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  • Abstract Number: 1746 • 2018 ACR/ARHP Annual Meeting

    Impact of Interstitial Lung Disease on the Long-Term Survival in 76 Japanese Patients with Microscopic Polyangiitis

    Hiromi Matsushita1, Yoshioki Yamasaki2, Yukiko Takakuwa3, Hidehiro Yamada4 and Kimito Kawahata3, 1Internal Medicine, St. Marianna University School of Medicine, Kawasaki, Japan, 2Internal Medicie, St. Marianna University School of Medicine, Kawasaki, Japan, 3Division of Rheumatology and Allergology, Department of Internal Medicine, St. Marianna University School of Medicine, Kawasaki, Japan, 4Rheumatology, Seirei Yokohama Hospital, Yokohama, Japan

    Background/Purpose: ANCA-associated vasculitis including microscopic polyangiitis (MPA) involves multiple organs including lungs. Clinical characteristics and impact on long-term survival in MPA patients with interstitial lung disease (ILD) have not…
  • Abstract Number: 1747 • 2018 ACR/ARHP Annual Meeting

    Long-Term Outcomes of Patients with Nonsevere Eosinophilic Granulomatosis with Polyangiitis Given Azathioprine and Glucocorticoids for Remission Induction

    Xavier Puéchal1, Christian Pagnoux2, Gabriel Baron3, François Lifermann4, Loïk Geffray5, Thomas Quémeneur6, Jean-Luc Saraux7, Marie Wislez8, Vincent Cottin9, Marc Ruivard10, Nicolas Limal11, Achille Aouba12, Bernard Bonnotte13, Antoine Neel14, Christian Agard15, Pascal Cohen16, Benjamin Terrier17, Claire Le Jeunne17, Luc Mouthon1, Philippe Ravaud3 and Loïc Guillevin for the French Vasculitis Study Group17, 1Department of Internal Medicine, INSERM Unité 1016, Centre de Référence pour les Maladies Auto-immunes Rares, National Referral Center for Rare Systemic Autoimmune Diseases, Paris Cochin, France, Paris, France, 2Division of Rheumatology, Division of Rheumatology, Mount Sinai Hospital, Toronto, ON, Canada, 3Paris Hôtel Dieu, Paris, France, 4Dax, Dax, France, 5Lisieux, Lisieux, France, 6Department of Internal Medicine, CH of Valenciennes, France, Valenciennes, France, 7Eaubonne, Eaubonne, France, 8Paris Tenon, Paris, Gambia, 9Lyon Louis Pradel, Lyon, France, 10Clermont-Ferrand, Clermont Ferrand, France, 11Créteil Henri Mondor, Créteil, France, 12Caen, Caen, France, 13Dijon, Dijon, France, 14Medecine Interne, Nantes Hôtel Dieu, Nantes, France, 15Nantes Hôtel Dieu, Nantes, France, 16Department of Internal Medicine, INSERM Unité 1016, Centre de Référence pour les Maladies Auto-immunes Rares, Hôpital Cochin, Université Paris Descartes, Sorbonne Paris Cité, Paris, France, 17National Referral Center for Rare Systemic Autoimmune Diseases, Paris Cochin, France, Paris, France

    Background/Purpose: At month 24 (M24), CHUSPAN2-trial patients with nonsevere eosinophilic granulomatosis with polyangiitis (EGPA), who received 1 yr of azathioprine (AZA) and glucocorticoids (GC) as…
  • Abstract Number: 1748 • 2018 ACR/ARHP Annual Meeting

    Interstitial Lung Disease in ANCA-Positive Vasculitis Patients

    Andy Abril1, Minkyung Kwon,2, Isabel Mira-Avendano3, Carlos Rojas4 and Andras Khoor5, 1Rheumatology, Mayo Clinic Florida, Jacksonville, FL, 2Pulmonary and Critical Care, Mayo Clinic, Jacksonville, FL, 3Pulmonary and Critical Care, Mayo Clinic Florida, Jacksonville, FL, 4Radiology, Mayo Clinic, Jacksonville, FL, 5Pathology, Mayo Clinic, Jacksonville, FL

