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Cavagna L, Trallero-Araguás E, Meloni F, Cavazzana I, Rojas-Serrano J, Feist E, Zanframundo G, Morandi V, Meyer A, Pereira da Silva JA, Matos Costa CJ, Molberg O, Andersson H, Codullo V, Mosca M, Barsotti S, Neri R, Scirè C, Govoni M, Furini F, Lopez-Longo FJ, Martinez-Barrio J, Schneider U, Lorenz HM, Doria A, Ghirardello A, Ortego-Centeno N, Confalonieri M, Tomietto P, Pipitone N, Rodriguez Cambron AB, Blázquez Cañamero MÁ, Voll RE, Wendel S, Scarpato S, Maurier F, Limonta M, Colombelli P, Giannini M, Geny B, Arrigoni E, Bravi E, Migliorini P, Mathieu A, Piga M, Drott U, Delbrueck C, Bauhammer J, Cagnotto G, Vancheri C, Sambataro G, De Langhe E, Sainaghi PP, Monti C, Gigli Berzolari F, Romano M, Bonella F, Specker C, Schwarting A, Villa Blanco I, Selmi C, Ceribelli A, Nuno L, Mera-Varela A, Perez Gomez N, Fusaro E, Parisi S, Sinigaglia L, Del Papa N, Benucci M, Cimmino MA, Riccieri V, Conti F, Sebastiani GD, Iuliano A, Emmi G, Cammelli D, Sebastiani M, Manfredi A, Bachiller-Corral J, Sifuentes Giraldo WA, Paolazzi G, Saketkoo LA, Giorgi R, Salaffi F, Cifrian J, Caporali R, Locatelli F, Marchioni E, Pesci A, Dei G, Pozzi MR, Claudia L, Distler J, Knitza J, Schett G, Iannone F, Fornaro M, Franceschini F, Quartuccio L, Gerli R, Bartoloni E, Bellando Randone S, Zampogna G, Gonzalez Perez MI, Mejia M, Vicente E, Triantafyllias K, Lopez-Mejias R, Matucci-Cerinic M, Selva-O’Callaghan A, Castañeda S, Montecucco C, Gonzalez-Gay MA. Influence of Antisynthetase Antibodies Specificities on Antisynthetase Syndrome Clinical Spectrum Time Course. J Clin Med 2019; 8:jcm8112013. [PMID: 31752231 PMCID: PMC6912490 DOI: 10.3390/jcm8112013] [Citation(s) in RCA: 97] [Impact Index Per Article: 19.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2019] [Revised: 09/12/2019] [Accepted: 11/12/2019] [Indexed: 01/30/2023] Open
Abstract
Antisynthetase syndrome (ASSD) is a rare clinical condition that is characterized by the occurrence of a classic clinical triad, encompassing myositis, arthritis, and interstitial lung disease (ILD), along with specific autoantibodies that are addressed to different aminoacyl tRNA synthetases (ARS). Until now, it has been unknown whether the presence of a different ARS might affect the clinical presentation, evolution, and outcome of ASSD. In this study, we retrospectively recorded the time of onset, characteristics, clustering of triad findings, and survival of 828 ASSD patients (593 anti-Jo1, 95 anti-PL7, 84 anti-PL12, 38 anti-EJ, and 18 anti-OJ), referring to AENEAS (American and European NEtwork of Antisynthetase Syndrome) collaborative group’s cohort. Comparisons were performed first between all ARS cases and then, in the case of significance, while using anti-Jo1 positive patients as the reference group. The characteristics of triad findings were similar and the onset mainly began with a single triad finding in all groups despite some differences in overall prevalence. The “ex-novo” occurrence of triad findings was only reduced in the anti-PL12-positive cohort, however, it occurred in a clinically relevant percentage of patients (30%). Moreover, survival was not influenced by the underlying anti-aminoacyl tRNA synthetase antibodies’ positivity, which confirmed that antisynthetase syndrome is a heterogeneous condition and that antibody specificity only partially influences the clinical presentation and evolution of this condition.
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Affiliation(s)
- Lorenzo Cavagna
- Department of Rheumatology, University and IRCCS Policlinico S. Matteo Foundation of Pavia and ERN ReCONNET, 27100 Pavia, Italy; (G.Z.); (V.M.); (F.L.); (C.M.)
- Correspondence: ; Tel.: +39-0382-501878
| | - Ernesto Trallero-Araguás
- Department of Internal Medicine, Vall d’Hebron General Hospital, Universitat Autonoma de Barcelona, GEAS group, 08035 Barcelona, Spain; (E.T.-A.); (A.S.-O.)
| | - Federica Meloni
- Department of Pneumology, University and IRCCS Policlinico S. Matteo Foundation of Pavia and ERN Lung, 27100 Pavia, Italy;
| | - Ilaria Cavazzana
- Department of Rheumatology, University and ASST Spedali Civili—Brescia and ERN ReCONNET, 25123 Brescia, Italy; (I.C.); (F.F.)
| | - Jorge Rojas-Serrano
- Interstitial Lung Disease and Rheumatology Unit, Instituto Nacional de Enfermedades Respiratorias, Ismael Cosio Villegas, 14080 Mexico City, Mexico; (J.R.-S.); (M.I.G.P.); (M.M.)
| | - Eugen Feist
- Department of Rheumatology, Charité—Universitätsmedizin Berlin, 10117 Berlin, Germany; (E.F.); (U.S.)
| | - Giovanni Zanframundo
- Department of Rheumatology, University and IRCCS Policlinico S. Matteo Foundation of Pavia and ERN ReCONNET, 27100 Pavia, Italy; (G.Z.); (V.M.); (F.L.); (C.M.)
| | - Valentina Morandi
- Department of Rheumatology, University and IRCCS Policlinico S. Matteo Foundation of Pavia and ERN ReCONNET, 27100 Pavia, Italy; (G.Z.); (V.M.); (F.L.); (C.M.)
| | - Alain Meyer
- Department of Rheumatology, Hôpitaux Universitaires de Strasbourg and ERN ReCONNET, 67000 Strasbourg, France;
- Service de Physiologie des Explorations Fonctionnelles, NHC Strasbourg, Université de Strasbourg, 67000 Strasbourg, France; (M.G.); (B.G.)
| | - Jose Antonio Pereira da Silva
- Department of Rheumatology, Centro Hospitalar e Universitário de Coimbra, 3000-075 Coimbra, Portugal; (J.A.P.d.S.); (C.J.M.C.)
| | - Carlo Jorge Matos Costa
- Department of Rheumatology, Centro Hospitalar e Universitário de Coimbra, 3000-075 Coimbra, Portugal; (J.A.P.d.S.); (C.J.M.C.)
| | - Oyvind Molberg
- Department of Rheumatology, Oslo University Hospital, 0372 Oslo, Norway; (O.M.); (H.A.)
| | - Helena Andersson
- Department of Rheumatology, Oslo University Hospital, 0372 Oslo, Norway; (O.M.); (H.A.)
| | - Veronica Codullo
- Department of Rheumatology, Cochin Hospital, 75014 Paris, France;
| | - Marta Mosca
- Department of Rheumatology, Azienda Ospedaliera Universitaria Pisana, Pisa and ERN ReCONNET, 56126 Pisa, Italy; (M.M.); (S.B.); (R.N.)
| | - Simone Barsotti
- Department of Rheumatology, Azienda Ospedaliera Universitaria Pisana, Pisa and ERN ReCONNET, 56126 Pisa, Italy; (M.M.); (S.B.); (R.N.)
| | - Rossella Neri
- Department of Rheumatology, Azienda Ospedaliera Universitaria Pisana, Pisa and ERN ReCONNET, 56126 Pisa, Italy; (M.M.); (S.B.); (R.N.)
| | - Carlo Scirè
- Department of Rheumatology, Azienda Ospedaliero Universitaria S. Anna, 44124 Ferrara, Italy; (C.S.); (M.G.); (F.F.)
| | - Marcello Govoni
- Department of Rheumatology, Azienda Ospedaliero Universitaria S. Anna, 44124 Ferrara, Italy; (C.S.); (M.G.); (F.F.)
| | - Federica Furini
- Department of Rheumatology, Azienda Ospedaliero Universitaria S. Anna, 44124 Ferrara, Italy; (C.S.); (M.G.); (F.F.)
| | - Francisco Javier Lopez-Longo
- Department of Rheumatology, Hospital General Universitario Gregorio Marañón, 28007 Madrid, Spain; (F.J.L.-L.); (J.M.-B.)
| | - Julia Martinez-Barrio
- Department of Rheumatology, Hospital General Universitario Gregorio Marañón, 28007 Madrid, Spain; (F.J.L.-L.); (J.M.-B.)
| | - Udo Schneider
- Department of Rheumatology, Charité—Universitätsmedizin Berlin, 10117 Berlin, Germany; (E.F.); (U.S.)
| | - Hanns-Martin Lorenz
- Department of Rheumatology, University of Heidelberg, 69117 Heidelberg, Germany;
| | - Andrea Doria
- Department of Rheumatology, University of Padua and ERN ReCONNET, 35122 Padova, Italy; (A.D.); (A.G.)
| | - Anna Ghirardello
- Department of Rheumatology, University of Padua and ERN ReCONNET, 35122 Padova, Italy; (A.D.); (A.G.)
| | | | - Marco Confalonieri
- Department of Pneumology, University Hospital of Cattinara, 34149 Trieste, Italy;
| | - Paola Tomietto
- Department of Rheumatology, University Hospital of Cattinara, 34149 Trieste, Italy;
| | - Nicolò Pipitone
- Department of Rheumatology, S. Maria Hospital—IRCCS, 42123 Reggio Emilia, Italy;
| | | | | | - Reinhard Edmund Voll
- Department of Rheumatology and Clinical Immunology, Medical Center—University of Freiburg, Faculty of Medicine, University of Freiburg, 79110 Freiburg, Germany; (R.E.V.); (S.W.)
