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  • Abstract Number: 853 • 2015 ACR/ARHP Annual Meeting

    Evaluation and Validation of Case-Finding Algorithms for the Identification of Patients with Granulomatosis with Polyangiitis in Large Healthcare Administrative Databases

    Antoine G. Sreih1, Narender Annapureddy2, Kevin Byram3, George Casey4, Vince Frangiosa5, Michael George6, Sapna Sangani7, Rebecca Sharim5 and Peter A. Merkel8, 1Department of Rheumatology, University of Pennsylvania, Philadelphia, PA, 2Rheumatology and Immunology, Vanderbilt University, Nashville, TN, 3Internal Medicine, Vanderbilt University, Nashville, TN, 4The Vasculitis Foundation, Kansas City, MO, 5Rheumatology, University of Pennsylvania, Philadelphia, PA, 6Department of Rheumatology, Hospital of the University of Pennsylvania, Philadelphia, PA, 7Penn Vasculitis Center, Division of Rheumatology, University of Pennsylvania, Philadelphia, PA, 8Division of Rheumatology, University of Pennsylvania, Philadelphia, PA

    Background/Purpose: To facilitate clinical care and research, validated algorithms are needed to accurately identify patients with granulomatosis with polyangiitis (GPA; Wegener's). This study, sought to…
  • Abstract Number: 854 • 2015 ACR/ARHP Annual Meeting

    Nationwide Incidence of Anti Neutrophil Cytoplasmic Antibody (ANCA) Associated Vasculitis in Iceland

    Þórunn Bjarnadóttir1, Árni Jón Geirsson2, Kristján Steinsson3, Jóhannes Björnsson4, Gunnar Tomasson5 and Björn Rúnar Lúdvíksson6,7, 1Landspitali University Hosptital, Reykjavík, Iceland, 2Rheumatology, Department of Rheumatology, Landspitali - The National University Hospital of Iceland, Reykjavik, Iceland, 3Rheumatology, Univ. Hospital, Reykjavik, Iceland, 4Department of Pathology, Akureyri Hospital, Akureyri, Iceland, 5Rheumatology Section, Boston University, Boston, MA, 6Department of Immunology, University of Iceland, Reykjavik, Iceland, 7Landspitali University Hosptital, Reykjavik, Iceland

    Background/Purpose: The Icelandic population is geographically isolated, genetically homogenous and with distinct environmental exposures. Deviations in disease occurrence compared to other Western countries might provide…
  • Abstract Number: 855 • 2015 ACR/ARHP Annual Meeting

    Seasonality in ANCA-Associated Vasculitis

    Luciano Enrique Pompermayer1, Marina Scolnik1, Valeria Scaglioni2, Maria de los Angeles Gallardo1 and Enrique R. Soriano3, 1Rheumatology Unit, Internal Medicine Service, Hospital Italiano de Buenos Aires, Instituto Universitario Hospital Italiano de Buenos Aires, and Fundacion PM Catoggio, Buenos Aires, Argentina, 2Rheumatology, Hospital Italiano, Buenos Aires, Argentina, 3Internal Medicine, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina

    Background/Purpose:  pathogenesis of ANCA-associated vasculitis (AAV) is multifactorial and most likely involves the interaction of environmental and genetic factors. Environmental seasonal exposures may play a role in the manifestation…
  • Abstract Number: 856 • 2015 ACR/ARHP Annual Meeting

    Elderly Versus Younger Patients with ANCA-Associated Vasculitis

    Maria de los Angeles Gallardo1, Marina Scolnik1, Luciano Enrique Pompermayer1, Valeria Scaglioni2 and Enrique R. Soriano3, 1Rheumatology Unit, Internal Medicine Service, Hospital Italiano de Buenos Aires, Instituto Universitario Hospital Italiano de Buenos Aires, and Fundacion PM Catoggio, Buenos Aires, Argentina, 2Rheumatology, Hospital Italiano, Buenos Aires, Argentina, 3Internal Medicine, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina

    Background/Purpose: Clinical characteristics of elderly patients with ANCA- associated vasculitis (AAV) have not been fully elucidated. Advancing age is a risk factor for treatment-related side effects…
  • Abstract Number: 857 • 2015 ACR/ARHP Annual Meeting

