Research Article

Autoantibodies Affect Brain Density Reduction in Nonneuropsychiatric Systemic Lupus Erythematosus Patients

Table 1

Demographic and clinical characteristics of SLE patients and healthy controls.

Group
SLE ( = 95)CTL ( = 89)

Age (year, mean ± SD)28.65 ± 7.5130.70 ± 7.93−1.7950.074
Female/male79/1664/253.357 ()0.067
Duration (month, mean ± SD)18.99 ± 27.55NA
SLEDAI (mean ± SD)10.01 ± 6.45NA
Total steroid (g, mean ± SD)6.86 ± 12.05NA
Total CTX (g, mean ± SD)0.96 ± 0.24NA
Total HCQ (g, mean ± SD)23.19 ± 66.22NA
GMD0.5450 ± 0.02530.5767 ± 0.0276−8.1320.000
WMD0.5183 ± 0.02520.5405 ± 0.0213−6.4550.000
Manifestation ( (%))
 Seizure0 (0)
 Psychosis 0 (0)
 Organic brain syndrome0 (0)
 Visual disturbance0 (0)
 Cranial nerve disorder0 (0)
 Lupus headache0 (0)
 Cerebrovascular accident (CVA)0 (0)
 Neurological sign0 (0)
 Vasculitis5 (5.26)
 Arthritis25 (26.32)
 Myositis5 (5.26)
 Urinary casts2 (2.11)
 Hematuria30 (31.58)
 Proteinuria24 (25.26)
 Pyuria32 (33.68)
 Malar rash25 (26.32)
 Discoid rash8 (8.42)
 Photosensitivity18 (18.95)
 Alopecia18 (18.95)
 Mucosal ulcers6 (6.32)
 Pleurisy10 (10.53)
 Pericarditis5 (5.26)
 Fever4 (4.21)
 Low complement79 (83.16)
 Thrombocytopenia9 (9.47)
 Leukopenia30 (31.58)
Autoantibody positive ( (%))
 Antinuclear 95 (100)
 ACL33 (34.74)
 Histone51 (53.68)
 P046 (48.42)
 SM 45 (47.37)
 dsDNA 57 (60.00)
 SSA5251 (53.68)
 SSA6061 (64.21)
 SSB34 (35.79)
 U1RNP30 (31.58)
 Nucleosome38 (40.00)

SLEDAI: SLE disease activity index; GMD: mean whole brain grey matter density; WMD: mean whole brain white matter density; CTX: cyclophosphamide; HCQ: hydroxychloroquine; CTL: healthy control; ACL: anticardiolipin antibodies; histone: antihistone antibodies; P0: antiribosomal P antibodies; SM: Anti-Sm antibodies; ds-DNA: anti-dsDNA antibodies; SSA52: anti-Ro/SSA 52-KD antibodies; SSA60: anti-Ro/SSA 60-KD antibodies; SSB: anti-La/SSB antibodies; U1RNP: anti-U1 RNP antibodies; nucleosome: antinucleosome antibodies; NA, not applicable.