    Background/Purpose: Rarely, ANCA-positive vasculitis patients are found to have interstitial lung disease (ILD). Clinical characteristics and prognosis are not well known in these patients. The…
  • Abstract Number: 1749 • 2018 ACR/ARHP Annual Meeting

    Long-Term Renal Outcome in Pulmonary-Limited Microscopic Polyangiitis

    Hironari Hanaoka, Harunobu Iida, Tomofumi Kiyokawa, Yukiko Takakuwa and Kimito Kawahata, Division of Rheumatology and Allergology, Department of Internal Medicine, St. Marianna University School of Medicine, Kawasaki, Japan

    Background/Purpose: Patients with pulmonary-renal or renal-limited microscopic polyangiitis (MPA) frequently manifested with rapidly progressive glomerular nephritis resulting in chronic renal failure if clinical response to…
  • Abstract Number: 1750 • 2018 ACR/ARHP Annual Meeting

    Rheumatoid Factor Titer Is Inversely Correlated with ANCA Titer and Relates to Characteristic Manifestations in Patients with Eosinophilic Granulomatosis with Polyangiitis

    Jun Inamo, Yuko Kaneko, Yuichiro Ota and Tsutomu Takeuchi, Division of Rheumatology, Department of Internal Medicine, Keio University School of Medicine, Tokyo, Japan

    Background/Purpose: Eosinophilic granulomatosis with polyangiitis (EGPA) is a rare antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis (AAV), which is characterized by vasculitis with allergic features such as…
  • Abstract Number: 1751 • 2018 ACR/ARHP Annual Meeting

    Interstitial Lung Disease during ANCA-Associated Vasculitis: A Poor-Prognosis Factor

    Thibault Maillet1, Tiphaine Goletto2, Guillaume Beltramo3, Henry Dupuy4, Stéphane Jouneau5, Raphaël Borie6, Bruno Crestani6, Vincent Cottin7, Daniel Blockmans8, Estibaliz Lazaro4, Jean-Marc Naccache9, Grégory Pugnet10, Hilario Nunes11, Mathilde De Menthon12, Hervé Devilliers13, Philippe Bonniaud3, Xavier Puéchal14, Luc Mouthon14, Bernard Bonnotte1, Loïc Guillevin15, Benjamin Terrier14 and Maxime Samson1, 1Service de Médecine Interne et Immunologie Clinique, CHU de Dijon, Dijon, France, 2Service de Pneumologie, Hôpital Saint-Louis, APHP, Paris, France, 3Service de Pneumologie, CHU de Dijon, Dijon, France, 4Service de Médecine Interne et Maladies Infectieuses, Hôpital Haut-Lévêque, Bordeaux, France, 5Service de Pneumologie, CHU de Rennes; IRSET UMR 1085, Université de Rennes 1, Rennes, France, 6Service de Pneumologie, Hôpital Bichat, APHP, Paris, France, 7Service de Pneumologie, Hôpital Louis-Pradel, Bron, France, 8Rheumatology, UZ Leuven, Leuven, Belgium, 9Service de Pneumologie, Hôpital Tenon, APHP, Paris, France, 10Service de Médecine Interne, CHU de Toulouse, Toulouse, France, 11Pulmonary diseases department, Avicenne Hospital (AP-HP), Bobigny, France, 12Service de Médecine Interne, Hôpital Bicêtre, APHP, Le Kremlin-Bicêtre, France, 13Service de Médecine Interne et Maladies Systémiques, CHU de Dijon, Dijon, France, 14Centre de Référence des Maladies Auto-immunes et Systémiques Rares, Vascularites Nécrosantes et Sclérodermie Systémique, Service de Médecine Interne, Hôpital Cochin, APHP, INSERM U1016, Université Paris Descartes, Paris, France, 15Department of Internal Medicine, INSERM Unité 1016, Centre de Référence pour les Maladies Auto-immunes Rares, National Referral Center for Rare Systemic Autoimmune Diseases, Paris Cochin, France, Paris, France

