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Article ; Online: The 2022 ACR/EULAR classification criteria for Takayasu arteritis predict mortality better than the 1990 ACR classification criteria.

Misra, Durga Prasanna / Rathore, Upendra / Jagtap, Swapnil / Singh, Kritika

2024

Language	English
Publishing date	2024-03-13
Publishing country	England
Document type	Journal Article
ZDB-ID	1464822-2
ISSN	1462-0332 ; 1462-0324
ISSN (online)	1462-0332
ISSN	1462-0324
DOI	10.1093/rheumatology/keae169
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Zs.MO 497: Show issues

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Article ; Online: Scalp calcinosis in juvenile dermatomyositis.

Rathore, Upendra / Gupta, Latika

Rheumatology (Oxford, England)

2021 Volume 60, Issue 3, Page(s) 1569

MeSH term(s)	Calcinosis/etiology ; Calcinosis/pathology ; Child ; Dermatomyositis/complications ; Dermatomyositis/pathology ; Humans ; Male ; Scalp/pathology ; Scalp Dermatoses/etiology ; Scalp Dermatoses/pathology
Language	English
Publishing date	2021-03-04
Publishing country	England
Document type	Case Reports ; Journal Article
ZDB-ID	1464822-2
ISSN	1462-0332 ; 1462-0324
ISSN (online)	1462-0332
ISSN	1462-0324
DOI	10.1093/rheumatology/keaa566
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Article ; Online: Pleural effusion in Takayasu arteritis: think infection rather than disease activity!

Misra, Durga Prasanna / Thakare, Darpan R / Rathore, Upendra / Agarwal, Vikas

Clinical rheumatology

2023 Volume 42, Issue 6, Page(s) 1719–1720

MeSH term(s)	Humans ; Takayasu Arteritis/complications ; Takayasu Arteritis/diagnosis ; Pleural Effusion/diagnostic imaging ; Pleural Effusion/etiology
Language	English
Publishing date	2023-02-20
Publishing country	Germany
Document type	Editorial
ZDB-ID	604755-5
ISSN	1434-9949 ; 0770-3198
ISSN (online)	1434-9949
ISSN	0770-3198
DOI	10.1007/s10067-023-06551-6
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Article ; Online: Pediatric-onset Takayasu arteritis is associated with greater risk of mortality than adult-onset Takayasu arteritis-A systematic review with meta-analysis of observational cohort studies.

Rathore, Upendra / Chandwar, Kunal / Singh, Kritika / Misra, Durga Prasanna

Seminars in arthritis and rheumatism

2023 Volume 65, Page(s) 152355

Abstract: A subset of Takayasu arteritis (TAK) has onset in the pediatric age group (≤18 years). The differences in mortality between pediatric-onset and adult-onset TAK are unclear. Therefore, we undertook a systematic review with meta-analysis to compare ... ...

Abstract	A subset of Takayasu arteritis (TAK) has onset in the pediatric age group (≤18 years). The differences in mortality between pediatric-onset and adult-onset TAK are unclear. Therefore, we undertook a systematic review with meta-analysis to compare mortality risk in pediatric-onset with adult-onset TAK. Scopus, Pubmed (MEDLINE and Pubmed Central), recent conference abstracts, clinicaltrials.gov, and the Cochrane database were searched up to August 2023 for relevant studies. Five studies (all of moderate or high quality on the Newcastle Ottawa scale) were identified which had compared mortality between 151 pediatric-onset and 499 adult-onset TAK. Pediatric-onset TAK was associated with a significantly higher risk of death than adult-onset TAK (pooled risk ratio 2.27, 95% confidence interval 1.05 - 4.85, I
MeSH term(s)	Adult ; Humans ; Child ; Adolescent ; Retrospective Studies ; Takayasu Arteritis/complications ; Cohort Studies ; Cardiovascular Diseases/complications ; Prospective Studies ; Observational Studies as Topic
Language	English
Publishing date	2023-12-22
Publishing country	United States
Document type	Meta-Analysis ; Systematic Review ; Journal Article ; Review
ZDB-ID	120247-9
ISSN	1532-866X ; 0049-0172
ISSN (online)	1532-866X
ISSN	0049-0172
DOI	10.1016/j.semarthrit.2023.152355
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Article ; Online: Characteristics and outcomes of overlap myositis: a comparative multigroup cohort study in adults from the MyoCite cohort.

