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Dermatomyositis is a rare chronic autoimmune and inflammatory disease that affects the skin and striated muscles. Its prognosis is linked to visceral involvement (lungs, heart, and oropharyngeal region) and to the possible presence of associated cancer. The implementation of the research will allow identification of incident cases of dermatomyositis in Guadeloupe and the characterization of the disease in the overseas population, in the absence of data in the literature.
In the French West Indies, this condition is associated with high short- and medium-term morbidity and mortality. Diagnostic delays and patient care pathways may help explain this. However, a particularly severe phenotype of the disease in Antillean patients may also play a role, as observed in other autoimmune and inflammatory diseases we have described in overseas populations (e.g., systemic sclerosis, sarcoidosis).
Identifying factors associated with the severity of dermatomyositis at the time of diagnosis would allow for the early implementation of a tailored management strategy to improve the disease prognosis in the target population.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Patients with dermatomyositis | All patient with dermatomyositis |
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| Measure | Description | Time Frame |
|---|---|---|
| severity of dermatomyositis at diagnosis | The primary outcome measure is the severity of dermatomyositis at diagnosis, defined by the presence of one or more of the following criteria: Muscle involvement resulting in functional disability; Associated visceral involvement, including the heart, lungs, or oropharyngeal region; Associated cancer, either previously diagnosed within the past three years or diagnosed concurrently with dermatomyositis. | Assessed at baseline (diagnosis). |
| Measure | Description | Time Frame |
|---|---|---|
| Mortality | Number of participants who die from any cause during the follow-up period. Units: Count of participants | Assessed over 2 years from the date of dermatomyositis diagnosis |
| Relapse Occurrence |
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Inclusion Criteria:
Exclusion Criteria:
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The study population consists of patients (>16 years old) diagnosed with dermatomyositis, including both classic dermatomyositis and clinically amyopathic dermatomyositis, regardless of sex or ethnicity. Eligible patients are those who have received a new diagnosis and can be followed for at least two years.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| melanie petapermal, Master degree | Contact | +590590934667 | melanie.petapermal@chu-guadeloupe.fr | |
| Valérie Hamony Soter | Contact | +590590934677 | valerie.soter@chu-guadeloupe.fr |
| Name | Affiliation | Role |
|---|---|---|
| nadège cordel, MD PhD | CHU de la Guadeloupe | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHU de la Guadeloupe | Recruiting | Pointe-à-Pitre | 97139 | Guadeloupe |
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| ID | Term |
|---|---|
| D003882 | Dermatomyositis |
| ID | Term |
|---|---|
| D017285 | Polymyositis |
| D009220 | Myositis |
| D009135 | Muscular Diseases |
| D009140 | Musculoskeletal Diseases |
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Additional blood samples required for research, including HLA typing and serum interferon assays, will consist of up to three 3.5 mL dry tubes and one 5 mL EDTA tube (total 15.5 mL).
HLA typing samples (1 × 5 mL EDTA tube) will be transported internally to the CHU Guadeloupe Immuno-Hematology Laboratory for processing.
Serum interferon samples (3 × 3.5 mL tubes) will be sent to the CHU Guadeloupe Biobank (CRB), centrifuged, aliquoted into cryotubes, and stored at -80 °C until batch shipment to the processing site.
Number of participants experiencing relapse(s) during treatment tapering or after treatment discontinuation.
Units: Count of participants
| Assessed over 2 years from the date of dermatomyositis diagnosis |
| Cancer Occurrence | Number of participants diagnosed with any cancer during the follow-up period. Units: Count of participants | Assessed over 2 years from the date of dermatomyositis diagnosis |
| D009468 |
| Neuromuscular Diseases |
| D009422 | Nervous System Diseases |
| D003240 | Connective Tissue Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D012871 | Skin Diseases |