Lupus in Chinese male

a retrospective study of 61 patients.

C. C. Chang, T. Y. Shih, S. J. Chu, S. Y. Kuo, C. M. Chen, C. M. Hsu, M. L. Chang, D. M. Chang

Research output: Contribution to journalArticle

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Abstract

BACKGROUND. Systemic lupus erythematosus (SLE) has traditionally been considered a disease of women, and is uncommon in men. In recent years, several large clinical series of male lupus patients have been reported. As no known data are available for lupus in males from Taiwan, a retrospective analysis of data from male lupus patients was done to determine whether these patients differed from other series of male or female SLE patients in the literature. METHODS. Sixty-one male lupus patients, diagnosed and followed in Tri-Service General Hospital, between 1983 and 1993, were studied and their data analyzed, retrospectively. RESULTS. The mean age of diagnosis was 30 +/- 17 (mean +/- SD, range: 13-81) years. The peak age of diagnosis was between 13 and 40 years. The mean duration of follow-up was 36 +/- 36 (range: 2-256) months. The 1-, 5- and 10-year survival rates were 84%, 76% and 75%, respectively. The frequency of clinical manifestations were renal disease, 75%; malar rash, 70%; arthritis, 60%; fever, 56%; photosensitivity, 48%; pleuritis, 39%; pericarditis, 31%; alopecia, 31%; mucosal ulcers, 29%; neuropsychiatric disease, 26%; discoid lupus, 21%; vasculitis, 15%; Raynaud's phenomenon, 10%; and lymphadenopathy, 2%. The frequency of abnormal laboratory findings were antinuclear antibodies (ANA), 95%; hypocomplementemia, 77%; antibodies to double-stranded DNA (anti-dsDNA), 57%; leukopenia, 44%; lupus erythematosus (LE) cells, 39%; anti-Ro, 39%; anti-Smith antibodies (anti-Sm), 19%; thrombocytopenia, 18%; rheumatoid factor, 17%; anti-ribonucleoprotein antibody (anti-RNP), 14%; autoimmune hemolytic anemia, 8%; false-positive venereal disease research laboratory test (VDRL), 6% and anti-La, 4%. CONCLUSIONS. In a review of the 61 ethnic Chinese male lupus patients, a higher frequency of renal disease, malar rash and photosensitivity, but a lower frequency of arthritis and lymphadenopathy, compared to previous reports of Caucasians. There were no significant immunological differences from other series of male lupus, except a lower frequency of anti-dsDNA. In general, poor prognosis was noted for male lupus patients here.

Original languageEnglish
Pages (from-to)143-150
Number of pages8
JournalChinese Medical Journal (Taipei)
Volume55
Issue number2
Publication statusPublished - Feb 1995
Externally publishedYes

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Retrospective Studies
Exanthema
Systemic Lupus Erythematosus
Arthritis
Anti-Idiotypic Antibodies
Kidney
Autoimmune Hemolytic Anemia
Pleurisy
Raynaud Disease
Ribonucleoproteins
Pericarditis
Antibodies
Rheumatoid Factor
Antinuclear Antibodies
Alopecia
Leukopenia
Sexually Transmitted Diseases
Vasculitis
Taiwan
General Hospitals

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Chang, C. C., Shih, T. Y., Chu, S. J., Kuo, S. Y., Chen, C. M., Hsu, C. M., ... Chang, D. M. (1995). Lupus in Chinese male: a retrospective study of 61 patients. Chinese Medical Journal (Taipei), 55(2), 143-150.

Lupus in Chinese male : a retrospective study of 61 patients. / Chang, C. C.; Shih, T. Y.; Chu, S. J.; Kuo, S. Y.; Chen, C. M.; Hsu, C. M.; Chang, M. L.; Chang, D. M.

In: Chinese Medical Journal (Taipei), Vol. 55, No. 2, 02.1995, p. 143-150.