Naveen, R / Rathore, Upendra / Agarwal, Vikas / Gupta, Latika

Rheumatology international

2021 Volume 41, Issue 3, Page(s) 551–563

Abstract: Overlap myositis (OM), an important subset of idiopathic inflammatory myopathies (IIM), is being increasingly recognized with wider myositis-specific autoantibody (MSA) testing. We studied the differences in clinical characteristics and long-term ... ...

Abstract	Overlap myositis (OM), an important subset of idiopathic inflammatory myopathies (IIM), is being increasingly recognized with wider myositis-specific autoantibody (MSA) testing. We studied the differences in clinical characteristics and long-term outcomes of OM with Dermatomyositis (DM), Polymyositis (PM), anti-synthetase syndrome (ASSD), and Cancer-associated IIM (CAM). Data from the MyoCite registry (Dec2017-May2020), a prospective dataset of IIM was extracted for the clinical profile, and MSAs, immunosuppressants received, disease activity (relapses and incomplete response), and treatment-related (drugs ADRs and infections) adverse events (DRAE and TRAE) were collected and analyzed between groups. Of 214 adults (58-OM,89-DM,27-ASSD,33-PM,7-CAM), OM had a greater female preponderance (13.5:1). Raynaud's and sclerodactyly were the prime distinguishing features of OM. OM could be distinguished from PM by frequent arthritis (OR-3.2) and infrequent dysphagia (OR-0.17); DM with greater nephritis (OR-20), infrequent dysphagia (OR-0.24) and rashes (OR-0.02); and ASSD by infrequent ILD (OR-0.07), and mechanic's hand (OR-0.05). 50% fulfilled the classification criteria for ASSD in the absence of MSA testing. ANA was positive more often (PM/DM: OR-6.7) and anti-Ro52 (OR-4.5) frequent in OM. Baseline serum creatinine and acute phase reactants were higher. OM received lower glucocorticoids (0 mg/kg, p < 0.001). Overall, 90% and 84% of OM at 12 and 24 months, respectively, achieved remission, with similar DRAE and TRAE as other IIM subsets. OM can be misdiagnosed as ASSD in the absence of MSA testing. Raynaud's, sclerodactyly, and a positive ANA may identify OM and prevent overtreatment.
MeSH term(s)	Adult ; Antibodies, Antinuclear/blood ; Cohort Studies ; Databases, Factual ; Female ; Glucocorticoids/therapeutic use ; Humans ; Immunosuppressive Agents/therapeutic use ; India ; Male ; Middle Aged ; Myositis/complications ; Myositis/drug therapy ; Myositis/immunology ; Myositis/physiopathology ; Raynaud Disease/etiology ; Scleroderma, Systemic/etiology ; Syndrome
Chemical Substances	Antibodies, Antinuclear ; Glucocorticoids ; Immunosuppressive Agents
Language	English
Publishing date	2021-01-10
Publishing country	Germany
Document type	Journal Article ; Multicenter Study
ZDB-ID	8286-7
ISSN	1437-160X ; 0172-8172
ISSN (online)	1437-160X
ISSN	0172-8172
DOI	10.1007/s00296-020-04779-y
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Article ; Online: Presentation and clinical course of pediatric-onset versus adult-onset Takayasu arteritis—a systematic review and meta-analysis

Misra, Durga Prasanna / Rathore, Upendra / Kopp, Chirag Rajkumar / Patro, Pallavi / Agarwal, Vikas / Sharma, Aman

Clin Rheumatol 2022 Dec., v. 41, no. 12, p. 3601-3613

2022 , Page(s) 3601–3613

Abstract: Takayasu arteritis (TAK) is a less common large-vessel vasculitis which can occur in either children or adults. However, differences between pediatric-onset and adult-onset TAK have not been systematically analyzed. We undertook a systematic review (pre- ... ...

