ACR Meeting Abstracts

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  • Abstract Number: 1765 • 2014 ACR/ARHP Annual Meeting

    Comparison of Clinical Characteristics of Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis By the Serotype Specificity to Myeloperoxidase and Proteinase-3

    Takamasa Murosaki, Takeo Sato, Yoichiro Akiyama, Katsuya Nagatani and Seiji Minota, Division of Rheumatology and Clinical Immunology, Jichi Medical University, Tochigi, Japan

    Background/Purpose: To correlate the clinical characteristics of anti-neutrophil cytoplasmic antibody (ANCA)-associated vasculitis (AAV) with myeloperoxidase (MPO)-ANCA and proteinase-3 (PR3)-ANCA, and to detect clinical characteristics of…
  • Abstract Number: 1784 • 2014 ACR/ARHP Annual Meeting

    Prognostic Factors for Interstitial Lung Disease with Microscopic Polyangiitis

    Takeshi Shoda, Tohru Takeuchi, Takaaki Ishida, Hideyuki Shiba, Youhei Fujiki, Daisuke Wakura, Shuzo Yoshida, Takuya Kotani, Shigeki Makino and Toshiaki Hanafusa, Department of Internal Medicine (I), Osaka medical college, Osaka, Japan

    Background/Purpose Many patients with interstitial lung disease (ILD) complicated by microscopic polyangiitis (MPA) show a UIP pattern on chest CT. The prognosis is poorer than…
  • Abstract Number: 1783 • 2014 ACR/ARHP Annual Meeting

    The Importance of Histopathological Classification of ANCA-Associated Glomerulonephritis in Renal Function and Renal Survival

    Valeria Scaglioni1, Marina Scolnik1, Luis J. Catoggio1, Carlos Federico Varela2, Gustavo Greloni2, Silvia Christiansen3 and Enrique R. Soriano1, 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

    Background/Purpose : Histological changes in renal biopsy are the gold standard for establishing the diagnosis of antineutrophil cytoplasmic antibody (ANCA)-associated glomerulonephritis (GN). In 2010 a…
  • Abstract Number: 1782 • 2014 ACR/ARHP Annual Meeting

    Long-Term Follow-up of Non-HBV Polyarteritis Nodosa and Microscopic Polyangiitis with Poor-Prognosis Factors

    Maxime Samson1, Xavier Puéchal2, Hervé Devilliers3, Pascal Cohen2, Boris Bienvenu4, Kim Heang Ly5, Alain Bruet6, Brigitte Gilson7, Marc Ruivard8, Edouard Pertuiset9, Mohamed Hamidou10, Benjamin Terrier2, Christian Pagnoux11, Luc Mouthon2, Loic Guillevin12 and The French Vasculitis Study Group (FVSG)12, 1Department of Internal Medicine, Referral Center for Rare Autoimmune and Systemic Diseases, Hôpital Cochin, AP–HP, Université Paris Descartes, Paris, France; Internal Medicine and Clinical Immunology, Dijon University Hospital, Dijon, France, 2National Referral Center for Rare Systemic Autoimmune Diseases, Hôpital Cochin, AP–HP, Université Paris Descartes, Paris, Paris, France, 3Dijon University Hospital, Department of internal medicine and systemic diseases, Dijon, France, 4Médecine interne, CHU Côte de Nacre, CAEN, France, 5CHU Dupuytren, Limoges, Limoges, France, 6Department of Nephrology and Internal Medicine, CH de Poissy Saint-Germain-en-Laye, Poissy, France, 7Department of Nephrology and Internal Medicine, CH de Verdun, Verdun, France, 8CHU Estaing, Clermont–Ferrand, Clermont–Ferrand, France, 9Rheumatology, René Dubos Hospital, Pontoise, France, 10CHU Hôtel Dieu, Nantes, Nantes, France, 11Division of Rheumatology, University of Toronto, Toronto, ON, Canada, 12Department of Internal Medicine, Referral Center for Rare Autoimmune and Systemic Diseases, Hôpital Cochin, AP–HP, Université Paris Descartes, Paris, France

    Background/Purpose To study the long-term outcomes of 65 patients with non-HBV polyarteritis nodosa (PAN) or microscopic polyangiitis (MPA) enrolled in a prospective, randomized, open-label trial,1…
  • Abstract Number: 1781 • 2014 ACR/ARHP Annual Meeting

    Long-Term Outcomes Among Patients with Renal Disease Secondary to ANCA-Associated Vasculitis: Temporal Trends over 25 Years

