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  • Abstract Number: 2624 • 2019 ACR/ARP Annual Meeting

    Comparison Between Long-Term and Conventional Rituximab-Maintenance Treatments: Results of a Placebo-Controlled Randomized Trial

    Pierre Charles1, Elodie Perrodeau 2, Maxime Samson 3, Bernard Bonnotte 4, Mohamed Hamidou 5, Christian Agard 5, Antoine Huart 6, Alexandre Karras 7, François Lifermann 8, Pascal Godmer 9, Pascal Cohen 10, Catherine Hanrotel-Saliou 11, Nicolas Martin-Silva 12, Grégory Pugnet 13, François Maurier 14, Jean Sibilia 15, Pierre-Louis Carron 16, Pierre Gobert 17, Nadine Meaux Ruault 18, Thomas Le Gallou 19, Stéphane Vinzio 20, Jean-François Viallard 21, Eric Hachulla 22, Christine Vinter 2, Xavier Puéchal for the French Vasculitis Study Group 10, Benjamin Terrier 10, Philippe Ravaud 2, Luc Mouthon 10 and Loic Guillevin 10, 1Institut Mutualiste Montsouris, Paris, France, 2APHP, Paris, France, 3CHU Dijon, Dijon, France, 4Service de Médecine Interne et Immunologie Clinique, CHU Dijon Bourgogne, Hôpital François Mitterrand, Dijon ; Université Bourgogne-Franche Comté, INSERM, EFS BFC, UMR1098, F-21000 Dijon, Dijon, France, 5CHU Nantes, Nantes, France, 6CHU Toulouse, Toulouse, France, 7Paris HEGP, Paris, France, 8CH Dax, Dax, France, 9CH Bretagne-Atlantique, Vannes, France, 10National Referral Center for Rare Systemic Autoimmune Diseases Paris Cochin, Paris, France, 11CHU Brest, Brest, France, 12CHU Caen, Caen, France, 13CHU de Toulouse, Hôpital Purpan, Service de Médecine Interne, Toulouse, France, 14Service de Médecine Interne, Hôpital Belle Isle, Metz, Metz, France, 15CHU Strasbourg, Strasbourg, France, 16Grenoble, Grenoble, France, 17CH Avignon, Avignon, France, 18CHU Besançon, Besançon, France, 19CHU Rennes, Rennes, France, 20GHM Grenoble, Grenoble, France, 21CHU Bordeaux, Bordeaux, France, 22Dept. of Internal Medicine and Clinical Immunology, Hôpital Claude Huriez, University of Lille, Lille, France, Lille, France

    Background/Purpose: MAINRITSAN-trial results1 demonstrated rituximab superiority (500 mg on days 0 and 14, then at months 6, 12 and 18) to azathioprine to maintain remission…
  • Abstract Number: 2625 • 2019 ACR/ARP Annual Meeting

    Predictors of Advanced Chronic Kidney Disease in Patients with ANCA Vasculitis and Renal Involvement

    Gelsomina Alle1, John Jaramillo Gallego 2, Marina Scolnik 3, Valeria Scaglioni 2, Martin Brom 4, Carlos Varela 5, Gustavo Greloni 5 and Enrique Soriano 6, 1Rheumatology Section, Internal Medicine Service, Hospital Italiano de Buenos Aires, Argentina, Ciudad Autónoma de Buenos Aires, Ciudad Autonoma de Buenos Aires, Argentina, 2Rheumatology Section, Internal Medicine Service, Hospital Italiano de Buenos Aires, Argentina, Ciudad Autónoma de Buenos Aires, Argentina, 3Rheumatology Section, Internal Medicine Service, Hospital Italiano de Buenos Aires, Argentina, Ciudad Autonoma de Buenos Aires, Ciudad Autonoma de Buenos Aires, Argentina, 4Rheumatology Section, Internal Medicine Service, Hospital Italiano de Buenos Aires, Argentina, Buenos Aires, Ciudad Autonoma de Buenos Aires, Argentina, 5Nephrology Service, Hospital Italiano de Buenos Aires, Argentina, Ciudad Autónoma de Buenos Aires, Argentina, 6Rheumatology Section, Internal Medicine Service, Hospital Italiano de Buenos Aires, Argentina., Buenos Aires, Buenos Aires, Argentina

    Background/Purpose: The aim of this study was to evaluate the predictors of advanced chronic kidney disease (ACKD) in patients with Anti-neutrophil cytoplasmic antibody (ANCA)-associated vasculitis…
  • Abstract Number: 2626 • 2019 ACR/ARP Annual Meeting