Abstract	Takayasu arteritis (TAK) is a less common large-vessel vasculitis which can occur in either children or adults. However, differences between pediatric-onset and adult-onset TAK have not been systematically analyzed. We undertook a systematic review (pre-registered on PROSPERO, identifier CRD42022300238) to analyze differences in clinical presentation, angiographic involvement, treatments, and outcomes between pediatric-onset and adult-onset TAK. We searched PubMed (MEDLINE and PubMed Central), Scopus, major recent international rheumatology conference abstracts, Cochrane database, and clinicaltrials.gov, and identified seven studies of moderate to high quality comparing pediatric-onset and adult-onset TAK. Meta-analysis of 263 pediatric-onset and 981 adult-onset TAK suggested that constitutional features (fever, and in subgroup analyses, weight loss), hypertension, headache, and sinister features of cardiomyopathy, elevated serum creatinine, and abdominal pain were more frequent in pediatric-onset TAK, whereas pulse loss/pulse deficit and claudication (particularly upper limb claudication) were more frequent in adult-onset TAK. Hata’s type IV TAK was more common in pediatric-onset TAK, and Hata’s type I TAK in adult-onset TAK. Children with TAK also appeared to require more intense immunosuppression with more frequent use of cyclophosphamide, biologic DMARDs, tumor necrosis factor alpha inhibitors, and, in subgroup analyses, tocilizumab in pediatric-onset TAK than in adult-onset TAK. Surgical or endovascular procedures, remission, and risk of mortality were similar in both children and adults with TAK. No studies had compared patient-reported outcome measures between pediatric-onset and adult-onset TAK. Distinct clinical features and angiographic extent prevail between pediatric-onset and adult-onset TAK. Clinical outcomes in these subgroups require further study in multicentric cohorts.
Keywords	angiography ; arteritis ; blood serum ; cardiomyopathy ; creatinine ; cyclophosphamide ; databases ; fever ; headache ; hypertension ; immunosuppression ; meta-analysis ; mortality ; remission ; risk ; systematic review ; tumor necrosis factor-alpha ; vasculitis ; weight loss
Language	English
Dates of publication	2022-12
Size	p. 3601-3613
Publishing place	Springer International Publishing
Document type	Article ; Online
Note	Review
ZDB-ID	604755-5
ISSN	0770-3198
ISSN	0770-3198
DOI	10.1007/s10067-022-06318-5
Database	NAL-Catalogue (AGRICOLA)

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Article ; Online: Psoriasiform rashes as the first manifestation of anti-MDA5 associated myositis.

Rathore, Upendra / Haldule, Saloni / Gupta, Latika

Rheumatology (Oxford, England)

2020 Volume 60, Issue 7, Page(s) 3483

MeSH term(s)	Arthritis/immunology ; Arthritis/physiopathology ; Autoantibodies/immunology ; Dermatomyositis/immunology ; Dermatomyositis/pathology ; Dermatomyositis/physiopathology ; Ear Auricle/pathology ; Exanthema/pathology ; Facial Dermatoses/pathology ; Fever/physiopathology ; Humans ; Interferon-Induced Helicase, IFIH1/immunology ; Male ; Muscle Weakness/immunology ; Muscle Weakness/physiopathology ; Myositis/immunology ; Myositis/pathology ; Myositis/physiopathology ; Scalp Dermatoses/pathology ; Young Adult
Chemical Substances	Autoantibodies ; IFIH1 protein, human (EC 3.6.1.-) ; Interferon-Induced Helicase, IFIH1 (EC 3.6.4.13)
Language	English
Publishing date	2020-12-18
Publishing country	England
Document type	Case Reports ; Journal Article
ZDB-ID	1464822-2
ISSN	1462-0332 ; 1462-0324
ISSN (online)	1462-0332
ISSN	1462-0324
DOI	10.1093/rheumatology/keaa821
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Article ; Online: Presentation and clinical course of pediatric-onset versus adult-onset Takayasu arteritis-a systematic review and meta-analysis.

Misra, Durga Prasanna / Rathore, Upendra / Kopp, Chirag Rajkumar / Patro, Pallavi / Agarwal, Vikas / Sharma, Aman