    Prognosis Value of Geriatric Assessment Scales in Older Adults with New Onset ANCA-­Associated Vasculitis: A Pilot Retrospective Study

    Antoine Néel1, Josephine Thomazeau1, Christelle Volteau2, Laure De Decker3, Christian Agard1, Marie Lino4, Julie Graveleau1, Fadi Fakhouri4 and Mohamed Hamidou1, 1Internal Medicine Department, Nantes University Hospital, Nantes, France, 2Clinical Research Department, Nantes University Hospital, Nantes, France, 3Department of Geriatrics, Nantes University Hospital, Nantes, France, 4Nephrology, Nantes University Hospital, Nantes, France

    Background/Purpose: 1/to assess the prognostic value of comorbidities, frailty and dependency as measures by dedicated geriatric scales, in older adults with ANCA-associated vasculitis (AAV). 2/…
  • Abstract Number: 858 • 2015 ACR/ARHP Annual Meeting

    Stimulated Renal Glomerular Endothelial Cells Were Damaged By Fiber-like NETs Released By Neutrophils in ANCA-Associated Vasculitis

    Yoshinori Komagata1, Kanako Murakami1, Chimako Kida1, Kazuhito Fukuoka1, Miho Karube2, Shinya Kaname1 and Yoshihiro Arimura1, 1First Department of Internal Medicine, Kyorin University School of Medicine, Tokyo, Japan, 2Kyorin University School of Medicine, Tokyo, Japan

    Background/Purpose: NETosis, a unique form of cell death of neutrophils, is characterized by the active release of chromatin fibers called NETs, that trap and kill…
  • Abstract Number: 859 • 2015 ACR/ARHP Annual Meeting

    Predictors of Renal Histopathology in Antineutrophil Cytoplasmic Antibody Associated Glomerulonephritis

    Sophia Lionaki1, Clio Mavragani2, George Liapis3, George Somarakis4, John Boletis1, Alexandros A. Drosos5, Athanasios G. Tzioufas6 and Haralampos M. Moutsopoulos6, 1Nephrology, Laiko Hospital, Department of Nephrology, Athens, Greece, 2Physiology, Department of Physiology, School of Medicine, National Kapodistrian University of Athens, Athens, Greece, 3Pathology, Laiko Hospital, Department of Pathology, Athens, Greece, 4Rheumatology Clinic, Department of Internal Medicine, Medical School, University of Ioannina, 45110, University of Ioannina, Rheumatology Clinic, Ioannina, Greece, 5Dept of Internal Medicine, University of Ioannina, Rheumatology Clinic, Ioannina, Greece, 6Department of Pathophysiology, Medical School of Athens, Department of Pathophysiology, Athens, Greece

    Background/Purpose: Prompt, aggressive therapy is vital for anti-neutrophil cytoplasmic antibody (ANCA)-associated glomerulonephritis (GN). In this regard, we aimed to identify predictors of distinct renal histopathological…
  • Abstract Number: 860 • 2015 ACR/ARHP Annual Meeting

    Neutrophil/Lymphocyte Ratio: Could It be a Prognostic Indicator for Renal Outcome in Patients with Granulomatosis with Polyangiitis?

    Berna Goker1, Seminur Haznedaroglu1, Hamit Kucuk1, Ozkan Varan1, Berivan Bitik1, Abdurrahman Tufan1, Ridvan Mercan1 and Yasemin Erten2, 1Internal Medicine-Rheumatology, Gazi University Medical School, Ankara, Turkey, 2Internal Medicine-Nephrology, Gazi University Medical School, Ankara, Turkey

    Background/Purpose: Neutrophil/lymphocyte ratio (NLR) has recently been extensively studied as a prognostic indicator in various malignancies, as well as an indicator of severity in cardiovascular…
  • Abstract Number: 861 • 2015 ACR/ARHP Annual Meeting

    ANCA-Associated Pauci-Immune Glomerulonephritis: ¿Always Pauci-Immune?