| | - Sarah Wendel
- Department of Rheumatology and Clinical Immunology, Medical Center—University of Freiburg, Faculty of Medicine, University of Freiburg, 79110 Freiburg, Germany; (R.E.V.); (S.W.)
| | - Salvatore Scarpato
- Department of Rheumatology, Ospedale “ Scarlato” Scafati, 84018 Scafati, Italy;
| | - Francois Maurier
- Department of Rheumatology, HP Metz, Hopital Belle-Ile, 57000 Metz, France;
| | | | - Paolo Colombelli
- Department of Rheumatology, Ospedale di Treviglio, 24047 Treviglio, Italy;
| | - Margherita Giannini
- Service de Physiologie des Explorations Fonctionnelles, NHC Strasbourg, Université de Strasbourg, 67000 Strasbourg, France; (M.G.); (B.G.)
| | - Bernard Geny
- Service de Physiologie des Explorations Fonctionnelles, NHC Strasbourg, Université de Strasbourg, 67000 Strasbourg, France; (M.G.); (B.G.)
| | - Eugenio Arrigoni
- Department of Rheumatology, Ospedale Guglielmo da Saliceto, 29121 Piacenza, Italy; (E.A.); (E.B.)
| | - Elena Bravi
- Department of Rheumatology, Ospedale Guglielmo da Saliceto, 29121 Piacenza, Italy; (E.A.); (E.B.)
| | - Paola Migliorini
- Department of Immunology, Azienda Ospedaliera Universitaria Pisana, Pisa and ERN ReCONNET, 56126 Pisa, Italy;
| | - Alessandro Mathieu
- Department of Rheumatology, University Clinic and AOU of Cagliari, 09100 Cagliari, Italy; (A.M.); (M.P.)
| | - Matteo Piga
- Department of Rheumatology, University Clinic and AOU of Cagliari, 09100 Cagliari, Italy; (A.M.); (M.P.)
| | - Ulrich Drott
- Department of Rheumatology, Johann Wolfgang Goethe-Universität, 60590 Frankfurt, Germany; (U.D.); (C.D.)
| | - Christiane Delbrueck
- Department of Rheumatology, Johann Wolfgang Goethe-Universität, 60590 Frankfurt, Germany; (U.D.); (C.D.)
| | - Jutta Bauhammer
- Department of Rheumatology, ACURA Centre for Rheumatic Diseases, 76530 Baden-Baden, Germany;
| | - Giovanni Cagnotto
- Department of Rheumatology, Skane University Hospital, 22242 Lund, Sweden;
| | - Carlo Vancheri
- Department of Pneumology, AOU Catania, 95100 Catania, Italy; (C.V.); (G.S.)
| | - Gianluca Sambataro
- Department of Pneumology, AOU Catania, 95100 Catania, Italy; (C.V.); (G.S.)
| | - Ellen De Langhe
- Department of Rheumatology, University Hospitals, 3000 Leuven, Belgium;
| | - Pier Paolo Sainaghi
- Department of Rheumatology at CAAD, DiMet, University of Eastern Piedmont (UPO) and AOU “Maggiore della Carità”, 28100 Novara, Italy;
| | - Cristina Monti
- Department of Public Health, Unit of Biostatistics and Clinical Epidemiology, University of Pavia, 27100 Pavia, Italy; (C.M.); (F.G.B.)
| | - Francesca Gigli Berzolari
- Department of Public Health, Unit of Biostatistics and Clinical Epidemiology, University of Pavia, 27100 Pavia, Italy; (C.M.); (F.G.B.)
| | - Mariaeva Romano
- Department of Rheumatology, Niguarda Hospital, 20162 Milan, Italy;
| | - Francesco Bonella
- Department of Pneumology, Ruhrlandklinik, University of Duisburg-Essen and ERN Lung, 45239 Essen, Germany;
| | - Christof Specker
- Department of Rheumatology, Ruhrlandklinik, University of Duisburg-Essen, 45239 Essen, Germany;
| | - Andreas Schwarting
- Department of Rheumatology, Johannes Gutenberg-University, 55122 Mainz, Germany;
| | | | - Carlo Selmi
- Department of Rheumatology, Humanitas Research Hospital, Rozzano, 20089 Milan, Italy; (C.S.); (A.C.)
| | - Angela Ceribelli
- Department of Rheumatology, Humanitas Research Hospital, Rozzano, 20089 Milan, Italy; (C.S.); (A.C.)
| | - Laura Nuno
- Department of Rheumatology, Hospital Universitario La Paz, 28046 Madrid, Spain;
| | - Antonio Mera-Varela
- Department of Rheumatology, Hospital Clínico Universitario de Santiago de Compostela, 15702 Santiago de Compostela, Spain; (A.M.-V.); (N.P.G.)
| | - Nair Perez Gomez
- Department of Rheumatology, Hospital Clínico Universitario de Santiago de Compostela, 15702 Santiago de Compostela, Spain; (A.M.-V.); (N.P.G.)
| | - Enrico Fusaro
- Department of Rheumatology, Città della Salute e della Scienza, 10126 Turin, Italy; (E.F.); (S.P.)
| | - Simone Parisi
- Department of Rheumatology, Città della Salute e della Scienza, 10126 Turin, Italy; (E.F.); (S.P.)
| | - Luigi Sinigaglia
- Department of Rheumatology, Hospital G. Pini—CTO, 20122 Milan, Italy; (L.S.); (N.D.P.)
| | - Nicoletta Del Papa
- Department of Rheumatology, Hospital G. Pini—CTO, 20122 Milan, Italy; (L.S.); (N.D.P.)
| | - Maurizio Benucci
- Department of Rheumatology, Azienda Ospedaliera San Giovanni di Dio, 50143 Firenze, Italy;
| | | | - Valeria Riccieri
- Department of Rheumatology, University La Sapienza and Policlinico Umberto I, 00161 Rome, Italy; (V.R.); (F.C.)
| | - Fabrizio Conti
- Department of Rheumatology, University La Sapienza and Policlinico Umberto I, 00161 Rome, Italy; (V.R.); (F.C.)
| | | | - Annamaria Iuliano
- Department of Rheumatology, Ospedale San Camillo, 00152 Rome, Italy; (G.D.S.); (A.I.)
| | - Giacomo Emmi
- Department of Internal Medicine, AOU Careggi, 50134 Firenze, Italy;
| | | | - Marco Sebastiani
- Department of Rheumatology, Azienda Ospedaliera Universitaria di Modena, 41125 Modena, Italy; (M.S.); (A.M.)
| | - Andreina Manfredi
- Department of Rheumatology, Azienda Ospedaliera Universitaria di Modena, 41125 Modena, Italy; (M.S.); (A.M.)
| | - Javier Bachiller-Corral
- Department of Rheumatology, Hospital Universitario Ramon y Cajal, 28034 Madrid, Spain; (J.B.-C.); (W.A.S.G.)
| | | | - Giuseppe Paolazzi
- Department of Rheumatology, Ospedale Santa Chiara, 38122 Trento, Italy;
| | - Lesley Ann Saketkoo
- University Medical Center- Comprehensive Pulmonary Hypertension Center & Interstitial Lung Disease Clinic Programs, Louisiana State University and Tulane University Schools of Medicine, Pulmonary Division New Orleans, New Orleans, LA 1542, USA
| | - Roberto Giorgi
- Department of Rheumatology, ASL Cuneo 2, 12051 Alba, Italy;
| | - Fausto Salaffi
- Department of Rheumatology, Polytechnic University of Marche, C. Urbani Hospital, 60035 Jesi, Italy;
| | - Jose Cifrian
- Department of Pneumology, Hospital Universitario Marques de Valdecilla, IDIVAL, University of Cantabria Santander, 39008 Santander, Spain;
| | - Roberto Caporali
- Department of Clinical Sciences and Community Health, University of Milan and Gaetano Pini Hospital, 20122 Milan, Italy;
| | - Francesco Locatelli
- Department of Rheumatology, University and IRCCS Policlinico S. Matteo Foundation of Pavia and ERN ReCONNET, 27100 Pavia, Italy; (G.Z.); (V.M.); (F.L.); (C.M.)
| | - Enrico Marchioni
- Department of Neurology, IRCCS Mondino Foundation, 27100 Pavia, Italy;
| | - Alberto Pesci
- Department of Pneumology, Univerity of Milano Bicocca, San Gerardo Hospital, 20900 Monza, Italy; (A.P.); (G.D.); (M.R.P.)
| | - Giulia Dei
- Department of Pneumology, Univerity of Milano Bicocca, San Gerardo Hospital, 20900 Monza, Italy; (A.P.); (G.D.); (M.R.P.)
| | - Maria Rosa Pozzi
- Department of Pneumology, Univerity of Milano Bicocca, San Gerardo Hospital, 20900 Monza, Italy; (A.P.); (G.D.); (M.R.P.)
| | - Lomater Claudia
- Department of Rheumatology, Mauriziano Hospital, 10126 Turin, Italy;
| | - Jorg Distler
- Department of Internal Medicine, Friedrich-Alexander-Universität Erlangen-Nürnberg, 91054 Erlangen, Germany; (J.D.); (J.K.); (G.S.)
| | - Johannes Knitza
- Department of Internal Medicine, Friedrich-Alexander-Universität Erlangen-Nürnberg, 91054 Erlangen, Germany; (J.D.); (J.K.); (G.S.)
