Table 4

Differences in clinical and serological characteristics of PR3/MPO-ANCA positive antithyroid DIDs


Antithyroid drug-induced vasculitides (n = 4)
Antithyroid drug-induced LLD (n = 12)

Age, years (range)
35 ± 6 (20–40)
30 ± 8 (25–52)
Female
3 (75)
12 (100)
Graves' disease
4 (100)
9 (75)
Hashimoto thyroiditis
0
3 (25)
Florid hyperthyroidism
4 (100)
3 (25)
Relapse of hyperthyroidism
2 (50)
4 (33.3)
Antimicrosomal Ab
3 (75)
10 (83.3)
Antithyroid drug therapy, months
21 ± 6
18 ± 7
Months between first complaints and ANCA detection
3 ± 1.5
2 ± 1
Propylthiouracil
2 (50)
10 (83.3)
Methimazole
2 (50)
2 (16.7)
Renal manifestations
2 (50)
1 (8.3)
Lung manifestations
3 (75)
0
Skin manifestations
0
10 (83.3)
PANCA
3 (75)
12 (100)
CANCA
1 (25)
0
MPO-ANCA (U/ml)
65 ± 20
53 ± 15
PR3-ANCA (U/ml)
44
-
ANA
0
8 (66.6)
aCL IgG, IgM
0
9 (75)
Anti-β2 GP I IgG, IgM
0
4 (33.3)
Cryoglobulinemia
0
3 (25)
Low C4 (<0.1 g/l)
0
3 (25)
High CR-P (>10 mg/l)
4 (100)
4 (33.3)
Leucopenia (<3 × l09/l)
0
2 (16.7)

All values represent either numbers of patients (%), or mean ± standard deviation. Ab, antibodies; aCL, anticardiolipin antibodies; ANA, antinuclear antibodies; anti-β2 GP I, anti-beta 2 glycoprotein I; cANCA, cytoplasmic antineutrophil cytoplasmic antibodies; CR-P, C reactive protein; LLD, lupus-like disease; MPO, myeloperoxidase; PR3, proteinase 3; pANCA, perinuclear antineutrophil cytoplasmic antibodies.

Bonaci-Nikolic et al. Arthritis Research & Therapy 2005 7:R1072   doi:10.1186/ar1789

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