    Valeria Scaglioni1, Marina Scolnik1, Luis J. Catoggio1, Carlos Federico Varela2, Gustavo Greloni2, Silvia Christiansen3 and Enrique R. Soriano4, 1Rheumatology Unit, Internal Medicine Service, Hospital Italiano de Buenos Aires, Instituto Universitario Hospital Italiano de Buenos Aires, and Fundacion PM Catoggio, Buenos Aires, Argentina, 2Nephrology Service. Hospital Italiano de Buenos Aires, Buenos Aires, Argentina, 3Pathology Service. Hospital Italiano de Buenos Aires, Buenos Aires, Argentina, 4Internal Medicine, Rheumatology Unit, Internal Medicine Service, Hospital Italiano de Buenos Aires, Instituto Universitario Hospital Italiano de Buenos Aires, and Fundacion PM Catoggio, Buenos Aires, Argentina

    Background/Purpose: Anti-neutrophil cytoplasmic antibody (ANCA)-associated glomerulonephritis (GN) is considered a “pauci-immune” disease, characterized by absent or mild glomerular tuft staining for immunoglobulin and/or complement. However,…
  • Abstract Number: 862 • 2015 ACR/ARHP Annual Meeting

    Discriminative Performance of Nasal Endoscopic Findings and History Items in Patients with Granulomatosis with Polyangiitis

    Erdem Eren1, Toygar Kalkan2, Secil Arslanoglu1, Mustafa Ozmen3, Kazim Onal1, Emine Figen Tarhan3 and Servet Akar4, 1Head and Neck Surgery, Izmir Ataturk Research and Training Hospital, Izmir, Turkey, 2Internal Medicine, Izmir Ataturk Research and Training Hospital, Izmir, Turkey, 3Rheumatology, Izmir Ataturk Research and Training Hospital, Izmir, Turkey, 4Department of Internal Medicine, Division of Rheumatology, Izmir Katip Celebi University School of Medicine, Izmir, Turkey

    Background/Purpose: Granulomatosis with polyangiitis (Wegener's granulomatosis, GPA) is a systemic vasculitis of unknown etiology. It is characterized by necrotizing granulomatous inflammation and affects predominantly small…
  • Abstract Number: 863 • 2015 ACR/ARHP Annual Meeting

    Contribution of MPO-/PR3-ANCA Tests to the Diagnosis of ANCA-Associated Vasculitis in a Community Hospital: Evaluation of 2,782 Samples

    Eishi Uechi, Chiai Nakata, Tomoo Murayama and Yoshiki Shiohira, Rheumatology, Tomishiro Central Hospital, Okinawa, Japan

    Background/Purpose: The purpose of this study was to evaluate the contribution of MPO-/PR3-ANCA tests to the diagnosis of ANCA-associated vasculitis (AAV). Methods: We extracted patients…
  • Abstract Number: 864 • 2015 ACR/ARHP Annual Meeting

    Anticytokine Autoantibody Profiling in Five Types of Systemic Vasculitis

    Sarthak Gupta1,2, Seema K. Patel2, Mary Blake2, Massimo G. Gadina2, Wanxia L. Tsai2, Simon Carette3, David Cuthbertson4, Gary S. Hoffman5, Nader A. Khalidi6, Curry L. Koening7, Carol A. Langford5, Carol A. McAlear8, Larry W. Moreland9, Paul A. Monach10, Christian Pagnoux3, Philip Seo11, Ulrich Specks12, Antoine G. Sreih13, Steven R. Ytterberg14, Sarah K. Browne1,15, Steven M. Holland1, Mariana J. Kaplan2, Peter A. Merkel16, Peter C. Grayson2 and Vasculitis Clinical Research Consortium, 1Laboratory of Clinical Infectious Diseases, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD, 2National Institute of Arthritis and Musculoskeletal and Skin Diseases, National Institutes of Health, Bethesda, MD, 3Division of Rheumatology, Mount Sinai Hospital, University of Toronto, Toronto, ON, Canada, 4Biostatistics and Informatics, Department of Pediatrics, University of South Florida, Tampa, FL, 5Rheumatology, Cleveland Clinic, Cleveland, OH, 6Division of Rheumatology, St. Joseph’s Health Care, McMaster University, Hamilton, ON, Canada, 7Division of Rheumatology, University of Utah, Salt Lake City, UT, 8Division of Rheumatology, University of Pennsylvania, Philadelphia, PA, 9Rheumatology & Clinical Immunology, University of Pittsburgh, Pittsburgh, PA, 10Rheumatology, Boston University School of Medicine, Boston, MA, 11Division of Rheumatology, Johns Hopkins University, Baltimore, MD, 12Division of Pulmonary and Critical Care Medicine, Mayo Clinic College of Medicine, Rochester, MN, 13Department of Rheumatology, University of Pennsylvania, Philadelphia, PA, 14Rheumatology Division, Mayo Clinic, Rochester, MN, 15Office of Vaccines Research and Review, Center for Biologics Evaluation and Research, US Food and Drug Administration, Silver Spring, MD, 16Penn Vasculitis Center, Division of Rheumatology, University of Pennsylvania, Philadelphia, PA

