Performance of the 2017 EULAR/ACR classification criteria for inflammatory myopathies in patients with myositis-specific autoantibodies.
Maria Casal-DominguezIago Pinal-FernandezKatherine PakWilson HuangAlbert Selva-O'CallaghanJemima AlbaydaLivia A Casciola-RosenJulie J PaikEleni TiniakouChristopher A MecoliThomas E LloydSonye K DanoffLisa Christopher-StineAndrew Lee MammenPublished in: Arthritis & rheumatology (Hoboken, N.J.) (2021)
Although the EULAR/ACR criteria successfully classified 91% of MSA-positive myositis patients, certain MSA-defined subgroups, including those with autoantibodies against HMGCR, SRP, and PL7, are frequently misclassified. In myositis patients with MSAs, autoantibodies outperform the EULAR/ACR-defined subgroups to predict clinical phenotypes. These findings underscore the need to include MSAs in a revised myositis classification scheme.