    Rennie L. Rhee1, Susan L Hogan2, Caroline J. Poulton2, Julie Anne G. McGregor2, J. Richard Landis3, Ronald Falk4 and Peter A. Merkel5, 1Rheumatology, University of Pennsylvania, Philadelphia, PA, 2UNC Kidney Center, Chapel Hill, NC, 3Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania, Philadelphia, PA, 4Dept of Nephrology and Hypertension, UNC Kidney Center, Chapel Hill, NC, 5University of Pennsylvania, Philadelphia, PA

    Background/Purpose Significant advances have been made in the diagnosis and treatment of patients with ANCA-associated vasculitis (AAV).  However, little is known about how these advances…
  • Abstract Number: 1780 • 2014 ACR/ARHP Annual Meeting

    Outcomes of Triple Therapy (Plasma Exchange, Cyclophosphamide and Systemic Corticosteroid) for Anti-Neutrophil Cytoplasm Antibody (ANCA)-Associated Vasculitis

    Joanna Ueng1, Katerina Pavenski2 and Laurence Rubin3, 1Rheumatology/Medicine, University of Toronto, Toronto, ON, Canada, 2Transfusion Medicine, St. Michael's Hospital, Toronto, ON, Canada, 3Rheumatology, St. Michael Hospital, Toronto, ON, Canada

    Background/Purpose Microscopic polyangiitis (MPA), granulomatosis with polyangiitis (GPA), and Churg-Strauss Syndrome (CSS) are syndromes known as ANCA-associated vasculitis (AAV).  In addition to immunosuppressive therapy, plasma…
  • Abstract Number: 1779 • 2014 ACR/ARHP Annual Meeting

    Plasmapheresis Therapy in ANCA-Associated Vasculitides: A Single-Center Retrospective Analysis of Renal Outcome and Mortality

    David Solar-Cafaggi1, Yemil Atisha-Fregoso1 and Andrea Hinojosa-Azaola2, 1Internal Medicine, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico, 2Immunology and Rheumatology, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico

    Background/Purpose: ANCA-associated vasculitides (AAV) are rare, potentially fatal diseases with multiorgan involvement. Evidence for the use of plasmapheresis (PLEX) in patients with severe forms of…
  • Abstract Number: 1778 • 2014 ACR/ARHP Annual Meeting

    Rituximab Versus Azathioprine for ANCA-Associated Vasculitis Maintenance Therapy: Impact in Health-Related Quality of Life

    Grégory Pugnet1,2, Christian Pagnoux3, Alexandre Karras4, Chahéra Khouatra5, Olivier Aumaître6, Pascal Cohen1, Francois Maurier7, Olivier Decaux8, Jacques Ninet9, Pierre Gobert10, Thomas Quemeneur11, Claire Blanchard-Delaunay12, Pascal Godmer13, Xavier Puéchal1, Pierre-Louis Carron14, Pierre-Yves Hatron15, Nicolas Limal16, Mohamed Hamidou17, Eric Daugas18, Thomas Papo19, Bernard Bonnotte20, Alfred Mahr21, Benjamin Terrier1, Philippe Ravaud22, Luc Mouthon1 and Loïc Guillevin1, 1National Referral Center for Rare Systemic Autoimmune Diseases, Hôpital Cochin, AP–HP, Université Paris Descartes, Paris, Paris, France, 2Toulouse University Hospital, Internal Medicine Department, Toulouse, France, 3Division of Rheumatology, University of Toronto, Toronto, ON, Canada, 4Nephrology, Hôpital Européen Georges Pompidou, APHP, Paris, France, 5CHU Louis Pradel, Lyon, Lyon, France, 6Division of internal Medicine, Centre Hospitalier Universitaire, Hôpital Gabriel Montpied, Clermont–Ferrand, Clermont–Ferrand, France, 7HP Metz Belle Isle Hospital, Department of Internal Medicine, Metz, France, 8Department of Internal Medicine, Rennes University Hospital, Rennes, France, 9Department of Nephrology and Internal Medicine, Hôpital Edouard Herriot, Lyon, France, Lyon, France, 10Nephrology, Centre Hospitalier d'Avignon, Avignon, France, 11Internal Medicine, CH, Valenciennes, France, 12Internal Medicine, Hôpital de Niort, Niort, France, 13Department of Internal Medicine, Centre Hospitalier Bretagne Atlantique de Vannes, Vannes, France, 14Internal Medicine, Centre Hospitalier de Grenoble, Grenoble, France, 15CHU Lille, Lille, France, 16Department of Internal Medicine, Hôpital Henri Mondor, APHP, Creteil, France, 17CHU Hôtel Dieu, Nantes, Nantes, France, 18Internal Medicine, AP-HP Hôpital Bîchat, Paris, France, 19Internal Medicine, Bichat Hospital, Paris, Paris, France, 20Dijon University Hospital, INSERM UMR 1098, Besançon ; University of Burgundy, Faculty of Medicine, IFR100 ; Department of Internal Medicine and Clinical Immunology, Dijon, France, 21Internal Medicine, Hospital Saint-Louis, University Paris 7, Paris, France, 22Epidemiology, AP-HP Cochin Hospital, Paris, France