| | - George Schett
- Department of Internal Medicine, Friedrich-Alexander-Universität Erlangen-Nürnberg, 91054 Erlangen, Germany; (J.D.); (J.K.); (G.S.)
| | - Florenzo Iannone
- Rheumatology Unit—DETO, University of Bari, 70121 Bari, Italy; (F.I.); (M.F.)
| | - Marco Fornaro
- Rheumatology Unit—DETO, University of Bari, 70121 Bari, Italy; (F.I.); (M.F.)
| | - Franco Franceschini
- Department of Rheumatology, University and ASST Spedali Civili—Brescia and ERN ReCONNET, 25123 Brescia, Italy; (I.C.); (F.F.)
| | - Luca Quartuccio
- Clinic of Rheumatology, Department of Medicine, Santa Maria della Misericordia Hospital and University of Udine, 33100 Udine, Italy
| | - Roberto Gerli
- Rheumatology Unit, Department of Medicine, University of Perugia, 06129 Perugia, Italy; (R.G.); (E.B.)
| | - Elena Bartoloni
- Rheumatology Unit, Department of Medicine, University of Perugia, 06129 Perugia, Italy; (R.G.); (E.B.)
| | | | | | - Montserrat I. Gonzalez Perez
- Interstitial Lung Disease and Rheumatology Unit, Instituto Nacional de Enfermedades Respiratorias, Ismael Cosio Villegas, 14080 Mexico City, Mexico; (J.R.-S.); (M.I.G.P.); (M.M.)
| | - Mayra Mejia
- Interstitial Lung Disease and Rheumatology Unit, Instituto Nacional de Enfermedades Respiratorias, Ismael Cosio Villegas, 14080 Mexico City, Mexico; (J.R.-S.); (M.I.G.P.); (M.M.)
| | - Esther Vicente
- Department of Rheumatology, Hospital Universitario de la Princesa, IIS-Princesa, 28006 Madrid, Spain; (E.V.)
| | | | - Raquel Lopez-Mejias
- Department of Rheumatology, Hospital Universitario Marques de Valdecilla, IDIVAL, University of Cantabria Santander, 39008 Santander, Spain; (R.L.-M.); (M.A.G.-G.)
| | | | - Albert Selva-O’Callaghan
- Department of Internal Medicine, Vall d’Hebron General Hospital, Universitat Autonoma de Barcelona, GEAS group, 08035 Barcelona, Spain; (E.T.-A.); (A.S.-O.)
| | - Santos Castañeda
- Department of Rheumatology, Hospital Universitario de la Princesa, IIS-Princesa, 28006 Madrid, Spain; (E.V.)
- Catedra UAM-Roche, EPID Future, Universitad Autonoma de Madrid, 28006 Madrid, Spain
| | - Carlomaurizio Montecucco
- Department of Rheumatology, University and IRCCS Policlinico S. Matteo Foundation of Pavia and ERN ReCONNET, 27100 Pavia, Italy; (G.Z.); (V.M.); (F.L.); (C.M.)
| | - Miguel Angel Gonzalez-Gay
- Department of Rheumatology, Hospital Universitario Marques de Valdecilla, IDIVAL, University of Cantabria Santander, 39008 Santander, Spain; (R.L.-M.); (M.A.G.-G.)
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Hachulla E, Clerson P, Airò P, Cuomo G, Allanore Y, Caramaschi P, Rosato E, Carreira PE, Riccieri V, Sarraco M, Denton CP, Riemekasten G, Pozzi MR, Zeni S, Mihai CM, Ullman S, Distler O, Rednic S, Smith V, Walker UA, Matucci-Cerinic M, Müller-Ladner U, Launay D. Value of systolic pulmonary arterial pressure as a prognostic factor of death in the systemic sclerosis EUSTAR population. Rheumatology (Oxford) 2015; 54:1262-9. [PMID: 25596413 PMCID: PMC4473765 DOI: 10.1093/rheumatology/keu450] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2013] [Indexed: 11/21/2022] Open
Abstract
Objective. The aim of this study was to assess the prognostic value of systolic pulmonary artery pressure (sPAP) estimated by echocardiography in the multinational European League Against Rheumatism Scleroderma Trial and Research (EUSTAR) cohort. Methods. Data for patients with echocardiography documented between 1 January 2005 and 31 December 2011 were extracted from the EUSTAR database. Stepwise forward multivariable statistical Cox pulmonary hypertension analysis was used to examine the independent effect on survival of selected variables. Results. Based on our selection criteria, 1476 patients were included in the analysis; 87% of patients were female, with a mean age of 56.3 years (s.d. 13.5) and 31% had diffuse SSc. The mean duration of follow-up was 2.0 years (s.d. 1.2, median 1.9). Taking index sPAP of <30 mmHg as reference, the hazard ratio (HR) for death was 1.67 (95% CI 0.92, 2.96) if the index sPAP was between 30 and 36 mmHg, 2.37 (95% CI 1.14, 4.93) for sPAP between 36 and 40 mmHg, 3.72 (95% CI 1.61, 8.60) for sPAP between 40 and 50 mmHg and 9.75 (95% CI 4.98, 19.09) if sPAP was >50 mmHg. In a multivariable Cox model, sPAP and the diffusing capacity for carbon monoxide (DLCO) were independently associated with the risk of death [HR 1.833 (95% CI 1.035, 3.247) and HR 0.973 (95% CI 0.955, 0.991), respectively]. sPAP was an independent risk factor for death with a HR of 3.02 (95% CI 1.91, 4.78) for sPAP ≥36 mmHg. Conclusion. An estimated sPAP >36 mmHg at baseline echocardiography was significantly and independently associated with reduced survival, regardless of the presence of pulmonary hypertension based on right heart catheterization.
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Affiliation(s)
- Eric Hachulla
- National Scleroderma Reference Centre, Department of Internal Medicine, Lille Nord University, Lille, Orgamétrie biostatistiques, Roubaix, France, UO Reumatologia e Immunologia Clinica, Spedali Civili Brescia, Dipartimento Medicina Clinica e Sperimentale F-Magrassi II Policlinico U.O., Reumatologia, Napoli, Italy, Rheumatology A dpt, Paris 5 University, Cochin Hospital, Paris, France, Rheumatology Unit, Azienda Ospedaliera Universitaria Integrata di Verona, Verona, Centro per la Sclerosi Sistemica - Dipartimento di Medicina Clinica, Università La Sapienza, Policlinico Umberto I, Roma, Italy, Servicio de Reumatología, Hospital 12 de Octubre, Madrid, Spain, Divisione di Reumatologia, Università di Roma La Sapienza, Dipartimento di Clinica e Terapia medica applicata, Policlinico Umberto I, Roma, Ospedale Mauriziano, Centro di Reumatologia, Torino, Italy, Centre for Rheumatology, Royal Free and University College London Medical School, Royal Free Campus, London, UK, Department of Rheumatology, Charité University Hospital, German Rheumatism Research Centre, a Leibniz institute, Berlin, Germany, Dipartimento di Medicina, Ospedale San Gerardo, Monza, Dipartimento e Cattedra di Reumatologia, Università degli Studi di Milano, Istituto Ortopedico Gaetano Pini, Milano, Italy, Department of Internal Medicine and Rheumatology Clinic, Ion Cantacuzino Clinical Hospital, Bucharest, Romania, University Hospital of Copenhagen, Department of Dermatology D-40, HS-Bispebjerg Hospital, Copenhagen, Denmark, Department of Rheumatology, University Hospital Zurich, Zurich, Switzerland, Clinica Reumatologie, University of Medicine & Pharmacy, Iuliu Hatieganu Cluj, Cluj-Napoca, Romania, Ghent University Hospital, Department of Rheumatology, Gent, Belgium, Rheumatologische Universitätsklinik, Felix Platter Spital, Basel, Switzerland, University of Florence, Department of Medicine, Section of Rheumatology, Florence, Italy and Lehrstuhl für Innere Medizin mit Schwerpunkt Rheumatologie der
| | - Pierre Clerson
- National Scleroderma Reference Centre, Department of Internal Medicine, Lille Nord University, Lille, Orgamétrie biostatistiques, Roubaix, France, UO Reumatologia e Immunologia Clinica, Spedali Civili Brescia, Dipartimento Medicina Clinica e Sperimentale F-Magrassi II Policlinico U.O., Reumatologia, Napoli, Italy, Rheumatology A dpt, Paris 5 University, Cochin Hospital, Paris, France, Rheumatology Unit, Azienda Ospedaliera Universitaria Integrata di Verona, Verona, Centro per la Sclerosi Sistemica - Dipartimento di Medicina Clinica, Università La Sapienza, Policlinico Umberto I, Roma, Italy, Servicio de Reumatología, Hospital 12 de Octubre, Madrid, Spain, Divisione di Reumatologia, Università di Roma La Sapienza, Dipartimento di Clinica e Terapia medica applicata, Policlinico Umberto I, Roma, Ospedale Mauriziano, Centro di Reumatologia, Torino, Italy, Centre for Rheumatology, Royal Free and University College London Medical School, Royal Free Campus, London, UK, Department of Rheumatology, Charité University Hospital, German Rheumatism Research Centre, a Leibniz institute, Berlin, Germany, Dipartimento di Medicina, Ospedale San Gerardo, Monza, Dipartimento e Cattedra di Reumatologia, Università degli Studi di Milano, Istituto Ortopedico Gaetano Pini, Milano, Italy, Department of Internal Medicine and Rheumatology Clinic, Ion Cantacuzino Clinical Hospital, Bucharest, Romania, University Hospital of Copenhagen, Department of Dermatology D-40, HS-Bispebjerg Hospital, Copenhagen, Denmark, Department of Rheumatology, University Hospital Zurich, Zurich, Switzerland, Clinica Reumatologie, University of Medicine & Pharmacy, Iuliu Hatieganu Cluj, Cluj-Napoca, Romania, Ghent University Hospital, Department of Rheumatology, Gent, Belgium, Rheumatologische Universitätsklinik, Felix Platter Spital, Basel, Switzerland, University of Florence, Department of Medicine, Section of Rheumatology, Florence, Italy and Lehrstuhl für Innere Medizin mit Schwerpunkt Rheumatologie der
