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We read the report by Zen et al1 on the impact of lupus low disease activity state (LLDAS) on damage accrual with great interest and would like to congratulate the authors on their work. In this single-centre Caucasian cohort, followed for 7 years, only 38 of their 293 patients (11.3%) failed to achieve LLDAS for at least 1 year; moreover, of the 255 patients who achieved LLDAS for at least 1 year, 246 (96.5%) also satisfied the definition of remission for the same length of time. And, in 214 (83.9%) patients, the duration of remission was the same as that of LLDAS. Being in LLDAS for at least 2 years was associated with a reduced risk of damage; …
↵i Our data were not cited by Zen et al as the dates of both the publications, theirs and ours, were quite close in time.
Contributors All authors were involved in drafting or critically revising this manuscript for important intellectual content, and all authors approved the final version to be published.
Competing interests None declared.
Provenance and peer review Not commissioned; internally peer reviewed.