    Background/Purpose A key goal in the management of ANCA-Associated Vasculitis (AAV) is to improve and preserve health-related quality of life (HRQOL). Several studies have found that…
  • Abstract Number: 1760 • 2014 ACR/ARHP Annual Meeting

    United Kingdom & Ireland Vasculitis Registry – Cross-Sectional Data on the First 1085 Patients

    Jan Sznajd1,2, Alan D. Salama3, David Jayne4, Afzal Chaudhry5, Michael Robson6, Joe Rosa2, Neil Basu7, Sarah Moran8, Michael Venning9, Peter Lanyon10, Asheesh Sharma11, Mark A. Little12, Richard Watts13 and Raashid Luqmani14, 1Jagiellonian University Medical College, Krakow, Poland, 2Nuffield Department of Orthopaedics Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, United Kingdom, 3Centre for Nephrology, University College London, London, United Kingdom, 4Vasculitis and Lupus Clinic, Addenbrookes Hospital University of Cambridge, Cambridge, United Kingdom, 5Addenbrookes Hospital University of Cambridge, Cambridge, United Kingdom, 6King’s College London, London, United Kingdom, 7Musculoskeletal Research Collaboration (Epidemiology Group), University of Aberdeen, Aberdeen, United Kingdom, 8Cork University Hospital, Cork, United Kingdom, 9Manchester Royal Infirmary, Manchester, United Kingdom, 10Nottingham University Hospitals NHS Trust, Nottingham, United Kingdom, 11University Hospital Aintree Liverpool, Liverpool, United Kingdom, 12Trinity College Dublin, Dublin, Ireland, 13Department of Rheumatology, Ipswich Hospital NHS Trust, Ipswich, United Kingdom, 14Oxford NIHR Musculoskeletal Biomedical Research Unit, Oxford, United Kingdom

    Background/Purpose Clinical care and research into systemic vasculitis is hampered by its rarity and its presentation to a wide array of medical specialties. We aimed…
  • Abstract Number: 1759 • 2014 ACR/ARHP Annual Meeting

    Analysis of Employment, Work Disability and Quality of Life of Patients with ANCA-Associated Vasculitis

    Lucas Benarous1, Benjamin Terrier2, Alice Berezne3, Bertrand Dunogué4, Hervé Laborde-Casterot5, Pascal Cohen6, Xavier Puéchal6, Nathalie Costedoat-Chalumeau7, Claire Le Jeunne6, Dominique Choudat5, Luc Mouthon6 and Loïc Guillevin for the French Vasculitis Study Group6, 1Cochin Hospital, Paris, France, 2National Referral Center for Rare Systemic Autoimmune Diseases, Cochin Hospital, Paris, France, 3Paris Descartes University, Internal Medicine department, Cochin Hospital, Paris, France, 4Internal Medicine, Hôpital Cochin, Paris, France, 5Médecine du Travail, Cochin Hospital, Paris, France, 6National Referral Center for Rare Systemic Autoimmune Diseases, Hôpital Cochin, AP–HP, Université Paris Descartes, Paris, Paris, France, 7Internal medicine, National Referral Center for Rare Systemic Autoimmune Diseases, Hôpital Cochin, AP–HP, Université Paris Descartes, Paris, Paris, France

    Background/Purpose Improved therapeutic strategies for ANCA-associated vasculitis (AAV) have transformed acute and life-threatening diseases into chronic ones responsible for marked morbidity that could impact employment,…
  • Abstract Number: 1758 • 2014 ACR/ARHP Annual Meeting

    Environmental Risk Factors for Granulomatous Polyangiitis (GPA): Southern Hemisphere Similar to Northern Hemisphere

    Lisa K. Stamp1, Peter T. Chapman2, Richard A. Watts3, Christopher Frampton1 and John L. O'Donnell4, 1Department of Medicine, University of Otago, Christchurch, Christchurch, New Zealand, 2Rheumatology, Immunology & Allergy, Christchurch Hospital, Christchurch, New Zealand, 3Rheumatology Department Ipswich Hospital and University of East Anglia, Ipswich, United Kingdom, 4Rheumatology Immunology & Allergy, Canterbury Health Laboratories, Christchurch, New Zealand

