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We thank Maquet et al 1 for their interest in our articles entitled ‘Increased risk of systemic lupus erythematosus (SLE) in patients with autoimmune haemolytic anaemia (AIHA): a nationwide population-based cohort study’2 and ‘Risk of systemic lupus erythematosus in patients with idiopathic thrombocytopenic purpura (ITP): a population-based cohort study’.3
Maquet et al 1 estimated the cumulative incidence of SLE after incident primary ITP and AIHA in France. But they found that the cumulative incidence of SLE in France was significantly lower than our previous study results.2 3 Therefore, we reassessed cumulative incidences stratified by age and sex to compare the data between Taiwan and France. Finally, our study4 showed the 1-year/5-year cumulative incidences of SLE in adult patients with primary ITP (5.0%/10.7%) and adult patients with primary AIHA (11.6%/19.5%) in Taiwan were higher than in those in French ITP and AIHA cohorts (1.0%/1.9% and 0.5%/1.0%).1 In addition, when we studied the primary AIHA cohort, we also found that the incidence of SLE was higher in patients aged <18 years than in those aged 18–45 years,4 which was inconsistent with their study.1
Maquet et al 1 …
Footnotes
Handling editor Josef S Smolen
X-HC and H-HC contributed equally.
Contributors FX Z and JCCW conceptualised the research and drafted the manuscript. XH C interpreted the data and drafted the manuscript. HH C contributed to the research design, performed data analysis and graph generation and critically revised the manuscript. All authors read and approved the final manuscript.
Funding This work was supported by funding from Chung Shan Medical University Hospital (grant number CSH-2018-C-023) and the National Natural Science Foundation of China (grant number 81760298).
Competing interests None declared.
Patient and public involvement Patients and/or the public were not involved in the design, or conduct, or reporting, or dissemination plans of this research.
Provenance and peer review Not commissioned; externally peer reviewed.