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Variations in Takayasu arteritis characteristics in a cohort of patients with different racial backgrounds
Zhuan Jiang1, Frédéric Lefebvre2, Carolyn Ross2
1Division of Rheumatology, St. Joseph's Health Care, Western University. 268 Grosvenor Street, London, Ontario, N6A 4V2, Canada; Vasculitis Clinic, Division of Rheumatology, Department of Medicine, Mount Sinai Hospital, University of Toronto. 60 Murray Street, Toronto, Ontario M5T 3L9, Canada.
Objectives:
We aimed to describe differences in disease characteristics and outcomes in Takayasu arteritis (TA) patients with different racial backgrounds.
Methods:
This was a retrospective cohort study consisting of TA patients seen at specialty vasculitis clinics from five academic hospitals across Canada. Disease features, treatments and outcomes were compared between White and non-White patients.
Results:
The cohort included 113 patients, of which 51 were White. Over 50% of the non-White patients were Asian. Compared to non-White patients, White patients had higher CRP and ESR at diagnosis (33.6 mg/l versus 9.4 mg/l, p = 0.033; and 51 mm/h versus 24 mm/h, p = 0.047; respectively), and were less likely to have baseline cardiovascular comorbidities including dyslipidemia (11.8% versus 29%, p = 0.037). There were no significant differences between racial groups for other disease characteristics or outcomes.
Conclusion:
Patient race did not appear to play a significant role in determining disease characteristics and outcomes when comparing TA patients from various racial backgrounds living in the same country.
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