{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T22:58:37Z","timestamp":1785884317792,"version":"3.56.0"},"reference-count":23,"publisher":"Springer Science and Business Media LLC","issue":"5","license":[{"start":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T00:00:00Z","timestamp":1773100800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T00:00:00Z","timestamp":1773100800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Clin Rheumatol"],"published-print":{"date-parts":[[2026,5]]},"DOI":"10.1007\/s10067-026-08018-w","type":"journal-article","created":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T17:26:39Z","timestamp":1773163599000},"page":"2781-2788","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Association of diagnostic delay with disease activity and cumulative damage in Hispanic patients with idiopathic inflammatory myopathies: a cross-sectional study"],"prefix":"10.1007","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-2121-4387","authenticated-orcid":false,"given":"Valeria","family":"Cantu-Martinez","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6986-5377","authenticated-orcid":false,"given":"Miguel A.","family":"Villarreal-Alarcon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-9057-6218","authenticated-orcid":false,"given":"Rebeca L.","family":"Polina-Lugo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-5789-7774","authenticated-orcid":false,"given":"Emmanuel","family":"Dominguez-Chapa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3262-1330","authenticated-orcid":false,"given":"Ana C.","family":"Bardan-Inchaustegui","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9714-2109","authenticated-orcid":false,"given":"Dionicio A.","family":"Galarza-Delgado","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5099-0079","authenticated-orcid":false,"given":"Jesus Alberto","family":"Cardenas-de la Garza","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4682-9901","authenticated-orcid":false,"given":"Rosa I.","family":"Arvizu-Rivera","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,3,10]]},"reference":[{"key":"8018_CR1","doi-asserted-by":"publisher","first-page":"86","DOI":"10.1038\/s41572-021-00325-7","volume":"7","author":"IE Lundberg","year":"2021","unstructured":"Lundberg IE, Fujimoto M, Vencovsky J, Aggarwal R, Holmqvist M, Christopher-Stine L et al (2021) Idiopathic inflammatory myopathies. Nat Rev Dis Primers 7:86. https:\/\/doi.org\/10.1038\/s41572-021-00325-7","journal-title":"Nat Rev Dis Primers"},{"key":"8018_CR2","doi-asserted-by":"publisher","DOI":"10.1016\/j.autrev.2023.103455","volume":"22","author":"A Campar","year":"2023","unstructured":"Campar A, Alves I, da Silva AM, Farinha F, Vasconcelos C (2023) Idiopathic inflammatory myopathies - the burden of disease: cohort analysis focusing on damage and comorbidities. Autoimmun Rev 22:103455. https:\/\/doi.org\/10.1016\/j.autrev.2023.103455","journal-title":"Autoimmun Rev"},{"key":"8018_CR3","doi-asserted-by":"publisher","DOI":"10.1186\/s13023-022-02570-9","volume":"17","author":"T Namsrai","year":"2022","unstructured":"Namsrai T, Parkinson A, Chalmers A, Lowe C, Cook M, Phillips C et al (2022) Diagnostic delay of myositis: an integrated systematic review. Orphanet J Rare Dis 17:420. https:\/\/doi.org\/10.1186\/s13023-022-02570-9","journal-title":"Orphanet J Rare Dis"},{"key":"8018_CR4","doi-asserted-by":"publisher","DOI":"10.1186\/s13075-024-03471-x","volume":"27","author":"T Cobo-Ib\u00e1\u00f1ez","year":"2025","unstructured":"Cobo-Ib\u00e1\u00f1ez T, Castellv\u00ed I, Pros A, Dom\u00ednguez-\u00c1lvaro M, Nu\u00f1o-Nu\u00f1o L, Mart\u00ednez-Barrio J et al (2025) Disease activity in patients with idiopathic inflammatory myopathy according to time since diagnosis and positivity to antisynthetase autoantibodies: data from the