| | - Paolo Airò
- National Scleroderma Reference Centre, Department of Internal Medicine, Lille Nord University, Lille, Orgamétrie biostatistiques, Roubaix, France, UO Reumatologia e Immunologia Clinica, Spedali Civili Brescia, Dipartimento Medicina Clinica e Sperimentale F-Magrassi II Policlinico U.O., Reumatologia, Napoli, Italy, Rheumatology A dpt, Paris 5 University, Cochin Hospital, Paris, France, Rheumatology Unit, Azienda Ospedaliera Universitaria Integrata di Verona, Verona, Centro per la Sclerosi Sistemica - Dipartimento di Medicina Clinica, Università La Sapienza, Policlinico Umberto I, Roma, Italy, Servicio de Reumatología, Hospital 12 de Octubre, Madrid, Spain, Divisione di Reumatologia, Università di Roma La Sapienza, Dipartimento di Clinica e Terapia medica applicata, Policlinico Umberto I, Roma, Ospedale Mauriziano, Centro di Reumatologia, Torino, Italy, Centre for Rheumatology, Royal Free and University College London Medical School, Royal Free Campus, London, UK, Department of Rheumatology, Charité University Hospital, German Rheumatism Research Centre, a Leibniz institute, Berlin, Germany, Dipartimento di Medicina, Ospedale San Gerardo, Monza, Dipartimento e Cattedra di Reumatologia, Università degli Studi di Milano, Istituto Ortopedico Gaetano Pini, Milano, Italy, Department of Internal Medicine and Rheumatology Clinic, Ion Cantacuzino Clinical Hospital, Bucharest, Romania, University Hospital of Copenhagen, Department of Dermatology D-40, HS-Bispebjerg Hospital, Copenhagen, Denmark, Department of Rheumatology, University Hospital Zurich, Zurich, Switzerland, Clinica Reumatologie, University of Medicine & Pharmacy, Iuliu Hatieganu Cluj, Cluj-Napoca, Romania, Ghent University Hospital, Department of Rheumatology, Gent, Belgium, Rheumatologische Universitätsklinik, Felix Platter Spital, Basel, Switzerland, University of Florence, Department of Medicine, Section of Rheumatology, Florence, Italy and Lehrstuhl für Innere Medizin mit Schwerpunkt Rheumatologie der
| | - Giovanna Cuomo
- National Scleroderma Reference Centre, Department of Internal Medicine, Lille Nord University, Lille, Orgamétrie biostatistiques, Roubaix, France, UO Reumatologia e Immunologia Clinica, Spedali Civili Brescia, Dipartimento Medicina Clinica e Sperimentale F-Magrassi II Policlinico U.O., Reumatologia, Napoli, Italy, Rheumatology A dpt, Paris 5 University, Cochin Hospital, Paris, France, Rheumatology Unit, Azienda Ospedaliera Universitaria Integrata di Verona, Verona, Centro per la Sclerosi Sistemica - Dipartimento di Medicina Clinica, Università La Sapienza, Policlinico Umberto I, Roma, Italy, Servicio de Reumatología, Hospital 12 de Octubre, Madrid, Spain, Divisione di Reumatologia, Università di Roma La Sapienza, Dipartimento di Clinica e Terapia medica applicata, Policlinico Umberto I, Roma, Ospedale Mauriziano, Centro di Reumatologia, Torino, Italy, Centre for Rheumatology, Royal Free and University College London Medical School, Royal Free Campus, London, UK, Department of Rheumatology, Charité University Hospital, German Rheumatism Research Centre, a Leibniz institute, Berlin, Germany, Dipartimento di Medicina, Ospedale San Gerardo, Monza, Dipartimento e Cattedra di Reumatologia, Università degli Studi di Milano, Istituto Ortopedico Gaetano Pini, Milano, Italy, Department of Internal Medicine and Rheumatology Clinic, Ion Cantacuzino Clinical Hospital, Bucharest, Romania, University Hospital of Copenhagen, Department of Dermatology D-40, HS-Bispebjerg Hospital, Copenhagen, Denmark, Department of Rheumatology, University Hospital Zurich, Zurich, Switzerland, Clinica Reumatologie, University of Medicine & Pharmacy, Iuliu Hatieganu Cluj, Cluj-Napoca, Romania, Ghent University Hospital, Department of Rheumatology, Gent, Belgium, Rheumatologische Universitätsklinik, Felix Platter Spital, Basel, Switzerland, University of Florence, Department of Medicine, Section of Rheumatology, Florence, Italy and Lehrstuhl für Innere Medizin mit Schwerpunkt Rheumatologie der
| | - Yannick Allanore
- National Scleroderma Reference Centre, Department of Internal Medicine, Lille Nord University, Lille, Orgamétrie biostatistiques, Roubaix, France, UO Reumatologia e Immunologia Clinica, Spedali Civili Brescia, Dipartimento Medicina Clinica e Sperimentale F-Magrassi II Policlinico U.O., Reumatologia, Napoli, Italy, Rheumatology A dpt, Paris 5 University, Cochin Hospital, Paris, France, Rheumatology Unit, Azienda Ospedaliera Universitaria Integrata di Verona, Verona, Centro per la Sclerosi Sistemica - Dipartimento di Medicina Clinica, Università La Sapienza, Policlinico Umberto I, Roma, Italy, Servicio de Reumatología, Hospital 12 de Octubre, Madrid, Spain, Divisione di Reumatologia, Università di Roma La Sapienza, Dipartimento di Clinica e Terapia medica applicata, Policlinico Umberto I, Roma, Ospedale Mauriziano, Centro di Reumatologia, Torino, Italy, Centre for Rheumatology, Royal Free and University College London Medical School, Royal Free Campus, London, UK, Department of Rheumatology, Charité University Hospital, German Rheumatism Research Centre, a Leibniz institute, Berlin, Germany, Dipartimento di Medicina, Ospedale San Gerardo, Monza, Dipartimento e Cattedra di Reumatologia, Università degli Studi di Milano, Istituto Ortopedico Gaetano Pini, Milano, Italy, Department of Internal Medicine and Rheumatology Clinic, Ion Cantacuzino Clinical Hospital, Bucharest, Romania, University Hospital of Copenhagen, Department of Dermatology D-40, HS-Bispebjerg Hospital, Copenhagen, Denmark, Department of Rheumatology, University Hospital Zurich, Zurich, Switzerland, Clinica Reumatologie, University of Medicine & Pharmacy, Iuliu Hatieganu Cluj, Cluj-Napoca, Romania, Ghent University Hospital, Department of Rheumatology, Gent, Belgium, Rheumatologische Universitätsklinik, Felix Platter Spital, Basel, Switzerland, University of Florence, Department of Medicine, Section of Rheumatology, Florence, Italy and Lehrstuhl für Innere Medizin mit Schwerpunkt Rheumatologie der
| | - Paola Caramaschi
- National Scleroderma Reference Centre, Department of Internal Medicine, Lille Nord University, Lille, Orgamétrie biostatistiques, Roubaix, France, UO Reumatologia e Immunologia Clinica, Spedali Civili Brescia, Dipartimento Medicina Clinica e Sperimentale F-Magrassi II Policlinico U.O., Reumatologia, Napoli, Italy, Rheumatology A dpt, Paris 5 University, Cochin Hospital, Paris, France, Rheumatology Unit, Azienda Ospedaliera Universitaria Integrata di Verona, Verona, Centro per la Sclerosi Sistemica - Dipartimento di Medicina Clinica, Università La Sapienza, Policlinico Umberto I, Roma, Italy, Servicio de Reumatología, Hospital 12 de Octubre, Madrid, Spain, Divisione di Reumatologia, Università di Roma La Sapienza, Dipartimento di Clinica e Terapia medica applicata, Policlinico Umberto I, Roma, Ospedale Mauriziano, Centro di Reumatologia, Torino, Italy, Centre for Rheumatology, Royal Free and University College London Medical School, Royal Free Campus, London, UK, Department of Rheumatology, Charité University Hospital, German Rheumatism Research Centre, a Leibniz institute, Berlin, Germany, Dipartimento di Medicina, Ospedale San Gerardo, Monza, Dipartimento e Cattedra di Reumatologia, Università degli Studi di Milano, Istituto Ortopedico Gaetano Pini, Milano, Italy, Department of Internal Medicine and Rheumatology Clinic, Ion Cantacuzino Clinical Hospital, Bucharest, Romania, University Hospital of Copenhagen, Department of Dermatology D-40, HS-Bispebjerg Hospital, Copenhagen, Denmark, Department of Rheumatology, University Hospital Zurich, Zurich, Switzerland, Clinica Reumatologie, University of Medicine & Pharmacy, Iuliu Hatieganu Cluj, Cluj-Napoca, Romania, Ghent University Hospital, Department of Rheumatology, Gent, Belgium, Rheumatologische Universitätsklinik, Felix Platter Spital, Basel, Switzerland, University of Florence, Department of Medicine, Section of Rheumatology, Florence, Italy and Lehrstuhl für Innere Medizin mit Schwerpunkt Rheumatologie der
| | - Edoardo Rosato
