Contrasting trends in anti-MDA5 dermatomyositis

Japanese researchers have studied data from 154 patients diagnosed with dermatomyositis (DM), with the presence of autoantibodies directed against the MDA5 (menaloma differentiation-associated gene) antigen:

  • in these forms, muscular involvement is generally modest, unlike interstitial lung disease, which often takes center stage,
  • mortality is particularly high in the medium term (26% of cases studied),
  • although the risk of relapse is not negligible, the longer-term prognosis is much better, and the administration of a JAK inhibitor can help overcome forms resistant to conventional treatment.

 

Short-term and long-term outcomes of patients with anti-melanoma differentiation-associated gene 5 antibody-positive dermatomyositis. Ida T, Furuta S, Fujiwara M et al. Rheumatology (Oxford). 2024 Janv.