Table 3

Frequency, n (%), of Vasculitis Damage Index (VDI) items related to treatment over course of long-term follow-up (LTFU) for n=270 patients with VDI scores at baseline, six, 12 months and LTFU

VDI ItemBaseline (%)6/12 (%)12/12 (%)LTFU (%)% Change at LTFU from baseline (95% CI)
Hypertension†13 (4.8)46 (17.0)60 (22.2)112 (41.5)+36.7 (30.8 to 42.5)***
Osteoporosis‡04 (1.5)12 (4.4)38 (14.1)+14.1 (9.9 to 18.2)***
Malignancy§001 (0.4)34 (12.6)+12.6 (8.6 to 16.6)***
Diabetes¶3 (1.1)17 (6.3)22 (8.1)28 (10.4)+9.3 (5.8 to 12.7)***
Angina/bypass††2 (0.7)3 (1.1)4 (1.5)22 (8.1)+7.4 (4.3 to 10.6)***
Cataract‡‡2 (0.7)5 (1.9)8 (3.0)25 (9.3)+8.5 (5.2 to 11.9)***
Atrophy or weakness§§5 (1.9)14 (5.2)16 (5.9)20 (7.4)+5.6 (2.6 to 8.5)***
Alopecia¶¶011 (4.1)19 (7.0)23 (8.5)+8.5 (5.2 to 11.9)***
Cerebrovascular accident†††01 (0.4%)1 (0.4)10 (3.7)+3.7 (1.4 to 6.0)**
Myocardial infarction‡‡‡1 (0.4)4 (1.5)5 (1.9)12 (4.4)+4.1 (1.7 to 6.4)**
 Gonadal failure§§§2 (0.7)6 (2.2)8 (3.0)11 (4.1)+3.3 (1.2 to 5.5)**
Marrow failure¶¶¶1 (0.4)4 (1.5)6 (2.2)8 (3.0)+2.6 (0.7 to 4.5)**
Mouth ulcers††††2 (0.7)4 (1.5)4 (1.5)4 (1.5)+0.7 (−0.3 to 1.8)
Chemical cystitis‡‡‡‡0002 (0.7)+0.7 (−0.3 to 1.8)
Avascular necrosis§§§§001 (0.4)2 (0.7)+0.7 (−0.3 to 1.8)
Osteomyelitis¶¶¶¶0002 (0.7)+0.7 (−0.3 to 1.8)
  • **p<0.01; ***p<0.001 LTFU versus zero (paired z test and Wilcoxon test).

  • †Diastolic blood pressure >95 mm Hg or requiring antihypertensive medications.

  • ‡Presence of osteoporotic fractures or vertebral collapse.

  • §Any malignancy confirmed by histology, excluding dysplasias.

  • ¶Any type of diabetes requiring therapy.

  • ††A compatible history and ECG changes.

  • ‡‡Lens opacity in either eye documented by ophthalmoscopy.

  • §§Significant muscle atrophy or weakness, not attributable to a cerebrovascular accident.

  • ¶¶Major chronic hair loss with or without scars, documented clinically.

  • †††Cerebrovascular accident resulting in focal findings such as paresis, weakness, etc.

  • ‡‡‡Compatible history confirmed at least by ECG changes or cardiac enzyme elevation.

  • §§§Premature secondary amenorrhoea or azoospermia.

  • ¶¶¶Leucopenia (white cell count <4000/µL), or thrombocytopenia (platelets <140) or anaemia (haemoglobin <10) preferably confirmed by marrow aspiration.

  • ††††recurrent crops or persistent mouth ulcers requiring therapy.

  • ‡‡‡‡Persistent haematuria or shrunken bladder.

  • §§§§Necrotic areas of bone due to lack of blood supply shown up on X-ray.

  • ¶¶¶¶Documented clinically, confirmed by X-ray and/or culture.