- National Scleroderma Reference Centre, Department of Internal Medicine, Lille Nord University, Lille, Orgamétrie biostatistiques, Roubaix, France, UO Reumatologia e Immunologia Clinica, Spedali Civili Brescia, Dipartimento Medicina Clinica e Sperimentale F-Magrassi II Policlinico U.O., Reumatologia, Napoli, Italy, Rheumatology A dpt, Paris 5 University, Cochin Hospital, Paris, France, Rheumatology Unit, Azienda Ospedaliera Universitaria Integrata di Verona, Verona, Centro per la Sclerosi Sistemica - Dipartimento di Medicina Clinica, Università La Sapienza, Policlinico Umberto I, Roma, Italy, Servicio de Reumatología, Hospital 12 de Octubre, Madrid, Spain, Divisione di Reumatologia, Università di Roma La Sapienza, Dipartimento di Clinica e Terapia medica applicata, Policlinico Umberto I, Roma, Ospedale Mauriziano, Centro di Reumatologia, Torino, Italy, Centre for Rheumatology, Royal Free and University College London Medical School, Royal Free Campus, London, UK, Department of Rheumatology, Charité University Hospital, German Rheumatism Research Centre, a Leibniz institute, Berlin, Germany, Dipartimento di Medicina, Ospedale San Gerardo, Monza, Dipartimento e Cattedra di Reumatologia, Università degli Studi di Milano, Istituto Ortopedico Gaetano Pini, Milano, Italy, Department of Internal Medicine and Rheumatology Clinic, Ion Cantacuzino Clinical Hospital, Bucharest, Romania, University Hospital of Copenhagen, Department of Dermatology D-40, HS-Bispebjerg Hospital, Copenhagen, Denmark, Department of Rheumatology, University Hospital Zurich, Zurich, Switzerland, Clinica Reumatologie, University of Medicine & Pharmacy, Iuliu Hatieganu Cluj, Cluj-Napoca, Romania, Ghent University Hospital, Department of Rheumatology, Gent, Belgium, Rheumatologische Universitätsklinik, Felix Platter Spital, Basel, Switzerland, University of Florence, Department of Medicine, Section of Rheumatology, Florence, Italy and Lehrstuhl für Innere Medizin mit Schwerpunkt Rheumatologie der
| | - Patricia E Carreira
- National Scleroderma Reference Centre, Department of Internal Medicine, Lille Nord University, Lille, Orgamétrie biostatistiques, Roubaix, France, UO Reumatologia e Immunologia Clinica, Spedali Civili Brescia, Dipartimento Medicina Clinica e Sperimentale F-Magrassi II Policlinico U.O., Reumatologia, Napoli, Italy, Rheumatology A dpt, Paris 5 University, Cochin Hospital, Paris, France, Rheumatology Unit, Azienda Ospedaliera Universitaria Integrata di Verona, Verona, Centro per la Sclerosi Sistemica - Dipartimento di Medicina Clinica, Università La Sapienza, Policlinico Umberto I, Roma, Italy, Servicio de Reumatología, Hospital 12 de Octubre, Madrid, Spain, Divisione di Reumatologia, Università di Roma La Sapienza, Dipartimento di Clinica e Terapia medica applicata, Policlinico Umberto I, Roma, Ospedale Mauriziano, Centro di Reumatologia, Torino, Italy, Centre for Rheumatology, Royal Free and University College London Medical School, Royal Free Campus, London, UK, Department of Rheumatology, Charité University Hospital, German Rheumatism Research Centre, a Leibniz institute, Berlin, Germany, Dipartimento di Medicina, Ospedale San Gerardo, Monza, Dipartimento e Cattedra di Reumatologia, Università degli Studi di Milano, Istituto Ortopedico Gaetano Pini, Milano, Italy, Department of Internal Medicine and Rheumatology Clinic, Ion Cantacuzino Clinical Hospital, Bucharest, Romania, University Hospital of Copenhagen, Department of Dermatology D-40, HS-Bispebjerg Hospital, Copenhagen, Denmark, Department of Rheumatology, University Hospital Zurich, Zurich, Switzerland, Clinica Reumatologie, University of Medicine & Pharmacy, Iuliu Hatieganu Cluj, Cluj-Napoca, Romania, Ghent University Hospital, Department of Rheumatology, Gent, Belgium, Rheumatologische Universitätsklinik, Felix Platter Spital, Basel, Switzerland, University of Florence, Department of Medicine, Section of Rheumatology, Florence, Italy and Lehrstuhl für Innere Medizin mit Schwerpunkt Rheumatologie der
| | - Valeria Riccieri
- National Scleroderma Reference Centre, Department of Internal Medicine, Lille Nord University, Lille, Orgamétrie biostatistiques, Roubaix, France, UO Reumatologia e Immunologia Clinica, Spedali Civili Brescia, Dipartimento Medicina Clinica e Sperimentale F-Magrassi II Policlinico U.O., Reumatologia, Napoli, Italy, Rheumatology A dpt, Paris 5 University, Cochin Hospital, Paris, France, Rheumatology Unit, Azienda Ospedaliera Universitaria Integrata di Verona, Verona, Centro per la Sclerosi Sistemica - Dipartimento di Medicina Clinica, Università La Sapienza, Policlinico Umberto I, Roma, Italy, Servicio de Reumatología, Hospital 12 de Octubre, Madrid, Spain, Divisione di Reumatologia, Università di Roma La Sapienza, Dipartimento di Clinica e Terapia medica applicata, Policlinico Umberto I, Roma, Ospedale Mauriziano, Centro di Reumatologia, Torino, Italy, Centre for Rheumatology, Royal Free and University College London Medical School, Royal Free Campus, London, UK, Department of Rheumatology, Charité University Hospital, German Rheumatism Research Centre, a Leibniz institute, Berlin, Germany, Dipartimento di Medicina, Ospedale San Gerardo, Monza, Dipartimento e Cattedra di Reumatologia, Università degli Studi di Milano, Istituto Ortopedico Gaetano Pini, Milano, Italy, Department of Internal Medicine and Rheumatology Clinic, Ion Cantacuzino Clinical Hospital, Bucharest, Romania, University Hospital of Copenhagen, Department of Dermatology D-40, HS-Bispebjerg Hospital, Copenhagen, Denmark, Department of Rheumatology, University Hospital Zurich, Zurich, Switzerland, Clinica Reumatologie, University of Medicine & Pharmacy, Iuliu Hatieganu Cluj, Cluj-Napoca, Romania, Ghent University Hospital, Department of Rheumatology, Gent, Belgium, Rheumatologische Universitätsklinik, Felix Platter Spital, Basel, Switzerland, University of Florence, Department of Medicine, Section of Rheumatology, Florence, Italy and Lehrstuhl für Innere Medizin mit Schwerpunkt Rheumatologie der
| | - Marta Sarraco
- National Scleroderma Reference Centre, Department of Internal Medicine, Lille Nord University, Lille, Orgamétrie biostatistiques, Roubaix, France, UO Reumatologia e Immunologia Clinica, Spedali Civili Brescia, Dipartimento Medicina Clinica e Sperimentale F-Magrassi II Policlinico U.O., Reumatologia, Napoli, Italy, Rheumatology A dpt, Paris 5 University, Cochin Hospital, Paris, France, Rheumatology Unit, Azienda Ospedaliera Universitaria Integrata di Verona, Verona, Centro per la Sclerosi Sistemica - Dipartimento di Medicina Clinica, Università La Sapienza, Policlinico Umberto I, Roma, Italy, Servicio de Reumatología, Hospital 12 de Octubre, Madrid, Spain, Divisione di Reumatologia, Università di Roma La Sapienza, Dipartimento di Clinica e Terapia medica applicata, Policlinico Umberto I, Roma, Ospedale Mauriziano, Centro di Reumatologia, Torino, Italy, Centre for Rheumatology, Royal Free and University College London Medical School, Royal Free Campus, London, UK, Department of Rheumatology, Charité University Hospital, German Rheumatism Research Centre, a Leibniz institute, Berlin, Germany, Dipartimento di Medicina, Ospedale San Gerardo, Monza, Dipartimento e Cattedra di Reumatologia, Università degli Studi di Milano, Istituto Ortopedico Gaetano Pini, Milano, Italy, Department of Internal Medicine and Rheumatology Clinic, Ion Cantacuzino Clinical Hospital, Bucharest, Romania, University Hospital of Copenhagen, Department of Dermatology D-40, HS-Bispebjerg Hospital, Copenhagen, Denmark, Department of Rheumatology, University Hospital Zurich, Zurich, Switzerland, Clinica Reumatologie, University of Medicine & Pharmacy, Iuliu Hatieganu Cluj, Cluj-Napoca, Romania, Ghent University Hospital, Department of Rheumatology, Gent, Belgium, Rheumatologische Universitätsklinik, Felix Platter Spital, Basel, Switzerland, University of Florence, Department of Medicine, Section of Rheumatology, Florence, Italy and Lehrstuhl für Innere Medizin mit Schwerpunkt Rheumatologie der
| | - Christopher P Denton