    Background/Purpose: Interstitial lung disease (ILD), rarely described in ANCA-associated vasculitis (AAV) patients, was mainly associated with anti-MPO ANCA. ILD’s prognostic value remains unclear. This study…
  • Abstract Number: 1752 • 2018 ACR/ARHP Annual Meeting

    Asthma in Eosinophilic Granulomatosis with Polyangiitis Treated with Rituximab

    Marta Casal Moura1, Alvise Berti2, Karina Keogh2, Gerald Volcheck3, Ulrich Specks4 and Misbah Baqir5, 1Pulmonary and Critical Care, Thoracic Disease Research Unit, Mayo Clinic College of Medicine, Rochester, MN, 2Pulmonary and Critical Care, Mayo Clinic College of Medicine, Rochester, MN, 3Allergic Diseases, Internal Medicine Department, Mayo Clinic College of Medicine, Rochester, MN, 4Mayo Clinic College of Medicine, Rochester, MN, 5Pulmonary/Critical Care, Mayo Clinic College of Medicine, Rochester, MN

    Background/Purpose: Eosinophilic Granulomatosis with Polyangiitis (EGPA) is a rare systemic small-vessel necrotizing vasculitis presenting with asthma and eosinophilia. Anti-neutrophil cytoplasmic antibodies (ANCA) association may influence…
  • Abstract Number: 1753 • 2018 ACR/ARHP Annual Meeting

    Interstitial Lung Disease in ANCA-Associated Vasculitis Defines a Unique Subgroup of Patients at High Risk for Respiratory Death: A Cluster Analysis

    Zachary Wallace1, Yuqing Zhang2, John H. Stone3 and Hyon K. Choi4, 1Division of Rheumatology, Allergy and Immunology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, 2Department of Rheumatology, Allergy and Immunology, Massachusetts General Hospital, Boston, MA, 3Home Address, Sudbury, MA, 4Division of Rheumatology, Allergy, and Immunology, Massachusetts General Hospital, Boston, MA

    Background/Purpose: ANCA-associated vasculitis (AAV) has a propensity for heterogeneous organ involvement. ANCA specificity has increasingly been favored over clinical diagnosis (e.g., microscopic polyangiitis) for subgrouping…
  • Abstract Number: 1754 • 2018 ACR/ARHP Annual Meeting

    Clinical and Economic Characteristics of Patients Diagnosed with Eosinophilic Granulomatosis with Polyangiitis (EGPA, formerly Churg-Strauss Syndrome) in the United States

    Christopher F Bell1, Matthew Lau1 and Qin Shen2, 1GlaxoSmithKline, Research Triangle Park, NC, 2GlaxoSmithKline, Collegeville, PA

    Background/Purpose: Eosinophilic granulomatosis with polyangiitis (EGPA), formerly Churg-Strauss Syndrome, is a rare, complex multisystem disorder belonging to a group of autoimmune inflammatory diseases characterized by…
  • Abstract Number: 1755 • 2018 ACR/ARHP Annual Meeting

    Burden of Illness Associated with Eosinophilic Granulomatosis with Polyangiitis (EGPA, formerly Churg-Strauss Syndrome): Evidence from a Managed Care Database in the United States

    Christopher F Bell1, Cori Blauer-Peterson2 and Jianbin Mao2, 1GlaxoSmithKline, Research Triangle Park, NC, 2Optum, Eden Prairie, MN

    Background/Purpose: Eosinophilic granulomatosis with polyangiitis (EGPA), is a rare, complex multisystem disorder, characterized by vascular inflammation and multisystem organ damage. EGPA manifests as asthma, rhinosinusitis,…
  • Abstract Number: 1756 • 2018 ACR/ARHP Annual Meeting

    Systematic Review of the Clinical Effectiveness of Treatments in Eosinophilic Granulomatosis with Polyangiitis

    Scott Doyle1, Annete Njue2, Matthew Lyall2, Rebecca Rushton2, Anne Heyes2 and Maebh Kelly3, 1Value Evidence and Outcomes, GlaxoSmithKline, London, United Kingdom, 2RTI Health Solutions, Manchester, United Kingdom, 3Pope Woodhead, London, United Kingdom

