Males and females with scleroderma: A comparative study in a Brazilian sample

患有硬皮病的男性和女性:一项巴西样本的比较研究

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Abstract

OBJECTIVES: This study aimed to evaluate the clinical and serological profile in systemic sclerosis (SSc) by comparing females and males. PATIENTS AND METHODS: This retrospective study was conducted with 215 SSc patients (193 females, 22 males; mean age: 50.1±14.5 years; range, 16 to 88 years) between September 2005 and September 2020. Disease severity was calculated by the Medsger severity score. Males and females were compared for clinical and serological markers. RESULTS: Females more frequently had esophageal involvement (p=0.003), telangiectasias (p=0.03), and antinuclear antibodies (p=0.04). Males more frequently had fingertip scars (p=0.03), digital ulcers (p=0.006), and a worse median Medsger severity score (6 in males vs. 4 in females, p=0.05). CONCLUSION: In the studied sample, males had more severe disease than females with greater repercussions in periferic circulatory system.

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