- National Scleroderma Reference Centre, Department of Internal Medicine, Lille Nord University, Lille, Orgamétrie biostatistiques, Roubaix, France, UO Reumatologia e Immunologia Clinica, Spedali Civili Brescia, Dipartimento Medicina Clinica e Sperimentale F-Magrassi II Policlinico U.O., Reumatologia, Napoli, Italy, Rheumatology A dpt, Paris 5 University, Cochin Hospital, Paris, France, Rheumatology Unit, Azienda Ospedaliera Universitaria Integrata di Verona, Verona, Centro per la Sclerosi Sistemica - Dipartimento di Medicina Clinica, Università La Sapienza, Policlinico Umberto I, Roma, Italy, Servicio de Reumatología, Hospital 12 de Octubre, Madrid, Spain, Divisione di Reumatologia, Università di Roma La Sapienza, Dipartimento di Clinica e Terapia medica applicata, Policlinico Umberto I, Roma, Ospedale Mauriziano, Centro di Reumatologia, Torino, Italy, Centre for Rheumatology, Royal Free and University College London Medical School, Royal Free Campus, London, UK, Department of Rheumatology, Charité University Hospital, German Rheumatism Research Centre, a Leibniz institute, Berlin, Germany, Dipartimento di Medicina, Ospedale San Gerardo, Monza, Dipartimento e Cattedra di Reumatologia, Università degli Studi di Milano, Istituto Ortopedico Gaetano Pini, Milano, Italy, Department of Internal Medicine and Rheumatology Clinic, Ion Cantacuzino Clinical Hospital, Bucharest, Romania, University Hospital of Copenhagen, Department of Dermatology D-40, HS-Bispebjerg Hospital, Copenhagen, Denmark, Department of Rheumatology, University Hospital Zurich, Zurich, Switzerland, Clinica Reumatologie, University of Medicine & Pharmacy, Iuliu Hatieganu Cluj, Cluj-Napoca, Romania, Ghent University Hospital, Department of Rheumatology, Gent, Belgium, Rheumatologische Universitätsklinik, Felix Platter Spital, Basel, Switzerland, University of Florence, Department of Medicine, Section of Rheumatology, Florence, Italy and Lehrstuhl für Innere Medizin mit Schwerpunkt Rheumatologie der
| | - Gabriela Riemekasten
- National Scleroderma Reference Centre, Department of Internal Medicine, Lille Nord University, Lille, Orgamétrie biostatistiques, Roubaix, France, UO Reumatologia e Immunologia Clinica, Spedali Civili Brescia, Dipartimento Medicina Clinica e Sperimentale F-Magrassi II Policlinico U.O., Reumatologia, Napoli, Italy, Rheumatology A dpt, Paris 5 University, Cochin Hospital, Paris, France, Rheumatology Unit, Azienda Ospedaliera Universitaria Integrata di Verona, Verona, Centro per la Sclerosi Sistemica - Dipartimento di Medicina Clinica, Università La Sapienza, Policlinico Umberto I, Roma, Italy, Servicio de Reumatología, Hospital 12 de Octubre, Madrid, Spain, Divisione di Reumatologia, Università di Roma La Sapienza, Dipartimento di Clinica e Terapia medica applicata, Policlinico Umberto I, Roma, Ospedale Mauriziano, Centro di Reumatologia, Torino, Italy, Centre for Rheumatology, Royal Free and University College London Medical School, Royal Free Campus, London, UK, Department of Rheumatology, Charité University Hospital, German Rheumatism Research Centre, a Leibniz institute, Berlin, Germany, Dipartimento di Medicina, Ospedale San Gerardo, Monza, Dipartimento e Cattedra di Reumatologia, Università degli Studi di Milano, Istituto Ortopedico Gaetano Pini, Milano, Italy, Department of Internal Medicine and Rheumatology Clinic, Ion Cantacuzino Clinical Hospital, Bucharest, Romania, University Hospital of Copenhagen, Department of Dermatology D-40, HS-Bispebjerg Hospital, Copenhagen, Denmark, Department of Rheumatology, University Hospital Zurich, Zurich, Switzerland, Clinica Reumatologie, University of Medicine & Pharmacy, Iuliu Hatieganu Cluj, Cluj-Napoca, Romania, Ghent University Hospital, Department of Rheumatology, Gent, Belgium, Rheumatologische Universitätsklinik, Felix Platter Spital, Basel, Switzerland, University of Florence, Department of Medicine, Section of Rheumatology, Florence, Italy and Lehrstuhl für Innere Medizin mit Schwerpunkt Rheumatologie der
| | - Maria Rosa Pozzi
- National Scleroderma Reference Centre, Department of Internal Medicine, Lille Nord University, Lille, Orgamétrie biostatistiques, Roubaix, France, UO Reumatologia e Immunologia Clinica, Spedali Civili Brescia, Dipartimento Medicina Clinica e Sperimentale F-Magrassi II Policlinico U.O., Reumatologia, Napoli, Italy, Rheumatology A dpt, Paris 5 University, Cochin Hospital, Paris, France, Rheumatology Unit, Azienda Ospedaliera Universitaria Integrata di Verona, Verona, Centro per la Sclerosi Sistemica - Dipartimento di Medicina Clinica, Università La Sapienza, Policlinico Umberto I, Roma, Italy, Servicio de Reumatología, Hospital 12 de Octubre, Madrid, Spain, Divisione di Reumatologia, Università di Roma La Sapienza, Dipartimento di Clinica e Terapia medica applicata, Policlinico Umberto I, Roma, Ospedale Mauriziano, Centro di Reumatologia, Torino, Italy, Centre for Rheumatology, Royal Free and University College London Medical School, Royal Free Campus, London, UK, Department of Rheumatology, Charité University Hospital, German Rheumatism Research Centre, a Leibniz institute, Berlin, Germany, Dipartimento di Medicina, Ospedale San Gerardo, Monza, Dipartimento e Cattedra di Reumatologia, Università degli Studi di Milano, Istituto Ortopedico Gaetano Pini, Milano, Italy, Department of Internal Medicine and Rheumatology Clinic, Ion Cantacuzino Clinical Hospital, Bucharest, Romania, University Hospital of Copenhagen, Department of Dermatology D-40, HS-Bispebjerg Hospital, Copenhagen, Denmark, Department of Rheumatology, University Hospital Zurich, Zurich, Switzerland, Clinica Reumatologie, University of Medicine & Pharmacy, Iuliu Hatieganu Cluj, Cluj-Napoca, Romania, Ghent University Hospital, Department of Rheumatology, Gent, Belgium, Rheumatologische Universitätsklinik, Felix Platter Spital, Basel, Switzerland, University of Florence, Department of Medicine, Section of Rheumatology, Florence, Italy and Lehrstuhl für Innere Medizin mit Schwerpunkt Rheumatologie der
| | - Silvana Zeni
- National Scleroderma Reference Centre, Department of Internal Medicine, Lille Nord University, Lille, Orgamétrie biostatistiques, Roubaix, France, UO Reumatologia e Immunologia Clinica, Spedali Civili Brescia, Dipartimento Medicina Clinica e Sperimentale F-Magrassi II Policlinico U.O., Reumatologia, Napoli, Italy, Rheumatology A dpt, Paris 5 University, Cochin Hospital, Paris, France, Rheumatology Unit, Azienda Ospedaliera Universitaria Integrata di Verona, Verona, Centro per la Sclerosi Sistemica - Dipartimento di Medicina Clinica, Università La Sapienza, Policlinico Umberto I, Roma, Italy, Servicio de Reumatología, Hospital 12 de Octubre, Madrid, Spain, Divisione di Reumatologia, Università di Roma La Sapienza, Dipartimento di Clinica e Terapia medica applicata, Policlinico Umberto I, Roma, Ospedale Mauriziano, Centro di Reumatologia, Torino, Italy, Centre for Rheumatology, Royal Free and University College London Medical School, Royal Free Campus, London, UK, Department of Rheumatology, Charité University Hospital, German Rheumatism Research Centre, a Leibniz institute, Berlin, Germany, Dipartimento di Medicina, Ospedale San Gerardo, Monza, Dipartimento e Cattedra di Reumatologia, Università degli Studi di Milano, Istituto Ortopedico Gaetano Pini, Milano, Italy, Department of Internal Medicine and Rheumatology Clinic, Ion Cantacuzino Clinical Hospital, Bucharest, Romania, University Hospital of Copenhagen, Department of Dermatology D-40, HS-Bispebjerg Hospital, Copenhagen, Denmark, Department of Rheumatology, University Hospital Zurich, Zurich, Switzerland, Clinica Reumatologie, University of Medicine & Pharmacy, Iuliu Hatieganu Cluj, Cluj-Napoca, Romania, Ghent University Hospital, Department of Rheumatology, Gent, Belgium, Rheumatologische Universitätsklinik, Felix Platter Spital, Basel, Switzerland, University of Florence, Department of Medicine, Section of Rheumatology, Florence, Italy and Lehrstuhl für Innere Medizin mit Schwerpunkt Rheumatologie der
| | - Carmen Marina Mihai
- National Scleroderma Reference Centre, Department of Internal Medicine, Lille Nord University, Lille, Orgamétrie biostatistiques, Roubaix, France, UO Reumatologia e Immunologia Clinica, Spedali Civili Brescia, Dipartimento Medicina Clinica e Sperimentale F-Magrassi II Policlinico U.O., Reumatologia, Napoli, Italy, Rheumatology A dpt, Paris 5 University, Cochin Hospital, Paris, France, Rheumatology Unit, Azienda Ospedaliera Universitaria Integrata di Verona, Verona, Centro per la Sclerosi Sistemica - Dipartimento di Medicina Clinica, Università La Sapienza, Policlinico Umberto I, Roma, Italy, Servicio de Reumatología, Hospital 12 de Octubre, Madrid, Spain, Divisione di Reumatologia, Università di Roma La Sapienza, Dipartimento di Clinica e Terapia medica applicata, Policlinico Umberto I, Roma, Ospedale Mauriziano, Centro di Reumatologia, Torino, Italy, Centre for Rheumatology, Royal Free and University College London Medical School, Royal Free Campus, London, UK, Department of Rheumatology, Charité University Hospital, German Rheumatism Research Centre, a Leibniz institute, Berlin, Germany, Dipartimento di Medicina, Ospedale San Gerardo, Monza, Dipartimento e Cattedra di Reumatologia, Università degli Studi di Milano, Istituto Ortopedico Gaetano Pini, Milano, Italy, Department of Internal Medicine and Rheumatology Clinic, Ion Cantacuzino Clinical Hospital, Bucharest, Romania, University Hospital of Copenhagen, Department of Dermatology D-40, HS-Bispebjerg Hospital, Copenhagen, Denmark, Department of Rheumatology, University Hospital Zurich, Zurich, Switzerland, Clinica Reumatologie, University of Medicine & Pharmacy, Iuliu Hatieganu Cluj, Cluj-Napoca, Romania, Ghent University Hospital, Department of Rheumatology, Gent, Belgium, Rheumatologische Universitätsklinik, Felix Platter Spital, Basel, Switzerland, University of Florence, Department of Medicine, Section of Rheumatology, Florence, Italy and Lehrstuhl für Innere Medizin mit Schwerpunkt Rheumatologie der