Clinical rheumatology

2022 Volume 41, Issue 12, Page(s) 3601–3613

Abstract	Takayasu arteritis (TAK) is a less common large-vessel vasculitis which can occur in either children or adults. However, differences between pediatric-onset and adult-onset TAK have not been systematically analyzed. We undertook a systematic review (pre-registered on PROSPERO, identifier CRD42022300238) to analyze differences in clinical presentation, angiographic involvement, treatments, and outcomes between pediatric-onset and adult-onset TAK. We searched PubMed (MEDLINE and PubMed Central), Scopus, major recent international rheumatology conference abstracts, Cochrane database, and clinicaltrials.gov, and identified seven studies of moderate to high quality comparing pediatric-onset and adult-onset TAK. Meta-analysis of 263 pediatric-onset and 981 adult-onset TAK suggested that constitutional features (fever, and in subgroup analyses, weight loss), hypertension, headache, and sinister features of cardiomyopathy, elevated serum creatinine, and abdominal pain were more frequent in pediatric-onset TAK, whereas pulse loss/pulse deficit and claudication (particularly upper limb claudication) were more frequent in adult-onset TAK. Hata's type IV TAK was more common in pediatric-onset TAK, and Hata's type I TAK in adult-onset TAK. Children with TAK also appeared to require more intense immunosuppression with more frequent use of cyclophosphamide, biologic DMARDs, tumor necrosis factor alpha inhibitors, and, in subgroup analyses, tocilizumab in pediatric-onset TAK than in adult-onset TAK. Surgical or endovascular procedures, remission, and risk of mortality were similar in both children and adults with TAK. No studies had compared patient-reported outcome measures between pediatric-onset and adult-onset TAK. Distinct clinical features and angiographic extent prevail between pediatric-onset and adult-onset TAK. Clinical outcomes in these subgroups require further study in multicentric cohorts.
MeSH term(s)	Child ; Adult ; Humans ; Takayasu Arteritis/therapy ; Takayasu Arteritis/drug therapy ; Retrospective Studies ; Cyclophosphamide/therapeutic use ; Immunosuppression Therapy ; Antirheumatic Agents/therapeutic use
Chemical Substances	Cyclophosphamide (8N3DW7272P) ; Antirheumatic Agents
Language	English
Publishing date	2022-08-05
Publishing country	Germany
Document type	Meta-Analysis ; Systematic Review ; Journal Article ; Review
ZDB-ID	604755-5
ISSN	1434-9949 ; 0770-3198
ISSN (online)	1434-9949
ISSN	0770-3198
DOI	10.1007/s10067-022-06318-5
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Prevalent Drug Usage Practices in Adults and Children With Idiopathic Inflammatory Myopathies: Registry-Based Analysis From the MyoCite Cohort.

Mehta, Pankti / Rathore, Upendra / Naveen, R / Chatterjee, Rudrarpan / Agarwal, Vikas / Aggarwal, Rohit / Gupta, Latika

Journal of clinical rheumatology : practical reports on rheumatic & musculoskeletal diseases

2022 Volume 28, Issue 2, Page(s) 89–96

Abstract: Background: Idiopathic inflammatory myopathies (IIMs) form a heterogeneous group of disorders with a deficit of quality evidence regarding its management. Therefore, we aimed to explore the prevalent treatment practices in the MyoCite cohort from India.! ...

Abstract	Background: Idiopathic inflammatory myopathies (IIMs) form a heterogeneous group of disorders with a deficit of quality evidence regarding its management. Therefore, we aimed to explore the prevalent treatment practices in the MyoCite cohort from India. Methods: Drug usage patterns, their predictors, drug retention rates, efficacy, and adverse drug reactions were analyzed for adults and children newly diagnosed with IIM (2017-2020) and followed prospectively and compared with real-world data by performing a medical records review. GraphPad Prism version 8.4.2 was used for statistical analysis. Results: Of 181 adults (male-to-female ratio, 1:4.6) and 30 children (M:F, 1.3:1), dermatomyositis (41% adults, 93% children) was the most common subtype. Methotrexate (MTX) was the drug of choice (67% adult, 90% children) followed by azathioprine (AZA) and mycophenolate mofetil (MMF). The MMF, AZA, cyclophosphamide, and rituximab (RTX) were preferred for those with antisynthetase syndrome (ASSD) and those with lung involvement, whereas MTX was avoided in them. Functional class and family income did not determine drug preferences. Glucocorticoids were initiated at a lower dose in overlap myositis (45% vs 80%, p = 0.001), and the time to achieve the lowest dose of glucocorticoids was longer than 24 months for ASSD (77% vs 14%, p = 0.002).Over a median of 35 months, the overall retention rate was the highest for RTX (75%) followed by MTX (58%). Relapse-free survival was the highest for RTX followed by MTX. The most common reasons for discontinuation were adverse drug reactions for MTX and MMF, inefficacy for AZA, and cost for RTX. Conclusions: In this first analysis of drug usage and retention in patients with IIM in Northern India, MTX emerged as the most preferred drug in both adults and children, with the exception of those with ASSD or lung disease. Organ involvement and subtype of IIM are key determinants of drug preference. Overall, RTX and MTX were well-tolerated with high retention rates, followed by AZA and MMF.
MeSH term(s)	Adult ; Azathioprine/therapeutic use ; Child ; Female ; Humans ; Immunosuppressive Agents/adverse effects ; Male ; Mycophenolic Acid/therapeutic use ; Myositis/diagnosis ; Myositis/drug therapy ; Myositis/epidemiology ; Pharmaceutical Preparations ; Registries ; Treatment Outcome
Chemical Substances	Immunosuppressive Agents ; Pharmaceutical Preparations ; Mycophenolic Acid (HU9DX48N0T) ; Azathioprine (MRK240IY2L)
Language	English
Publishing date	2022-01-19
Publishing country	United States
Document type	Journal Article
ZDB-ID	1283266-2
ISSN	1536-7355 ; 1076-1608
ISSN (online)	1536-7355
ISSN	1076-1608
DOI	10.1097/RHU.0000000000001813
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Zs.A 4815: Show issues