    Cell-free Mitochondrial DNA Levels in Granulomatosis with Polyangiitis

    Lindsay Lally1, Sebastian E. Sattui 2, Jackie Finik 3, Augustine Choi 4, Rennie Rhee 5, Peter Merkel 6, W. Joseph McCune 7, E William St. Clair 8, Ulrich Specks 9, John Stone 10 and Robert Spiera 1, 1Hospital for Special Surgery, New York, NY, 2Hospital for Special Surgery, New York, 3Hospital for Special Surgery, New York, NY, New York, NY, 4Weill Cornell Medicine, New York, 5University of Pennsylvania, Division of Rheumatology, Philadelphia, PA, 6University of Pennsylvania, Philadelphia, PA, 7University of Michigan, Ann Arbor, MI, 8Duke, Raleigh, 9Mayo Clinic College of Medicine, Rochester, MN, 10Massachusetts General Hospital Rheumatology Unit, Harvard Medical School, Boston, MA

    Background/Purpose: Circulating cell-free mitochondrial DNA (mtDNA) is released during non-apoptotic processes such as NETosis. Increased levels of mtDNA are associated with autophagic dysfunction and inflammasome…
  • Abstract Number: 2627 • 2019 ACR/ARP Annual Meeting

    Association of Work Productivity Assessed by Absenteeism and Presenteeism with Disease Activity, Damage and Health-related Quality of Life in Patients with ANCA-associated Vasculitis

    Shinya Hirahara1, Yasuhiro Katsumata 1, Ken-ei Sada 2, Hiroko Nagafuchi 3, Eiichi Tanaka 1 and Masayoshi Harigai 1, 1Department of Rheumatology, Tokyo Women's Medical University School of Medicine, Shinjuku-ku, Tokyo, Japan, 2Department of Nephrology, Rheumatology, Endocrinology and Metabolism, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Kitaku, Okayama, Japan, 3Division of Rheumatology and Allergology, Department of Internal Medicine, St. Marianna University School of Medicine, Kawasaki City, Kanagawa, Japan

    Background/Purpose: Chronic inflammatory diseases such as antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis (AAV) substantially affects patients’ daily lives, including their ability to work. Although the management…
  • Abstract Number: 2628 • 2019 ACR/ARP Annual Meeting

    Mortality Predictors in ANCA-associated Vasculitis: Experience of a Brazilian Monocentric Cohort of a Rheumatology Center

    Marilia Dagostin1, Sergio Nunes 2, Samuel Shinjo 3 and Rosa Pereira 4, 1University of Sao Paulo, São Paulo, Brazil, 2Univeristy Of Sao Paulo, São Paulo, 3Univeristy Of Sao Paulo, São Paulo, Brazil, 4Faculdade de Medicina da Universidade de Sao Paulo, São Paulo, Sao Paulo, Brazil

    Background/Purpose: Mortality of patients with ANCA-associated vasculitis (AAV) is higher than the general population. There are few papers in the literature regarding the factors associated…
  • Abstract Number: 2629 • 2019 ACR/ARP Annual Meeting

    Urinary Inflammatory Cell Analysis Reflects the Renal Histopathology in Anti-neutrophil Cytoplasmic Antibody-associated Vasculitis

    Yoko Wada1, Masanori Sudo 2, Takeshi Kuroda 3, Masaaki Nakano 4 and Ichiei Narita 2, 1Niigata Rinko Hospital, Niigata, Niigata, Japan, 2Division of Clinical Nephrology and Rheumatology, Niigata University, Niigata, Niigata, Japan, 3Health administration office, Niigata University, Niigata, Niigata, Japan, 4School of Health Sciences, Faculty of Medicine, Niigata University, Niigata, Niigata, Japan

    Background/Purpose: The anti-neutrophil cytoplasmic autoantibody (ANCA)- associated vasculitides (AAVs) include microscopic polyangiitis (MPA), granulomatosis with polyangitis (GPA), and eosinophilic granulomatosis with polyangitis (EGPA). These small-vessel…
  • Abstract Number: 2630 • 2019 ACR/ARP Annual Meeting

    A Dutch Consensus Statement on the Diagnosis and Treatment of ANCA Associated Vasculitis

    Ebru Dirikgil1, Peter Verhoeven 2, Sander Tas 3, Abraham Rutgers 4, Hein Bernelot Moens 5, Jacob van Laar 6, Willem Jan Bos 7 and Onno Teng 1, 1LUMC, Leiden, Netherlands, 2The Dutch Vasculitis Foundation, Silvolde, Netherlands, 3Amsterdam Rheumatology & immunology Center, Amsterdam UMC/University of Amsterdam, Amsterdam, Netherlands, 4University Medical Center Groningen, Groningen, Netherlands, 5Ziekenhuisgroep Twente, Almelo, Netherlands, 6UMC Utrecht, Department of Rheumatology & Clinical Immunology, Utrecht, The Netherlands, Utrecht, Netherlands, 7St. Antoniusziekenhuis, Nieuwegein, Netherlands