| | - Susanne Ullman
- National Scleroderma Reference Centre, Department of Internal Medicine, Lille Nord University, Lille, Orgamétrie biostatistiques, Roubaix, France, UO Reumatologia e Immunologia Clinica, Spedali Civili Brescia, Dipartimento Medicina Clinica e Sperimentale F-Magrassi II Policlinico U.O., Reumatologia, Napoli, Italy, Rheumatology A dpt, Paris 5 University, Cochin Hospital, Paris, France, Rheumatology Unit, Azienda Ospedaliera Universitaria Integrata di Verona, Verona, Centro per la Sclerosi Sistemica - Dipartimento di Medicina Clinica, Università La Sapienza, Policlinico Umberto I, Roma, Italy, Servicio de Reumatología, Hospital 12 de Octubre, Madrid, Spain, Divisione di Reumatologia, Università di Roma La Sapienza, Dipartimento di Clinica e Terapia medica applicata, Policlinico Umberto I, Roma, Ospedale Mauriziano, Centro di Reumatologia, Torino, Italy, Centre for Rheumatology, Royal Free and University College London Medical School, Royal Free Campus, London, UK, Department of Rheumatology, Charité University Hospital, German Rheumatism Research Centre, a Leibniz institute, Berlin, Germany, Dipartimento di Medicina, Ospedale San Gerardo, Monza, Dipartimento e Cattedra di Reumatologia, Università degli Studi di Milano, Istituto Ortopedico Gaetano Pini, Milano, Italy, Department of Internal Medicine and Rheumatology Clinic, Ion Cantacuzino Clinical Hospital, Bucharest, Romania, University Hospital of Copenhagen, Department of Dermatology D-40, HS-Bispebjerg Hospital, Copenhagen, Denmark, Department of Rheumatology, University Hospital Zurich, Zurich, Switzerland, Clinica Reumatologie, University of Medicine & Pharmacy, Iuliu Hatieganu Cluj, Cluj-Napoca, Romania, Ghent University Hospital, Department of Rheumatology, Gent, Belgium, Rheumatologische Universitätsklinik, Felix Platter Spital, Basel, Switzerland, University of Florence, Department of Medicine, Section of Rheumatology, Florence, Italy and Lehrstuhl für Innere Medizin mit Schwerpunkt Rheumatologie der
| | - Oliver Distler
- National Scleroderma Reference Centre, Department of Internal Medicine, Lille Nord University, Lille, Orgamétrie biostatistiques, Roubaix, France, UO Reumatologia e Immunologia Clinica, Spedali Civili Brescia, Dipartimento Medicina Clinica e Sperimentale F-Magrassi II Policlinico U.O., Reumatologia, Napoli, Italy, Rheumatology A dpt, Paris 5 University, Cochin Hospital, Paris, France, Rheumatology Unit, Azienda Ospedaliera Universitaria Integrata di Verona, Verona, Centro per la Sclerosi Sistemica - Dipartimento di Medicina Clinica, Università La Sapienza, Policlinico Umberto I, Roma, Italy, Servicio de Reumatología, Hospital 12 de Octubre, Madrid, Spain, Divisione di Reumatologia, Università di Roma La Sapienza, Dipartimento di Clinica e Terapia medica applicata, Policlinico Umberto I, Roma, Ospedale Mauriziano, Centro di Reumatologia, Torino, Italy, Centre for Rheumatology, Royal Free and University College London Medical School, Royal Free Campus, London, UK, Department of Rheumatology, Charité University Hospital, German Rheumatism Research Centre, a Leibniz institute, Berlin, Germany, Dipartimento di Medicina, Ospedale San Gerardo, Monza, Dipartimento e Cattedra di Reumatologia, Università degli Studi di Milano, Istituto Ortopedico Gaetano Pini, Milano, Italy, Department of Internal Medicine and Rheumatology Clinic, Ion Cantacuzino Clinical Hospital, Bucharest, Romania, University Hospital of Copenhagen, Department of Dermatology D-40, HS-Bispebjerg Hospital, Copenhagen, Denmark, Department of Rheumatology, University Hospital Zurich, Zurich, Switzerland, Clinica Reumatologie, University of Medicine & Pharmacy, Iuliu Hatieganu Cluj, Cluj-Napoca, Romania, Ghent University Hospital, Department of Rheumatology, Gent, Belgium, Rheumatologische Universitätsklinik, Felix Platter Spital, Basel, Switzerland, University of Florence, Department of Medicine, Section of Rheumatology, Florence, Italy and Lehrstuhl für Innere Medizin mit Schwerpunkt Rheumatologie der
| | - Simona Rednic
- National Scleroderma Reference Centre, Department of Internal Medicine, Lille Nord University, Lille, Orgamétrie biostatistiques, Roubaix, France, UO Reumatologia e Immunologia Clinica, Spedali Civili Brescia, Dipartimento Medicina Clinica e Sperimentale F-Magrassi II Policlinico U.O., Reumatologia, Napoli, Italy, Rheumatology A dpt, Paris 5 University, Cochin Hospital, Paris, France, Rheumatology Unit, Azienda Ospedaliera Universitaria Integrata di Verona, Verona, Centro per la Sclerosi Sistemica - Dipartimento di Medicina Clinica, Università La Sapienza, Policlinico Umberto I, Roma, Italy, Servicio de Reumatología, Hospital 12 de Octubre, Madrid, Spain, Divisione di Reumatologia, Università di Roma La Sapienza, Dipartimento di Clinica e Terapia medica applicata, Policlinico Umberto I, Roma, Ospedale Mauriziano, Centro di Reumatologia, Torino, Italy, Centre for Rheumatology, Royal Free and University College London Medical School, Royal Free Campus, London, UK, Department of Rheumatology, Charité University Hospital, German Rheumatism Research Centre, a Leibniz institute, Berlin, Germany, Dipartimento di Medicina, Ospedale San Gerardo, Monza, Dipartimento e Cattedra di Reumatologia, Università degli Studi di Milano, Istituto Ortopedico Gaetano Pini, Milano, Italy, Department of Internal Medicine and Rheumatology Clinic, Ion Cantacuzino Clinical Hospital, Bucharest, Romania, University Hospital of Copenhagen, Department of Dermatology D-40, HS-Bispebjerg Hospital, Copenhagen, Denmark, Department of Rheumatology, University Hospital Zurich, Zurich, Switzerland, Clinica Reumatologie, University of Medicine & Pharmacy, Iuliu Hatieganu Cluj, Cluj-Napoca, Romania, Ghent University Hospital, Department of Rheumatology, Gent, Belgium, Rheumatologische Universitätsklinik, Felix Platter Spital, Basel, Switzerland, University of Florence, Department of Medicine, Section of Rheumatology, Florence, Italy and Lehrstuhl für Innere Medizin mit Schwerpunkt Rheumatologie der
| | - Vanessa Smith
- National Scleroderma Reference Centre, Department of Internal Medicine, Lille Nord University, Lille, Orgamétrie biostatistiques, Roubaix, France, UO Reumatologia e Immunologia Clinica, Spedali Civili Brescia, Dipartimento Medicina Clinica e Sperimentale F-Magrassi II Policlinico U.O., Reumatologia, Napoli, Italy, Rheumatology A dpt, Paris 5 University, Cochin Hospital, Paris, France, Rheumatology Unit, Azienda Ospedaliera Universitaria Integrata di Verona, Verona, Centro per la Sclerosi Sistemica - Dipartimento di Medicina Clinica, Università La Sapienza, Policlinico Umberto I, Roma, Italy, Servicio de Reumatología, Hospital 12 de Octubre, Madrid, Spain, Divisione di Reumatologia, Università di Roma La Sapienza, Dipartimento di Clinica e Terapia medica applicata, Policlinico Umberto I, Roma, Ospedale Mauriziano, Centro di Reumatologia, Torino, Italy, Centre for Rheumatology, Royal Free and University College London Medical School, Royal Free Campus, London, UK, Department of Rheumatology, Charité University Hospital, German Rheumatism Research Centre, a Leibniz institute, Berlin, Germany, Dipartimento di Medicina, Ospedale San Gerardo, Monza, Dipartimento e Cattedra di Reumatologia, Università degli Studi di Milano, Istituto Ortopedico Gaetano Pini, Milano, Italy, Department of Internal Medicine and Rheumatology Clinic, Ion Cantacuzino Clinical Hospital, Bucharest, Romania, University Hospital of Copenhagen, Department of Dermatology D-40, HS-Bispebjerg Hospital, Copenhagen, Denmark, Department of Rheumatology, University Hospital Zurich, Zurich, Switzerland, Clinica Reumatologie, University of Medicine & Pharmacy, Iuliu Hatieganu Cluj, Cluj-Napoca, Romania, Ghent University Hospital, Department of Rheumatology, Gent, Belgium, Rheumatologische Universitätsklinik, Felix Platter Spital, Basel, Switzerland, University of Florence, Department of Medicine, Section of Rheumatology, Florence, Italy and Lehrstuhl für Innere Medizin mit Schwerpunkt Rheumatologie der