Myo-Spain registry. Arthritis Res Ther 27:5. https:\/\/doi.org\/10.1186\/s13075-024-03471-x","journal-title":"Arthritis Res Ther"},{"key":"8018_CR5","doi-asserted-by":"publisher","first-page":"1853","DOI":"10.1007\/s00296-017-3799-x","volume":"37","author":"L Nu\u00f1o-Nu\u00f1o","year":"2017","unstructured":"Nu\u00f1o-Nu\u00f1o L, Joven BE, Carreira PE, Maldonado-Romero V, Larena-Grijalba C, Cubas IL et al (2017) Mortality and prognostic factors in idiopathic inflammatory myositis: a retrospective analysis of a large multicenter cohort of Spain. Rheumatol Int 37:1853\u20131861. https:\/\/doi.org\/10.1007\/s00296-017-3799-x","journal-title":"Rheumatol Int"},{"key":"8018_CR6","doi-asserted-by":"publisher","first-page":"1578","DOI":"10.1093\/rheumatology\/keu146","volume":"53","author":"H Sanner","year":"2014","unstructured":"Sanner H, Sjaastad I, Flat\u00f8 B (2014) Disease activity and prognostic factors in juvenile dermatomyositis: a long-term follow-up study applying the Paediatric Rheumatology International Trials Organization criteria for inactive disease and the myositis disease activity assessment tool. Rheumatology (Oxford) 53:1578\u20131585. https:\/\/doi.org\/10.1093\/rheumatology\/keu146","journal-title":"Rheumatology (Oxford)"},{"key":"8018_CR7","first-page":"188","volume":"32","author":"AL Taborda","year":"2014","unstructured":"Taborda AL, Azevedo P, Isenberg DA (2014) Retrospective analysis of the outcome of patients with idiopathic inflammatory myopathy: a long-term follow-up study. Clin Exp Rheumatol 32:188\u2013193","journal-title":"Clin Exp Rheumatol"},{"key":"8018_CR8","doi-asserted-by":"publisher","first-page":"2255","DOI":"10.1093\/rheumatology\/keab809","volume":"61","author":"S Babool","year":"2022","unstructured":"Babool S, Bhai SF, Sanderson C, Salter A, Christopher-Stine L (2022) Racial disparities in skin tone representation of dermatomyositis rashes: a systematic review. Rheumatology (Oxford) 61:2255\u20132261. https:\/\/doi.org\/10.1093\/rheumatology\/keab809","journal-title":"Rheumatology (Oxford)"},{"key":"8018_CR9","doi-asserted-by":"publisher","first-page":"1006","DOI":"10.1001\/jamadermatol.2024.2623","volume":"160","author":"RR Lin","year":"2024","unstructured":"Lin RR, Williams KN, Warp PV, Alvarez Cespedes D, Elman SA, Maderal AD (2024) Characteristics of Hispanic patients with dermatomyositis. JAMA Dermatol 160:1006\u20131007. https:\/\/doi.org\/10.1001\/jamadermatol.2024.2623","journal-title":"JAMA Dermatol"},{"key":"8018_CR10","doi-asserted-by":"publisher","first-page":"349","DOI":"10.1002\/acr2.11246","volume":"3","author":"J Neely","year":"2021","unstructured":"Neely J, Shalen J, Sturrock H, Kim S (2021) Access to care and diagnostic delays in juvenile dermatomyositis: results from the Childhood Arthritis and Rheumatology Research Alliance Legacy Registry. ACR Open Rheumatol 3:349\u2013354. https:\/\/doi.org\/10.1002\/acr2.11246","journal-title":"ACR Open Rheumatol"},{"key":"8018_CR11","doi-asserted-by":"publisher","first-page":"8","DOI":"10.1097\/RHU.0000000000002031","volume":"30","author":"H Weisleder","year":"2024","unstructured":"Weisleder H, Valle A, Xie X, Mahmood S (2024) Racial disparities in diagnosis and treatment of patients with dermatomyositis of different skin tones. J Clin Rheumatol 30:8\u201311. https:\/\/doi.org\/10.1097\/RHU.0000000000002031","journal-title":"J Clin Rheumatol"},{"key":"8018_CR12","doi-asserted-by":"publisher","first-page":"2271","DOI":"10.1136\/annrheumdis-2017-211468","volume":"69","author":"IE Lundberg","year":"2017","unstructured":"Lundberg IE, Tj\u00e4rnlund A, Bottai M, Werth VP, Pilkington C, de Visser M et al (2017) 2017 European League Against Rheumatism\/American College of Rheumatology classification criteria for adult and juvenile idiopathic inflammatory myopathies and their major