Research Article

Anti-Cyclic Citrullinated Peptide Antibodies and Severity of Interstitial Lung Disease in Women with Rheumatoid Arthritis

Table 1

Comparison in selected clinical variables between patients with RA and interstitial lung disease (RA-ILD) and patients with RA without interstitial lung disease (RA only).

VariableRA patients groups
RA-ILD = 39RA only = 42

Age, years51.0 (36.0–72.0)49.0 (24.0–73.0)0.21
Smoking history, (%)9 (23.1)13 (31.0)0.46
Current smokers, (%)1 (2.6)6 (14.3)0.11
RA characteristics
Disease duration, years7.0 (1.0–35.0)6.5 (0.75–25.0)0.26
DAS28 (units)3.9 (1.7–5.3)2.5 (1.7–5.1)<0.001
  Inactive (<2.8)13 (33.3)29 (69.0)0.002
  Active (≥2.8)26 (66.7)13 (31.0)
HAQ-Di (units)0.8 (0.2–3.0)0.4 (0.2–2.4)<0.001
Impairment in HAQ-Di ≥0.6, (%)29 (74.4)14 (33.3)<0.001
Global functional status III-IV, (%)21 (44.7)0 (0%)
Steinbrocker stage-hands, III or IV, (%)6 (12.8)0 (0%)
Rheumatoid nodules history, (%)29 (74.4)5 (14.7)<0.001
ESR, mm/h32.0 (14.0–62.0)19.5 (8.0–45.0)<0.001
Positive RF, (%)38 (97.4)15 (35.7)<0.001
Anti-CCP titers77.9 (25.2–200.0)30.2 (7.0–70.14)<0.001
Positive anti-CCP 39 (100)27 (64.3)<0.001
DMARDs
Methotrexate, (%)39 (100)41 (97.6)1.00
  At the time of the study, mg/week15.0 (10.0–22.5)7.5 (0–12.5)<0.001
  MTX treatment duration, years7.0 (2.5–30.0)5.0 (0.8–13.0)0.002
  MTX accumulated doses, grams6.8 (3.1–129.6)1.1 (0–2.1)<0.001
Azathioprine, (%)27 (69.2)21 (50.0)0.11
Chloroquine, (%)10 (25.6)19 (45.2)0.10
Corticosteroids utilization, (%)37 (94.9)37 (88.1)0.43

Qualitative variables were expressed in frequency (%); quantitative variables were expressed in medians (ranges); RA: rheumatoid arthritis; ILD: interstitial lung disease; ESR: erythrocyte sedimentation rate; VAS: visual analogue scale; HAQ-Di: Health Assessment Questionnaire-Disability Index; RF: rheumatoid factor; anti-CCP2: anti-cyclic citrullinated peptide antibodies (second generation); DMARDs: disease-modifying antirheumatic drugs. values for comparisons between medians were computed with Mann-Whitney test and for comparison between proportions were computed with chi-square (or Fisher exact test if applicable).