Research Article

Increased Levels of Soluble CD206 Associated with Rapidly Progressive Interstitial Lung Disease in Patients with Dermatomyositis

Table 2

Predictive factors for RP-ILD in DM patients using univariate and age- and gender-adjusted multivariate logistic regression analyses.

PredictorUnivariate analysisAge- and gender-adjusted multivariate analysis
Odds ratio95% CI valueOdds ratio95% CI value

Age (yrs)1.0050.974-1.0360.767
Gender (female)1.2790.501-3.2640.607
Anti-MDA-5-positive3.5841.530-8.3930.0033.9101.629-9.3820.002
Anti-ARS-positive2.0250.813-5.0420.1301.9880.795-4.9740.142
sCD206 (ng/ml)1.0041.003-1.006<0.00011.0051.003-1.007<0.0001
CRP (mg/dl)a1.0540.981-1.1310.1491.0520.979-1.1310.166
ESR (mm/H)b1.0191.003-1.0350.0171.0201.004-1.0360.015
Ferritin (ng/ml)c1.0021.001-1.0030.0021.0021.001-1.0040.002
%FVC (%)d0.9290.893-0.966<0.00010.9280.892-0.964<0.0001
CK (IU/l)1.0001.000-1.0000.9891.0001.000-1.0000.964
Muscle weakness0.5420.237-1.2400.1470.5410.235-1.2450.149
Heliotrope sign0.7480.331-1.6880.4850.7520.333-1.6990.493
Gottron papules1.7320.729-4.1130.2131.7340.729-4.1230.213
Mechanic’s hands2.6331.151-6.0230.0222.5931.125-5.9760.025
Skin ulcer1.4320.544-3.7690.4671.5170.567-4.0590.406
Arthritis/arthralgia1.1500.488-2.7070.7501.1430.485-2.6950.760
Dysphagia0.6410.240-1.7090.3740.6130.224-1.6750.340
Elevated sCD206 (≥792.75 ng/ml)11.2224.466-28.200<0.000112.6794.844-33.182<0.0001
Elevated ferritin (≥417.7 ng/ml)c7.8372.690-22.830<0.000111.4163.383-38.525<0.0001

DM: dermatomyositis; RP-ILD: rapidly progressive interstitial lung disease; sCD206: soluble CD206; ARS: aminoacyl-tRNA synthetases; MDA-5: melanoma differentiation-associated gene-5; CRP: C-reactive protein; ESR: erythrocyte sedimentation rate; CK: creatine kinase; %FVC: percent predicted forced vital capacity. a,b,c,dData were available for 140, 142, 85, and 94 patients, respectively.