Background:The presence of interstitial lung disease (ILD) is a common extra-articular manifestation in patients diagnosed with Rheumatoid Arthritis (RA), dyspnea being its cardinal symptom. Several of the drugs commonly used to treat this condition, such as TNF inhibitors (anti-TNF) and Disease Modifying Antirheumatic Drugs (DMARDs), have been implicated in the development or exacerbation of ILD. In regard to Tofacitinib, results of post hoc analysis of its pivotal and extension studies report a numerically lower ILD incidence rate in the group that received this drug compared with placebo.Objectives:To describe the evolution of dyspnea, spirometric parameters, DLCO and high resolution computed tomography (HRCT) findings in patients with RA diagnosis with associated PID who received Tofacitinib for a period of 12 months.Methods:Patients with a diagnosis of RA who fulfilled criteria ACR 1987/ACR-EULAR 2010, with interstitial lung disease previously diagnosed from clinical findings, spirometry and/or HRCT were included. Tofacitinib was used in dose of 10 mg/day orally. Design: Descriptive, retrospective, multicentric study. The following variables were analyzed: change at 12 months from baseline in the degree of dyspnea (according to the modified scale of dyspnea MMRC), forced vital capacity (FVC), DLCO and findings in HRCT. Continuous variables were reported as mean and standard deviation or median and interquartile range as appropriate. The categorical variables were reported as percentages.Results:Fifteen patients were included. 60% (n: 9) were women. The mean age was 64.4 years (± 10.92). The median time of evolution of RA was 9 years (IQR: 4-40). The median time of evolution of interstitial lung disease was 4 years (IQR: 1-24).13% (n: 2) of the patients were receiving methotrexate (MTX) at the time of evaluation, 60% (n: 9) of the patients had previously received it. 80% (n: 12) had previously received DMARD different from MTX. 33% of the patients (n: 5) had received previous biological treatment. All patients received tofacitinib at a dose of 10mg/day. 47% of patients (n = 7) received tofacitinib monotherapy and 53% (n = 8) received it combined with DMARDsc. 27% (n: 4) of the patients had grade 3-4 dyspnea at baseline.Improvement in the dyspnea scale was observed in 8 patients, while in the rest, it remained stable. The forced vital capacity (FVC) at baseline was <80% in 5 patients and> 80% in 2 patients. At 12 months, 4 patients achieved a FVC> 80%.The average of DLCO at baseline was 45.6 (± 18.84), with an improvement of 30% at 12 months in 4 patients. No progression of the disease was observed in the HRCT at 12 months in any of the patients evaluated.Conclusion:The present preliminary study was performed with patients of daily practice, not being available in all cases, the corresponding respiratory functional examinations. However, despite these limitations, none of the patients showed worsening of dyspnea, with improvement in some patients. Regarding respiratory functional examinations and DLCO, not only...

Objective. In this observational, analytical, cross-sectional study we aimed to describe the impact of primary Sjögren's syndrome (pSS) on work productivity and activities of daily living (ADL) to assess the association between ADL impairment and clinical manifestations and to compare ADL impairment according to patients' socioeconomic condition. Methods. Patients diagnosed with pSS attending 11 centres from Argentina were included. To evaluate work productivity and ADL impairment, a work productivity and activity impairment questionnaire (WPAI) was used. A multiple linear regression model was performed, considering deterioration on ADL due to health as a dependent variable, adjusted for potential confounders.Results. 252 patients were included, 98.4% were women, with a mean age of 52.6 years (±14.8). The average percentage of time lost due to health was 15.7 hours (±30.1 95% CI: 9.6-21.9); the decrease in work productivity was 27.2 (±30.2 95% CI: 21.3-33.1), the total disability was and ADL deterioration was . In the multivariate analysis, xerostomia, arthritis and depression showed significant and independent association. The mean of ADL impairment was 38.2 (±30.7) in patients attending public centres versus 28 (± 30.6) in private centres, which was a statistically significant difference. Conclusion. We found a compromise in all WPAI domains. Arthritis, xerostomia and depression were associated significantly and independently with ADL impairment. Deterioration in ADL was greater in patients treated in public centres. Considering these aspects will allow a better understanding of patients who suffer from this disease.

Objectives: to describe videocapillaroscopy (VCP) findings in patients with primary Raynaud's phenomenon (PRP) and secondary (SRP); compare demographic and clinical characteristics between both. Materials and methods: observational, analytical, cross-sectional study. Age, occupation, evolution time of RP, connective tissue disease (CTD) and capillaroscopic characteristics were documented. The VCP were reported as normal, nonspecific or early, active, and late SD pattern. Descriptive statistics were performed. Chi2 or Fisher's exact test were used for categorical variables; for continuous variables t test or Man Whitney, considering statistically significant p<0.05. Results: 290 VCP were performed. In patients with PRP (n:122), 18% (n:23) were normal and 81% (n:99) non-specific. In patients with SRP (n:168), 8% were normal, 42% non-specific and 51% with SD pattern (25% early, 44% active, 31% late). We found statistically significant differences: time of evolution of RP in months (12 vs. 36, p<0.01), normal VCP (18.85% vs 7.4%, p<0.01), non-specific pattern (81.14% vs 41%, p<0.01) in patients with PRP vs SRP. Conclusions: in patients with FRS predominated the SD pattern, while in those with FRP the normal and nonspecific pattern was superior. FRS was associated with a longer evolution time.

Objective: the aim of our study was to adapt and validate the Raynaud’s Condition Score (RCS) in patients with Systemic Sclerosis (SSc) who attend a public hospital in Argentina. Materials and Methods: for adaptation, rheumatologists translated to Spanish the original version in English. To assess the construct validity we used: Health Assesment Questionnaire (HAQ), Duruöz´s Hand Index (DHI), spanish validation for Argentina, Raynaud Visual Analogue Scale (VAS) by an expert and Modified Rodnan skin score (mRSS).To assess reproducibility, a subgroup of patients was randomly evaluated with no changes in treatment or clinical condition ten days after the baseline evaluation. Results: A total of 35 patients with SSc were included. The correlation between RCS and Raynaud VAS by an expert was 0.89; RCS and HAQ 0.58; RCS and mRSS 0.61; RCS and DHI 0.57 indicating a very good correlation mainly between the studied Score and the Raynaud VAS and being all statistically significant. The reproducibility was 0.998. Conclusion: The results show that the RCS is a reliable and valid tool for this argentinian population with SSc.