    Background/Purpose: Several guidelines have been published on the diagnosis and treatment of anti-neutrophil cytoplasmic antibodies (ANCA) associated vasculitis (AAV). These guidelines provide an evidence-based approach…
  • Abstract Number: 2631 • 2019 ACR/ARP Annual Meeting

    Increased Risk of Acute Coronary Artery Disease and Ischemic Stroke in Patients with Eosinophilic Granulomatosis with Polyangiitis

    Morgane Mourguet 1, Dominique Chauveau 2, Stan Faguer 2, JB Ruidavets 2, Yannick Béjot 3, Grégoire Prevot 4, Olivier Lairez 2, David Ribes 2, Antoine Huart 2, Laurent Alric 2, Leo Astudillo 1, Laurent Sailler 1 and Grégory Pugnet5, 1CHU Purpan, Toulouse, France, 2CHU Rangueil, Toulouse, France, 3CHU Dijon, Dijon, France, 4CHU Larrey, Toulouse, France, 5CHU de Toulouse, Hôpital Purpan, Service de Médecine Interne, Toulouse, France

    Background/Purpose: Current treatment approaches have greatly improved the survival of eosinophilic granulomatosis with Polyangiitis (EGPA) patients, however both morbidity andmortality are still significant mainly due…
  • Abstract Number: 2632 • 2019 ACR/ARP Annual Meeting

    Changing Trends in the Management of ANCA-associated Vasculitis at an Academic Medical Center

    Sana Afroz1 and Najia Shakoor 2, 1RUMC, Chicago, IL, 2Rush University Medical Center, Chicago, IL

    Background/Purpose: For years, cyclophosphamide (CYC) has been the primary treatment for severe anca-associated vasculitides (AAV) and has significantly improved disease related mortality.  In addition, maintenance…
  • Abstract Number: 2633 • 2019 ACR/ARP Annual Meeting

    Efficacy of Remission Induction Regimens in Elderly Patients with ANCA-Associated Glomerulonephritis

    Audrey Hopkins1, Stanley Chu 2, Philip Seo 3, Eric Gapud 1, Brendan Antiochos 1, Shaker Eid 1, Jason Liebowitz 1 and Duvuru Geetha 1, 1Johns Hopkins Bayview Medical Center, Baltimore, 2Johns Hopkins University, Baltimore, 3Johns Hopkins Medicine, Baltimore, MD

    Background/Purpose: Induction regimens using either cyclophosphamide (CYC) or rituximab (RTX) have been shown to have similar efficacy and similar rates of adverse events in randomized…
  • Abstract Number: 2634 • 2019 ACR/ARP Annual Meeting

    ANCA Response upon Rituximab or Cyclophosphamide in ANCA-associated Vasculitis Patients

    Laura van Dam1, Ebru Dirikgil 2, Edwin Bredewold 2, Argho Ray 2, Ton Rabelink 2, Cees van Kooten 2 and Onno Teng 2, 1LUMC, Leiden, Zuid-Holland, Netherlands, 2LUMC, Leiden, Netherlands

    Background/Purpose: Recent studies have demonstrated that in patients with anti-neutrophil cytoplasmic antibodies (ANCA)-associated vasculitis (AAV) with successful remission-induction (RI) after cyclophosphamide (CYC), maintenance treatment with…
  • Abstract Number: 2635 • 2019 ACR/ARP Annual Meeting

    Accuracy of Self-Reported Diagnosis of Antineutrophil Cytoplasmic Antibody-Associated Vasculitis

    Tanaz Kermani1, Jason Springer 2, Antoine Sreih 3, Dianne Shaw 4, Kalen Young 5, Cristina Burroughs 6 and Peter Merkel 3, 1University of California Los Angeles, Los Angeles, CA, 2Kansas University Medical Center, Kansas, MO, 3University of Pennsylvania, Philadelphia, PA, 4Vasculitis Foundation, North Carolina, 5Vasculitis Foundation, Kansas City, MO, 6University of South Florida, Tampa, FL

    Background/Purpose: To determine the reliability of self-reported diagnosis of antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis: granulomatosis with polyangiitis (GPA), microscopic polyangiitis (MPA), and eosinophilic granulomatosis with…
  • Abstract Number: 2636 • 2019 ACR/ARP Annual Meeting