    Background/Purpose: To better understand the available clinical effectiveness data in eosinophilic granulomatosis with polyangiitis (EGPA), a systematic literature review was undertaken. The primary objective of…
  • Abstract Number: 1757 • 2018 ACR/ARHP Annual Meeting

    An Economic Systematic Literature Review of Eosinophilic Granulomatosis with Polyangiitis

    Scott Doyle1, Emily Moss2, Louise Hartley2, Chris Knight2, Judith Bell2, Outi Ahdesmäki2 and Maebh Kelly3, 1Value Evidence and Outcomes, GlaxoSmithKline, London, United Kingdom, 2RTI Health Solutions, Manchester, United Kingdom, 3Pope Woodhead, London, United Kingdom

    Background/Purpose: To better understand the available economic evaluations in eosinophilic granulomatosis with polyangiitis (EGPA), a systematic literature review was undertaken. The primary objective of this…
  • Abstract Number: 1758 • 2018 ACR/ARHP Annual Meeting

    A 24 Month Analysis of Rituximab Safety and Efficacy in Eosinophilic Granulomatosis with Polyangiitis

    Vítor Teixeira1,2, Aladdin Mohammad1,3 and David Jayne1, 1Department of Medicine, University of Cambridge, Cambridge, United Kingdom, 2Rheumatology Department, CHLN - Santa Maria Hospital, Lisbon Academic Medical Center, Lisbon, Portugal, 3Rheumatology, Department of Clinical Sciences, Lund, Lund University, Lund, Sweden

    Background/Purpose: Eosinophilic granulomatosis with polyangiitis (EGPA) frequently pursues a refractory course leading to high glucocorticoid exposure and toxicity. A previous retrospective study found rituximab (RTX)…
  • Abstract Number: 1759 • 2018 ACR/ARHP Annual Meeting

    Eosinophilic Granulomatosis with Polyangiitis: A Monocentric Cohort Analysis of Manifestations and Relapses of ANCA-Positive and ANCA-Negative Patients

    Juliane Mahrhold1, Bernhard Hellmich2 and Elena Csernok2, 1Rheumatology, Klinik für Innere Medizin, Rheumatologie und Immunologie. Vaskulitis Zentrum Süd, medius KLINIK Kirchheim, Akademisches Lehrkrankenhaus der Universität Tübingen, Kirchheim unter Teck, Germany, 2Klinik für Innere Medizin, Rheumatologie und Immunologie. Vaskulitis Zentrum Süd, medius KLINIK Kirchheim, Akademisches Lehrkrankenhaus der Universität Tübingen, Kirchheim unter Teck, Germany

    Background/Purpose: To compare clinical features at diagnosis, relapse rates, therapy as well as long-term outcome of a cohort of patients with Eosinophilic Granulomatosis with Polyangiitis…
  • Abstract Number: 1760 • 2018 ACR/ARHP Annual Meeting

    Fungal Composition of the Nasal Mucosa in Patients with Granulomatosis with Polyangiitis

    Rennie L. Rhee1, Antoine G. Sreih1, Catherine E. Najem2, Peter C. Grayson3, Chunyu Zhao4, Kyle Bittinger4, Ronald Collman5 and Peter A. Merkel6, 1Rheumatology, Division of Rheumatology, University of Pennsylvania, Philadelphia, PA, 2Rheumatology, University of Pennsylvania, Philadelphia, PA, 3National Institute of Arthritis, Musculoskeletal and Skin Disease, National Institutes of Health, Bethesda, MD, 4Gastroenterology, Hepatology, and Nutrition, Children's Hospital of Philadelphia, Philadelphia, PA, 5University of Pennsylvania, Philadelphia, PA, 6Division of Rheumatology, Division of Rheumatology, University of Pennsylvania, Philadelphia, PA

    Background/Purpose: While prior studies have demonstrated that granulomatosis with polyangiitis (GPA; Wegener’s) is associated with an altered composition of nasal bacteria and that use of…
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