subgroups. Arthritis Rheumatol 69:2271\u20132282. https:\/\/doi.org\/10.1136\/annrheumdis-2017-211468","journal-title":"Arthritis Rheumatol"},{"key":"8018_CR13","unstructured":"Zanframundo G, Faghihi Kashani S, Yoshida A, Dourado E, Bauer Ventura I, Rivero Gallegos D, Loganathan A, Sambataro G, Bozan F, Bae S, Lim D, Cheli M, Yamano Y, Bonella F, Corte T, Doyle T, Fiorentino D, Gonzalez-Gay M, Hudson M, Kuwana M, Lundberg I, Mammen A, McHugh N, Miller F, Montecucco C, Oddis C, Rojas-Serrano J, Schmidt J, Scir\u00e8 C, Selva-O'Callaghan A, Werth V, Rozza D, Morosini M, Bozzini S, Cavagna L, Aggarwal R. (2024) The classification criteria for anti-synthetase syndrome (Class) project. Arthritis Rheumatol; 76 (suppl 9). https:\/\/acrabstracts.org\/abstract\/the-classification-criteria-for-anti-synthetase-syndrome-class-project\/. Accessed August 20, 2025"},{"key":"8018_CR14","doi-asserted-by":"publisher","first-page":"100","DOI":"10.1590\/s1806-37132011000100015","volume":"37","author":"J Solomon","year":"2011","unstructured":"Solomon J, Swigris JJ, Brown KK (2011) Doen\u00e7a pulmonar intersticial relacionada a miosite e a s\u00edndrome antissintetase. J Bras Pneumol 37:100\u2013109. https:\/\/doi.org\/10.1590\/s1806-37132011000100015","journal-title":"J Bras Pneumol"},{"key":"8018_CR15","doi-asserted-by":"publisher","DOI":"10.1007\/s11926-018-0732-6","volume":"20","author":"I Pinal-Fernandez","year":"2018","unstructured":"Pinal-Fernandez I, Casal-Dominguez M, Mammen AL (2018) Immune-mediated necrotizing myopathy. Curr Rheumatol Rep 20:21. https:\/\/doi.org\/10.1007\/s11926-018-0732-6","journal-title":"Curr Rheumatol Rep"},{"key":"8018_CR16","doi-asserted-by":"publisher","first-page":"S118","DOI":"10.1002\/acr.20532","volume":"63","author":"LG Rider","year":"2011","unstructured":"Rider LG, Werth VP, Huber AM, Alexanderson H, Rao AP, Ruperto N, Herbelin L, Barohn R, Isenberg D, Miller FW (2011) Measures of adult and juvenile dermatomyositis, polymyositis, and inclusion body myositis: physician and patient\/parent global activity, manual muscle testing (MMT), health assessment questionnaire (HAQ)\/childhood health assessment questionnaire (C-HAQ), childhood myositis assessment scale (CMAS), myositis disease activity assessment tool (MDAAT), disease activity score (DAS), short form 36 (SF-36), child health questionnaire (CHQ), physician global damage, myositis damage index (MDI), quantitative muscle testing (QMT), myositis functional index-2 (FI-2), myositis activities profile (MAP), inclusion body myositis functional rating scale (IBMFRS), cutaneous dermatomyositis disease area and severity index (CDASI), cutaneous assessment tool (CAT), dermatomyositis skin severity index (DSSI), Skindex, and dermatology life quality index (DLQI). Arthritis Care Res (Hoboken) 63:S118\u2013S157. https:\/\/doi.org\/10.1002\/acr.20532","journal-title":"Arthritis Care Res (Hoboken)"},{"key":"8018_CR17","doi-asserted-by":"publisher","first-page":"3425","DOI":"10.1002\/art.24904","volume":"60","author":"LG Rider","year":"2009","unstructured":"Rider LG, Lachenbruch PA, Monroe JB, Ravelli A, Cabalar I, Feldman BM, Villalba ML, Myones BL, Pachman LM, Rennebohm RM, Reed AM, Miller FW (2009) Damage extent and predictors in adult and juvenile dermatomyositis and polymyositis as determined with the myositis damage index. Arthritis Rheum 60:3425\u201335. https:\/\/doi.org\/10.1002\/art.24904","journal-title":"Arthritis Rheum"},{"key":"8018_CR18","doi-asserted-by":"publisher","first-page":"266","DOI":"10.1016\/j.reumae.2022.08.001","volume":"19","author":"A Mu\u00f1oz","year":"2023","unstructured":"Mu\u00f1oz A, Bautista-Molano W, Castrej\u00f3n I, Hern\u00e1ndez-Cruz B, Mart\u00edn JM, Pinedo C, Urruticoechea A, Carmona L (2023) Propuesta de actualizaci\u00f3n del Health Assessment Questionnaire. Reumatol Clin 