: Autoantibodies ,0303 health sciences ,MESH: Arthritis, Rheumatoid ,MESH: Peptides ,MESH: Polymorphism, Single Nucleotide ,MESH: Genetic Predisposition to Disease ,respiratory system ,MESH: Case-Control Studies ,3. Good health ,medicine.anatomical_structure ,[SDV.MHEP.RSOA]Life Sciences [q-bio]/Human health and pathology/Rhumatology and musculoskeletal system ,Rheumatoid arthritis ,Cohort ,medicine.symptom ,DMARDs (synthetic) ,Cohort study ,medicine.medical_specialty ,Visual analogue scale ,Immunology ,Rheumatoid Arthritis ,03 medical and health sciences ,Rheumatology ,Internal medicine ,030304 developmental biology ,030203 arthritis & rheumatology ,MESH: Humans ,business.industry ,MESH: Alleles ,MESH: Macrophages ,MESH: Haplotypes ,Eosinophil ,medicine.disease ,MESH: Male ,business ,MESH: Citrulline ,MESH: Female ,[SDV.MHEP]Life Sciences [q-bio]/Human health and pathology - Abstract
Objectives To determine the prevalence of eosinophilia in patients with recent-onset arthritis suggestive of rheumatoid arthritis (RA) and to describe their features and outcomes. Methods We performed an ancillary study of data from a French prospective multicentre cohort study monitoring clinical, laboratory and radiographic data in patients with inflammatory arthritis of 6 weeks to 6 months duration. We determined the proportion of patients with eosinophilia, defined as a count >500/mm3, at baseline and after 3 years. Features of patients with and without baseline eosinophilia were compared. Results Baseline eosinophilia was evidenced in 26 of 804 (3.2%) patients; their mean eosinophil count was 637.7±107/mm3. Baseline eosinophilia was ascribed to atopic syndrome in 6 of 26 (23.1%) patients. After 3 years, patients with eosinophilia had higher Health Assessment Questionnaire scores (0.9 vs 0.5, p=0.004), higher patient visual analogue scale activity score and morning stiffness intensity (p=0.05), and were more often taking disease-modifying antirheumatic drugs (p=0.02). Baseline eosinophilia was not associated with presence of extra-articular manifestations. Conclusions Eosinophilia is rare in recent-onset arthritis suggestive of RA, and is usually directly related to the rheumatic disease. Our data suggest that patients with mild eosinophilia at diagnosis could respond worse to the treatment than those without.
- Published
- 2015
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