Research output: Contribution to journalArticle

Chang, CC, Shih, TY, Chu, SJ, Kuo, SY, Chen, CM, Hsu, CM, Chang, ML & Chang, DM 1995, 'Lupus in Chinese male: a retrospective study of 61 patients.', Chinese Medical Journal (Taipei), vol. 55, no. 2, pp. 143-150.
Chang CC, Shih TY, Chu SJ, Kuo SY, Chen CM, Hsu CM et al. Lupus in Chinese male: a retrospective study of 61 patients. Chinese Medical Journal (Taipei). 1995 Feb;55(2):143-150.
Chang, C. C. ; Shih, T. Y. ; Chu, S. J. ; Kuo, S. Y. ; Chen, C. M. ; Hsu, C. M. ; Chang, M. L. ; Chang, D. M. / Lupus in Chinese male : a retrospective study of 61 patients. In: Chinese Medical Journal (Taipei). 1995 ; Vol. 55, No. 2. pp. 143-150.
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title = "Lupus in Chinese male: a retrospective study of 61 patients.",
abstract = "BACKGROUND. Systemic lupus erythematosus (SLE) has traditionally been considered a disease of women, and is uncommon in men. In recent years, several large clinical series of male lupus patients have been reported. As no known data are available for lupus in males from Taiwan, a retrospective analysis of data from male lupus patients was done to determine whether these patients differed from other series of male or female SLE patients in the literature. METHODS. Sixty-one male lupus patients, diagnosed and followed in Tri-Service General Hospital, between 1983 and 1993, were studied and their data analyzed, retrospectively. RESULTS. The mean age of diagnosis was 30 +/- 17 (mean +/- SD, range: 13-81) years. The peak age of diagnosis was between 13 and 40 years. The mean duration of follow-up was 36 +/- 36 (range: 2-256) months. The 1-, 5- and 10-year survival rates were 84{\%}, 76{\%} and 75{\%}, respectively. The frequency of clinical manifestations were renal disease, 75{\%}; malar rash, 70{\%}; arthritis, 60{\%}; fever, 56{\%}; photosensitivity, 48{\%}; pleuritis, 39{\%}; pericarditis, 31{\%}; alopecia, 31{\%}; mucosal ulcers, 29{\%}; neuropsychiatric disease, 26{\%}; discoid lupus, 21{\%}; vasculitis, 15{\%}; Raynaud's phenomenon, 10{\%}; and lymphadenopathy, 2{\%}. The frequency of abnormal laboratory findings were antinuclear antibodies (ANA), 95{\%}; hypocomplementemia, 77{\%}; antibodies to double-stranded DNA (anti-dsDNA), 57{\%}; leukopenia, 44{\%}; lupus erythematosus (LE) cells, 39{\%}; anti-Ro, 39{\%}; anti-Smith antibodies (anti-Sm), 19{\%}; thrombocytopenia, 18{\%}; rheumatoid factor, 17{\%}; anti-ribonucleoprotein antibody (anti-RNP), 14{\%}; autoimmune hemolytic anemia, 8{\%}; false-positive venereal disease research laboratory test (VDRL), 6{\%} and anti-La, 4{\%}. CONCLUSIONS. In a review of the 61 ethnic Chinese male lupus patients, a higher frequency of renal disease, malar rash and photosensitivity, but a lower frequency of arthritis and lymphadenopathy, compared to previous reports of Caucasians. There were no significant immunological differences from other series of male lupus, except a lower frequency of anti-dsDNA. In general, poor prognosis was noted for male lupus patients here.",
author = "Chang, {C. C.} and Shih, {T. Y.} and Chu, {S. J.} and Kuo, {S. Y.} and Chen, {C. M.} and Hsu, {C. M.} and Chang, {M. L.} and Chang, {D. M.}",
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T1 - Lupus in Chinese male

T2 - a retrospective study of 61 patients.

AU - Chang, C. C.

AU - Shih, T. Y.

AU - Chu, S. J.

AU - Kuo, S. Y.

AU - Chen, C. M.

AU - Hsu, C. M.

AU - Chang, M. L.

AU - Chang, D. M.

