Cancer-associated myositis before and after the COVID-19 pandemic onset: a changing trend

During the COVID-19 pandemic, there was a significant impact on the management of non-COVID-19 related diseases, potentially increasing the incidence of paraneoplastic syndromes such as cancer-associated myositis (CAM).The aim of this study is to determine the incidence of CAM in our cohort before a...

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Veröffentlicht in:Clinical and experimental rheumatology 2024-02, Vol.42 (2), p.316-320
Hauptverfasser: Costa, Filipa M, Campanilho-Marques, Raquel, Dourado, Eduardo, Bandeira, Matilde, Correia, Bianca, Melo, Ana Teresa, Saraiva, Fernando, Barreira, Sofia C, Fonseca, João Eurico
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container_end_page 320
container_issue 2
container_start_page 316
container_title Clinical and experimental rheumatology
container_volume 42
creator Costa, Filipa M
Campanilho-Marques, Raquel
Dourado, Eduardo
Bandeira, Matilde
Correia, Bianca
Melo, Ana Teresa
Saraiva, Fernando
Barreira, Sofia C
Fonseca, João Eurico
description During the COVID-19 pandemic, there was a significant impact on the management of non-COVID-19 related diseases, potentially increasing the incidence of paraneoplastic syndromes such as cancer-associated myositis (CAM).The aim of this study is to determine the incidence of CAM in our cohort before and after the COVID-19 pandemic onset. We included patients with idiopathic inflammatory myopathy (IIM), diagnosed between June 2016 and June 2023. The patients were divided into two groups according to the date of IIM diagnosis. We included 132 patients; 65.1% (n=86) were diagnosed prior to and 34.9% (n=46) after the COVID-19 pandemic. The most common IIM was dermatomyositis (DM) before and after the COVID-19 pandemic onset (p=0.750). The most frequent myositis-specific antibody (MSA) before the COVID-19 pandemic was anti-Mi2 (15.1%). After the COVID-19 pandemic onset, anti-TIF1γ was the most common MSA (21.7%), with a significantly higher relative prevalence (p=0.006). The incidence of CAM was significantly higher after the COVID-19 pandemic onset (11 vs. 3 new cases, p
doi_str_mv 10.55563/clinexprheumatol/jv9ey8
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We included patients with idiopathic inflammatory myopathy (IIM), diagnosed between June 2016 and June 2023. The patients were divided into two groups according to the date of IIM diagnosis. We included 132 patients; 65.1% (n=86) were diagnosed prior to and 34.9% (n=46) after the COVID-19 pandemic. The most common IIM was dermatomyositis (DM) before and after the COVID-19 pandemic onset (p=0.750). The most frequent myositis-specific antibody (MSA) before the COVID-19 pandemic was anti-Mi2 (15.1%). After the COVID-19 pandemic onset, anti-TIF1γ was the most common MSA (21.7%), with a significantly higher relative prevalence (p=0.006). The incidence of CAM was significantly higher after the COVID-19 pandemic onset (11 vs. 3 new cases, p&lt;0.002). Patients with CAM more frequently had anti-TIF1γ-positivity (p&lt;0.001) and a diagnosis after the pandemic (p=0.001) than non-CAM-IIM patients. No significant differences were found regarding vaccination status or previous COVID-19 infection in CAM and non-CAM-IIM patients. Diagnosis after the COVID-19 pandemic was an independent predictor of CAM among IIM patients (OR 0.012, 95% CI 0.000-0.400, p=0.013), regardless of age, sex or previous COVID-19 infection. There was a significant increase in the incidence of CAM after the COVID-19 pandemic. 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title Cancer-associated myositis before and after the COVID-19 pandemic onset: a changing trend
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