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Article ; Online: Renal involvement in Sjőgren's syndrome: predictors and impact on patient outcomes.

Chatterjee, Rudrarpan / Balakrishnan, Anu / Kharbanda, Rajat / Rathore, Upendra / Gupta, Latika / Misra, Durga P / Agarwal, Vikas / Aggarwal, Amita / Lawrence, Able

Rheumatology international

2023 Volume 43, Issue 7, Page(s) 1297–1306

Abstract: Renal disease in primary Sjogren's Syndrome(pSS) occurs as tubulointerstitial nephritis(TIN) or glomerulonephritis(GN). Data from India on pSS are sparse and even less on nephritis.We studied the prevalence and impact of renal disease on patient outcomes. ...

Abstract	Renal disease in primary Sjogren's Syndrome(pSS) occurs as tubulointerstitial nephritis(TIN) or glomerulonephritis(GN). Data from India on pSS are sparse and even less on nephritis.We studied the prevalence and impact of renal disease on patient outcomes. We reviewed 179 (F:M 12.7:1, age 41.7 ± 12.9 years) patients of pSS from records at a single centre from 2000 to 2020. Data on nephritis, clinical and laboratory variables were collected from baseline visit. Outcomes studied were chronic kidney disease(CKD) and death. We identified predictors of nephritis and rising creatinine on follow-up.Fifty-four (30.17%) patients had nephritis. Their mean age was 40.19 ± 13.28 years with 157.3 person-years follow-up. Vasculitis (OR 2.33, 1.02-5.3), fatigue (OR 3.29, 1.63-6.65), ANA positivity (OR 7.79, 1-60.62), anti-Ro52 (OR 2.74, 1.18-6.39), anti-La (OR 2.13, 1.1-4.14), both Ro and La (OR 2.4, 1.23-4.69) and lymphopenia (OR 2.27, 1.16-4.41) predicted nephritis on univariate analysis. On multivariate analysis, only fatigue (OR 2.83, 1.22-6.57) and an interaction between polyarthritis and vasculitis (OR 9.17, 1.15-72.96) was associated with nephritis. Creatinine at one (1.6 ± 1.17 mg/dL vs. 0.8 ± 0.2 mg/dL) and 2 years (1.62 ± 1.19 mg/dL vs. 0.8 ± 0.2 mg/dL) follow-up was higher in the nephritis group. Baseline haematuria, leukocyturia, 24 h urinary protein and thrombocytopenia were independent predictors of rising creatinine. Six patients died and 10 developed CKD. Event-free (death or CKD) survival was 89.1% at 5 years. Patients with nephritis had worse event-free survival.Our cohort had a younger age of onset of Sjogren's syndrome and a higher prevalence of nephritis than previously reported. Fatigue, polyarthritis and vasculitis at baseline predicted the development of nephritis. Nephritis was associated with a higher probability of death or CKD.
MeSH term(s)	Humans ; Adult ; Middle Aged ; Sjogren's Syndrome/complications ; Sjogren's Syndrome/epidemiology ; Creatinine ; Nephritis, Interstitial/epidemiology ; Arthritis/complications ; Renal Insufficiency, Chronic/diagnosis ; Renal Insufficiency, Chronic/epidemiology ; Renal Insufficiency, Chronic/complications ; Vasculitis/complications
Chemical Substances	Creatinine (AYI8EX34EU)
Language	English
Publishing date	2023-01-18
Publishing country	Germany
Document type	Review ; Journal Article
ZDB-ID	8286-7
ISSN	1437-160X ; 0172-8172
ISSN (online)	1437-160X
ISSN	0172-8172
DOI	10.1007/s00296-022-05242-w
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