PY - 1995/2

Y1 - 1995/2

N2 - BACKGROUND. Systemic lupus erythematosus (SLE) has traditionally been considered a disease of women, and is uncommon in men. In recent years, several large clinical series of male lupus patients have been reported. As no known data are available for lupus in males from Taiwan, a retrospective analysis of data from male lupus patients was done to determine whether these patients differed from other series of male or female SLE patients in the literature. METHODS. Sixty-one male lupus patients, diagnosed and followed in Tri-Service General Hospital, between 1983 and 1993, were studied and their data analyzed, retrospectively. RESULTS. The mean age of diagnosis was 30 +/- 17 (mean +/- SD, range: 13-81) years. The peak age of diagnosis was between 13 and 40 years. The mean duration of follow-up was 36 +/- 36 (range: 2-256) months. The 1-, 5- and 10-year survival rates were 84%, 76% and 75%, respectively. The frequency of clinical manifestations were renal disease, 75%; malar rash, 70%; arthritis, 60%; fever, 56%; photosensitivity, 48%; pleuritis, 39%; pericarditis, 31%; alopecia, 31%; mucosal ulcers, 29%; neuropsychiatric disease, 26%; discoid lupus, 21%; vasculitis, 15%; Raynaud's phenomenon, 10%; and lymphadenopathy, 2%. The frequency of abnormal laboratory findings were antinuclear antibodies (ANA), 95%; hypocomplementemia, 77%; antibodies to double-stranded DNA (anti-dsDNA), 57%; leukopenia, 44%; lupus erythematosus (LE) cells, 39%; anti-Ro, 39%; anti-Smith antibodies (anti-Sm), 19%; thrombocytopenia, 18%; rheumatoid factor, 17%; anti-ribonucleoprotein antibody (anti-RNP), 14%; autoimmune hemolytic anemia, 8%; false-positive venereal disease research laboratory test (VDRL), 6% and anti-La, 4%. CONCLUSIONS. In a review of the 61 ethnic Chinese male lupus patients, a higher frequency of renal disease, malar rash and photosensitivity, but a lower frequency of arthritis and lymphadenopathy, compared to previous reports of Caucasians. There were no significant immunological differences from other series of male lupus, except a lower frequency of anti-dsDNA. In general, poor prognosis was noted for male lupus patients here.

AB - BACKGROUND. Systemic lupus erythematosus (SLE) has traditionally been considered a disease of women, and is uncommon in men. In recent years, several large clinical series of male lupus patients have been reported. As no known data are available for lupus in males from Taiwan, a retrospective analysis of data from male lupus patients was done to determine whether these patients differed from other series of male or female SLE patients in the literature. METHODS. Sixty-one male lupus patients, diagnosed and followed in Tri-Service General Hospital, between 1983 and 1993, were studied and their data analyzed, retrospectively. RESULTS. The mean age of diagnosis was 30 +/- 17 (mean +/- SD, range: 13-81) years. The peak age of diagnosis was between 13 and 40 years. The mean duration of follow-up was 36 +/- 36 (range: 2-256) months. The 1-, 5- and 10-year survival rates were 84%, 76% and 75%, respectively. The frequency of clinical manifestations were renal disease, 75%; malar rash, 70%; arthritis, 60%; fever, 56%; photosensitivity, 48%; pleuritis, 39%; pericarditis, 31%; alopecia, 31%; mucosal ulcers, 29%; neuropsychiatric disease, 26%; discoid lupus, 21%; vasculitis, 15%; Raynaud's phenomenon, 10%; and lymphadenopathy, 2%. The frequency of abnormal laboratory findings were antinuclear antibodies (ANA), 95%; hypocomplementemia, 77%; antibodies to double-stranded DNA (anti-dsDNA), 57%; leukopenia, 44%; lupus erythematosus (LE) cells, 39%; anti-Ro, 39%; anti-Smith antibodies (anti-Sm), 19%; thrombocytopenia, 18%; rheumatoid factor, 17%; anti-ribonucleoprotein antibody (anti-RNP), 14%; autoimmune hemolytic anemia, 8%; false-positive venereal disease research laboratory test (VDRL), 6% and anti-La, 4%. CONCLUSIONS. In a review of the 61 ethnic Chinese male lupus patients, a higher frequency of renal disease, malar rash and photosensitivity, but a lower frequency of arthritis and lymphadenopathy, compared to previous reports of Caucasians. There were no significant immunological differences from other series of male lupus, except a lower frequency of anti-dsDNA. In general, poor prognosis was noted for male lupus patients here.

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