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[Hospitalization for infection in patients treated for giant cell arteritis: A single-centre retrospective study].

Authors :
Lavrard-Meyer P
Gomes De Pinho Q
Daumas A
Benyamine A
Ebbo M
Schleinitz N
Harlé JR
Jarrot PA
Kaplanski G
Berbis J
Granel B
Source :
La Revue de medecine interne [Rev Med Interne] 2023 May; Vol. 44 (5), pp. 212-217. Date of Electronic Publication: 2023 Apr 05.
Publication Year :
2023

Abstract

Introduction: Infections are associated with morbimortality of patients with giant cell arteritis (GCA). The aim of this work was twofold: the identification of factors predisposing to the risk of infection and the description of patients hospitalized with an infection occurring during the treatment period of CAG.<br />Methods: A monocentric retrospective study was conducted in GCA patients, comparing patients hospitalized for infection with patients without infection. The analysis included 21/144 (14.6%) patients with 26 infections (cases) and 42 control matched on sex, age, and diagnosis of GCA.<br />Results: Both groups were similar except for a higher frequency of seritis in cases (15% vs. 0%, p=0.03). Relapses of GCA were less common in cases (23.8% vs 50.0%, p=0.041). Hypogammaglobulinemia was present during infection. More than half of the infections (53.8%) occurred in the first year of follow-up with an average dose of 15mg/day of corticosteroids. Infections were mainly pulmonary (46.2%) and cutaneous (26.9%).<br />Conclusion: Factors associated with infectious risk were identified. This preliminary monocentric work will continue with a national multicentre study.<br /> (Copyright © 2023 Société Nationale Française de Médecine Interne (SNFMI). Published by Elsevier Masson SAS. All rights reserved.)

Details

Language :
French
ISSN :
1768-3122
Volume :
44
Issue :
5
Database :
MEDLINE
Journal :
La Revue de medecine interne
Publication Type :
Academic Journal
Accession number :
37029032
Full Text :
https://doi.org/10.1016/j.revmed.2023.02.002