    Background/Purpose: Anticytokine autoantibodies (ACAs) are pathogenic in many hematologic, pulmonary and infectious diseases. Evaluation in autoimmune diseases, including systemic lupus erythematosus (SLE), shows that ACAs…
  • Abstract Number: 865 • 2015 ACR/ARHP Annual Meeting

    Abdominal Visceral Adipose Tissue Measured By Dual Energy X-Ray Absorptiometry (DXA) As a Novel Surrogate Marker of Cardiovascular Risk in Primary Necrotizing Vasculitides

    Bertrand Dunogué1, Karine Briot2, Sami Kolta2, Alexis Regent1, Pascal Cohen1, Alice Berezne1, Xavier Puéchal1, Claire Le Jeunne1, Luc Mouthon1, Christian Roux2, Loïc Guillevin1 and Benjamin Terrier1, 1Internal Medicine, National Referral Center for Rare Systemic Autoimmune Diseases, Hôpital Cochin, Paris, France, 2Rheumatology B Department, Hôpital Cochin, Paris, France

    Background/Purpose: Studies have shown a strong prevalence of cardiovascular events among patients with systemic necrotizing vasculitides (SNV). Recent studies indicate that visceral adipose tissue (VAT)…
  • Abstract Number: 866 • 2015 ACR/ARHP Annual Meeting

    High Rate and Bimodal Pattern of Severe Infection in a Selected ANCA Associated Vasculitis Cohort

    Esra Aydın1, Bahtiyar Toz2, Burak Erer2, Mustafa Erelel3, Ahmet Gocmez4, Ahmet Gul5, Murat Inanc2, Lale Ocal5 and Sevil Kamali2, 1Department of Internal Medicine,, istanbul faculty of medicine, istanbul, Turkey, 2Department of Internal Medicine, Division of Rheumatology, Istanbul University, Istanbul Faculty of Medicine, Istanbul, Turkey, 3Department of Pulmonology, Istanbul University Istanbul Faculty of Medicine Department of Pulmonology, istanbul, Turkey, 4Department of Radiology, Istanbul University Istanbul Faculty of Medicine, istanbul, Turkey, 5Department of Internal Medicine, Rheumatology Division, Istanbul University, Istanbul Faculty of Medicine, Istanbul, Turkey

     Background/Purpose : Increased rate of severe infection (SI) in patients who exposed to immunosuppressive drugs has been a well-known complication in inflammatory rheumatic diseases. However,…
  • Abstract Number: 867 • 2015 ACR/ARHP Annual Meeting

    Simultaneous Measurement of 25-Hydroxyvitamin D and Procalcitonin in Granulomatosis with Polyangiitis (GPA): Differentiation of Activity from Infection?

    Mariana O Perez1, Ricardo M. Oliveira2, Valéria Caparbo3,4, Mauricio Levy-Neto5, Eloisa Bonfá4 and Rosa M R Pereira3, 1Rheumatology Divison, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil, 2RDO Diagnósticos Médicos, São Paulo, Brazil, 3Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil, 4Rheumatology Division, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil, 5Rheumatology DIvision, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil

    Background/Purpose: Vitamin D acts as innate and adaptive immune response immunomodulator. 25-hydroxyvitamin D (25OHD) deficiency was reported to be associated with autoimmune diseases flares and…
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