19:266\u2013272. https:\/\/doi.org\/10.1016\/j.reumae.2022.08.001","journal-title":"Reumatol Clin"},{"key":"8018_CR19","doi-asserted-by":"publisher","first-page":"869","DOI":"10.1001\/archderm.124.6.869","volume":"124","author":"TB Fitzpatrick","year":"1988","unstructured":"Fitzpatrick TB (1988) The validity and practicality of sun-reactive skin types I through VI. Arch Dermatol 124:869\u2013871. https:\/\/doi.org\/10.1001\/archderm.124.6.869","journal-title":"Arch Dermatol"},{"key":"8018_CR20","doi-asserted-by":"publisher","first-page":"2163","DOI":"10.1111\/1756-185X.14903","volume":"26","author":"A Shukla","year":"2023","unstructured":"Shukla A, Gaur P (2023) Observational longitudinal study to assess the outcome of patients with idiopathic inflammatory myositis using validated tools. Int J Rheum Dis 26:2163\u20132169. https:\/\/doi.org\/10.1111\/1756-185X.14903","journal-title":"Int J Rheum Dis"},{"key":"8018_CR21","doi-asserted-by":"publisher","DOI":"10.3390\/jcm14092966","volume":"14","author":"EC Sanchez-Moreno","year":"2025","unstructured":"Sanchez-Moreno EC, Machado-Sulbaran AC, Riera-Leal L, Ortiz-Garcia YM, Olivas-Roman LR, Riera-Leal A (2025) Non-melanoma skin cancer: dermatoscopic diagnostic clues in Mexican individuals based on Fitzpatrick skin phototypes. J Clin Med 14:2966. https:\/\/doi.org\/10.3390\/jcm14092966","journal-title":"J Clin Med"},{"key":"8018_CR22","doi-asserted-by":"publisher","first-page":"1550","DOI":"10.1378\/chest.08-2233","volume":"135","author":"M Kalluri","year":"2009","unstructured":"Kalluri M, Sahn SA, Oddis CV, Gharib SL, Christopher-Stine L, Danoff SK et al (2009) Clinical profile of anti-PL-12 autoantibody: cohort study and review of the literature. Chest 135:1550\u20131556. https:\/\/doi.org\/10.1378\/chest.08-2233","journal-title":"Chest"},{"key":"8018_CR23","doi-asserted-by":"publisher","first-page":"202","DOI":"10.5114\/reum\/168362","volume":"61","author":"A Trybuch","year":"2023","unstructured":"Trybuch A, Tarnacka B (2023) Cardiac involvement in polymyositis and dermatomyositis: diagnostic approaches. Reumatologia 61:202\u2013212. https:\/\/doi.org\/10.5114\/reum\/168362","journal-title":"Reumatologia"}],"container-title":["Clinical Rheumatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10067-026-08018-w.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s10067-026-08018-w","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10067-026-08018-w.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,10]],"date-time":"2026-04-10T03:49:22Z","timestamp":1775792962000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s10067-026-08018-w"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,10]]},"references-count":23,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,5]]}},"alternative-id":["8018"],"URL":"https:\/\/doi.org\/10.1007\/s10067-026-08018-w","relation":{},"ISSN":["0770-3198","1434-9949"],"issn-type":[{"value":"0770-3198","type":"print"},{"value":"1434-9949","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,10]]},"assertion":[{"value":"26 January 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"26 February 2026","order":2,"name":"revised","label":"Revised","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"27 February 2026","order":3,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"10 March 2026","order":4,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"All study subjects provided verbal informed consent.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent"}},{"value":"All procedures performed in this study were in accordance with the ethical standards of the institutional research committee and with the 1964 Helsinki Declaration and its later amendments.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"None.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Disclosures"}}]}}