    Cluster Analysis for Classification of Japanese Antineutrophil Cytoplasmic Antibody-associated Vasculitis: Subgroup Analysis of Nationwide Cohort Studies

    Haruki Watanabe1, Ken-ei Sada 2, Masayoshi Harigai 3 and Hirofumi Makino 4, 1Department of Nephrology, Rheumatology, Endocrinology and Metabolism, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences., Okayama, Japan, 2Department of Nephrology, Rheumatology, Endocrinology and Metabolism, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Kitaku, Okayama, Japan, 3Department of Rheumatology, Tokyo Women's Medical University School of Medicine, Shinjuku-ku, Tokyo, Japan, 4Okayama University, Okayama, Japan

    Background/Purpose: The predominance of myeloperoxidase-antineutrophil cytoplasmic antibody (ANCA) and interstitial lung disease (ILD) have been reported as characteristics of Japanese patients with ANCA-associated vasculitis (AAV)…
  • Abstract Number: 2637 • 2019 ACR/ARP Annual Meeting

    Urine Complement Ba Levels During Flares of Renal Disease in Patients with ANCA-Associated Vasculitis

    Salem Almaani1, Christopher Toy 2, Anna Levesque 2, Lynn Fussner 1, Alexa Meara 1, Lianbo Yu 1, David Cuthbertson 3, Simon Carette 4, Nader A. Khalidi 5, Curry L. Koening 6, Carol Langford 7, Carol A. McAlear 8, Larry Moreland 9, Christian Pagnoux 10, Philip Seo 11, Antoine Sreih 12, Steven Ytterberg 13, Paul Monach 14, Peter Merkel 12, Brad Rovin 1 and Dan Birmingham 15, 1The Ohio State University Medical Center, Columbus, OH, 2Ohio State University, Columbus, OH, 3University of South Florida, Tampa, FL, 4Division of Rheumatology, Mount Sinai Hospital, University of Toronto, Toronto, Canada, 5McMaster University, Hamilton, ON, Canada, 6University of Utah Hospital, Salt Lake City, UT, 7Cleveland Clinic, Cleveland, OH, 8University of Pennsylvania - VCRC Project Manager, Philadelphia, PA, 9University of Pittsburgh, PITTSBURGH, PA, 10Mount Sinai Hospital and University Health Network, Toronto, ON, Canada, 11Johns Hopkins Medicine, Baltimore, MD, 12University of Pennsylvania, Philadelphia, PA, 13Mayo Clinic College of Medicine, Rochester, MN, 14Brigham and Women's Hospital, Boston, MA, 15The Ohio State University Medical Center, Columbus

    Background/Purpose: The alternative complement pathway has been implicated in the pathogenesis of ANCA-associated vasculitis (AAV).  Change in markers of complement activation within patients have not…
  • Abstract Number: 2638 • 2019 ACR/ARP Annual Meeting

    The Cumulative Burden of Damage for Patients with Eosinophilic Granulomatosis with Polyangiitis

    Irena Doubelt1, David Cuthbertson 2, Gunnar Tomasson 3, Simon Carette 1, Nader A. Khalidi 4, Curry L. Koening 5, Carol Langford 6, Carol A. McAlear 7, Larry W. Moreland 8, Paul Monach 9, Philip Seo 10, Ulrich Specks 11, Antoine Sreih 12, Kalen Young 13, Steven Ytterberg 11, Peter A. Merkel 14, Christian Pagnoux 1 and VCRC Vasculitis Clinical Research Consortium 15, 1Mount Sinai Hospital and University Health Network, Toronto, ON, Canada, 2University of South Florida, Tampa, FL, 3Faculty of Medicine, University of Iceland and Landpitali University Hospital, Reykjavik, Iceland, 4McMaster University, Hamilton, ON, Canada, 5University of Utah Hospital, Salt Lake City, UT, 6Cleveland Clinic, Cleveland, OH, 7University of Pennsylvania - VCRC Project Manager, Philadelphia, PA, 8University of Pittsburgh, Pittsburgh, PA, 9Brigham and Women's Hospital, Boston, MA, 10Johns Hopkins Medicine, Baltimore, MD, 11Mayo Clinic College of Medicine, Rochester, MN, 12University of Pennsylvania, Philadelphia, PA, 13Vasculitis Foundation, Kansas City, MO, 14Univeristy of Pennsylvania, Philadelphia, PA, 15University of Pennsylvania, Division of Rheumatology, philadelphia

    Background/Purpose: Eosinophilic granulomatosis with polyangiitis (EGPA) is characterized by asthma and other manifestations of vasculitis, some of which can be life-threatening, cause major organ damage,…
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