| | - Ulrich A Walker
- National Scleroderma Reference Centre, Department of Internal Medicine, Lille Nord University, Lille, Orgamétrie biostatistiques, Roubaix, France, UO Reumatologia e Immunologia Clinica, Spedali Civili Brescia, Dipartimento Medicina Clinica e Sperimentale F-Magrassi II Policlinico U.O., Reumatologia, Napoli, Italy, Rheumatology A dpt, Paris 5 University, Cochin Hospital, Paris, France, Rheumatology Unit, Azienda Ospedaliera Universitaria Integrata di Verona, Verona, Centro per la Sclerosi Sistemica - Dipartimento di Medicina Clinica, Università La Sapienza, Policlinico Umberto I, Roma, Italy, Servicio de Reumatología, Hospital 12 de Octubre, Madrid, Spain, Divisione di Reumatologia, Università di Roma La Sapienza, Dipartimento di Clinica e Terapia medica applicata, Policlinico Umberto I, Roma, Ospedale Mauriziano, Centro di Reumatologia, Torino, Italy, Centre for Rheumatology, Royal Free and University College London Medical School, Royal Free Campus, London, UK, Department of Rheumatology, Charité University Hospital, German Rheumatism Research Centre, a Leibniz institute, Berlin, Germany, Dipartimento di Medicina, Ospedale San Gerardo, Monza, Dipartimento e Cattedra di Reumatologia, Università degli Studi di Milano, Istituto Ortopedico Gaetano Pini, Milano, Italy, Department of Internal Medicine and Rheumatology Clinic, Ion Cantacuzino Clinical Hospital, Bucharest, Romania, University Hospital of Copenhagen, Department of Dermatology D-40, HS-Bispebjerg Hospital, Copenhagen, Denmark, Department of Rheumatology, University Hospital Zurich, Zurich, Switzerland, Clinica Reumatologie, University of Medicine & Pharmacy, Iuliu Hatieganu Cluj, Cluj-Napoca, Romania, Ghent University Hospital, Department of Rheumatology, Gent, Belgium, Rheumatologische Universitätsklinik, Felix Platter Spital, Basel, Switzerland, University of Florence, Department of Medicine, Section of Rheumatology, Florence, Italy and Lehrstuhl für Innere Medizin mit Schwerpunkt Rheumatologie der
| | - Marco Matucci-Cerinic
- National Scleroderma Reference Centre, Department of Internal Medicine, Lille Nord University, Lille, Orgamétrie biostatistiques, Roubaix, France, UO Reumatologia e Immunologia Clinica, Spedali Civili Brescia, Dipartimento Medicina Clinica e Sperimentale F-Magrassi II Policlinico U.O., Reumatologia, Napoli, Italy, Rheumatology A dpt, Paris 5 University, Cochin Hospital, Paris, France, Rheumatology Unit, Azienda Ospedaliera Universitaria Integrata di Verona, Verona, Centro per la Sclerosi Sistemica - Dipartimento di Medicina Clinica, Università La Sapienza, Policlinico Umberto I, Roma, Italy, Servicio de Reumatología, Hospital 12 de Octubre, Madrid, Spain, Divisione di Reumatologia, Università di Roma La Sapienza, Dipartimento di Clinica e Terapia medica applicata, Policlinico Umberto I, Roma, Ospedale Mauriziano, Centro di Reumatologia, Torino, Italy, Centre for Rheumatology, Royal Free and University College London Medical School, Royal Free Campus, London, UK, Department of Rheumatology, Charité University Hospital, German Rheumatism Research Centre, a Leibniz institute, Berlin, Germany, Dipartimento di Medicina, Ospedale San Gerardo, Monza, Dipartimento e Cattedra di Reumatologia, Università degli Studi di Milano, Istituto Ortopedico Gaetano Pini, Milano, Italy, Department of Internal Medicine and Rheumatology Clinic, Ion Cantacuzino Clinical Hospital, Bucharest, Romania, University Hospital of Copenhagen, Department of Dermatology D-40, HS-Bispebjerg Hospital, Copenhagen, Denmark, Department of Rheumatology, University Hospital Zurich, Zurich, Switzerland, Clinica Reumatologie, University of Medicine & Pharmacy, Iuliu Hatieganu Cluj, Cluj-Napoca, Romania, Ghent University Hospital, Department of Rheumatology, Gent, Belgium, Rheumatologische Universitätsklinik, Felix Platter Spital, Basel, Switzerland, University of Florence, Department of Medicine, Section of Rheumatology, Florence, Italy and Lehrstuhl für Innere Medizin mit Schwerpunkt Rheumatologie der
| | - Ulf Müller-Ladner
- National Scleroderma Reference Centre, Department of Internal Medicine, Lille Nord University, Lille, Orgamétrie biostatistiques, Roubaix, France, UO Reumatologia e Immunologia Clinica, Spedali Civili Brescia, Dipartimento Medicina Clinica e Sperimentale F-Magrassi II Policlinico U.O., Reumatologia, Napoli, Italy, Rheumatology A dpt, Paris 5 University, Cochin Hospital, Paris, France, Rheumatology Unit, Azienda Ospedaliera Universitaria Integrata di Verona, Verona, Centro per la Sclerosi Sistemica - Dipartimento di Medicina Clinica, Università La Sapienza, Policlinico Umberto I, Roma, Italy, Servicio de Reumatología, Hospital 12 de Octubre, Madrid, Spain, Divisione di Reumatologia, Università di Roma La Sapienza, Dipartimento di Clinica e Terapia medica applicata, Policlinico Umberto I, Roma, Ospedale Mauriziano, Centro di Reumatologia, Torino, Italy, Centre for Rheumatology, Royal Free and University College London Medical School, Royal Free Campus, London, UK, Department of Rheumatology, Charité University Hospital, German Rheumatism Research Centre, a Leibniz institute, Berlin, Germany, Dipartimento di Medicina, Ospedale San Gerardo, Monza, Dipartimento e Cattedra di Reumatologia, Università degli Studi di Milano, Istituto Ortopedico Gaetano Pini, Milano, Italy, Department of Internal Medicine and Rheumatology Clinic, Ion Cantacuzino Clinical Hospital, Bucharest, Romania, University Hospital of Copenhagen, Department of Dermatology D-40, HS-Bispebjerg Hospital, Copenhagen, Denmark, Department of Rheumatology, University Hospital Zurich, Zurich, Switzerland, Clinica Reumatologie, University of Medicine & Pharmacy, Iuliu Hatieganu Cluj, Cluj-Napoca, Romania, Ghent University Hospital, Department of Rheumatology, Gent, Belgium, Rheumatologische Universitätsklinik, Felix Platter Spital, Basel, Switzerland, University of Florence, Department of Medicine, Section of Rheumatology, Florence, Italy and Lehrstuhl für Innere Medizin mit Schwerpunkt Rheumatologie der
| | - David Launay
- National Scleroderma Reference Centre, Department of Internal Medicine, Lille Nord University, Lille, Orgamétrie biostatistiques, Roubaix, France, UO Reumatologia e Immunologia Clinica, Spedali Civili Brescia, Dipartimento Medicina Clinica e Sperimentale F-Magrassi II Policlinico U.O., Reumatologia, Napoli, Italy, Rheumatology A dpt, Paris 5 University, Cochin Hospital, Paris, France, Rheumatology Unit, Azienda Ospedaliera Universitaria Integrata di Verona, Verona, Centro per la Sclerosi Sistemica - Dipartimento di Medicina Clinica, Università La Sapienza, Policlinico Umberto I, Roma, Italy, Servicio de Reumatología, Hospital 12 de Octubre, Madrid, Spain, Divisione di Reumatologia, Università di Roma La Sapienza, Dipartimento di Clinica e Terapia medica applicata, Policlinico Umberto I, Roma, Ospedale Mauriziano, Centro di Reumatologia, Torino, Italy, Centre for Rheumatology, Royal Free and University College London Medical School, Royal Free Campus, London, UK, Department of Rheumatology, Charité University Hospital, German Rheumatism Research Centre, a Leibniz institute, Berlin, Germany, Dipartimento di Medicina, Ospedale San Gerardo, Monza, Dipartimento e Cattedra di Reumatologia, Università degli Studi di Milano, Istituto Ortopedico Gaetano Pini, Milano, Italy, Department of Internal Medicine and Rheumatology Clinic, Ion Cantacuzino Clinical Hospital, Bucharest, Romania, University Hospital of Copenhagen, Department of Dermatology D-40, HS-Bispebjerg Hospital, Copenhagen, Denmark, Department of Rheumatology, University Hospital Zurich, Zurich, Switzerland, Clinica Reumatologie, University of Medicine & Pharmacy, Iuliu Hatieganu Cluj, Cluj-Napoca, Romania, Ghent University Hospital, Department of Rheumatology, Gent, Belgium, Rheumatologische Universitätsklinik, Felix Platter Spital, Basel, Switzerland, University of Florence, Department of Medicine, Section of Rheumatology, Florence, Italy and Lehrstuhl für Innere Medizin mit Schwerpunkt Rheumatologie der
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