    Background/Purpose: GPA is a rare condition of unknown etiology. Prominent involvement of the upper and lower respiratory tracts suggests that inhaled antigens may trigger systemic…
  • Abstract Number: 1757 • 2014 ACR/ARHP Annual Meeting

    An Analysis of the Incidence and Characteristics of ANCA Positive Vasculitis before and after the Christchurch Earthquake

    Ben McGettigan1, John L. O'Donnell2, Peter T. Chapman3, Christopher Frampton4 and Lisa K. Stamp4, 1Rheumatology, Immunology and Allergy, Canterbury Health Laboratories, Christchurch, New Zealand, 2Rheumatology Immunology & Allergy, Canterbury Health Laboratories, Christchurch, New Zealand, 3Rheumatology, Immunology & Allergy, Christchurch Hospital, Christchurch, New Zealand, 4Department of Medicine, University of Otago, Christchurch, Christchurch, New Zealand

    Background/Purpose At 1251 on 22 February 2011 a magnitude 6.4 earthquake struck Christchurch killing up to 185 people and causing widespread damage to buildings in…
  • Abstract Number: 1756 • 2014 ACR/ARHP Annual Meeting

    Molecular Diagnosis Reveals a Surprising Prevalence of Limited Gpa Among Patients with Orbital Inflammatory Diseases

    James T. Rosenbaum1, Dongseok Choi2, Christine Harrington3, Patrick Stauffer4, David Wilson5, Seema Gupta4, Roger Dailey4, John Ng4, Eric Steele4, Patrick Yeatts6, Peter Dolman7, Valerie White7, Gerald Harris8, Craig Czyz9, Jill Foster9, Deepak Edward10, Hind Alkatan10, Bobby Korn11, Don Kikkawa12, Dinesh Selva13, Sander Dubovy14, Chris Alabiad15, David Tse15, Michael Kazim16, Payal Patel16 and Stephen R. Planck17, 1OHSU, Portland, OR, 2Casey Eye Institute, Oregon Health and Science University, Portland, OR, 3Integrated Genomics, Oregon Health & Science University, Portland, OR, 4Oregon Health & Science University, Portland, OR, 5Casey Eye Institute/Ophthalmology, Oregon Health & Science University, Portland, OR, 6Ophthalmology, Wake Forest University, Winston-Salem, NC, 7University of British Columbia, Vancouver, BC, Canada, 8Medical College of Wisconsin, Milwaukee, WI, 9Ohio State Univeristy, Columbus, OH, 10King Khaled Eye Hospital, Riyadh, Saudi Arabia, 11University of California, San Diego, San Diego, CA, 12Ophthalmology, University of California, San Diego, San Diego, CA, 13Royal Adelaide Hospital, Adelaide, Australia, 14University of Miami, Miami, FL, 15Ophthalmology, University of Miami, Miami, FL, 16Columbia University, New York City, NY, 17Casey Eye Inst/Ophthalmology, Oregon Health & Science University, Portland, OR

    Background/Purpose: Gene expression profiling provides diagnostic and therapeutic information in several malignancies, but its role in evaluating inflammatory disease is relatively untested. We hypothesized that…
  • Abstract Number: 1755 • 2014 ACR/ARHP Annual Meeting

    Proteomic Analysis of ANCA Vasculitis Serum Reveals Broad Neutrophil Activation, Angiogenesis, and Selective Inflammatory Pathway Activation

    Melissa Parker, David Gold, Koustubh Ranade and Ethan Grant, Translational Sciences, MedImmune, LLC, Gaithersburg, MD

    Background/Purpose ANCA vasculitis is characterized by the presence of autoantibodies directed against MPO, PR3 and other neutrophil proteins. Binding of these autoantibodies to activated neutrophils…
  • Abstract Number: 1754 • 2014 ACR/ARHP Annual Meeting

    Peripheral CD5+ b-Cells in ANCA-Associated Vasculitis

    Sebastian Unizony1, Noha Lim2, Vincent Carey3, Deborah J. Phippard2, Nadia Tchao2, Eli M. Miloslavsky4, Peter A. Merkel5, Paul Monach6, William St. Clair7, Robert F. Spiera8, Adam Asare2, Philip Seo9, Carol A. Langford10, Gary S. Hoffman11, Cees Kallenberg12, Ulrich Specks13 and John H. Stone4, 1Rheumatology, Allergy and Immunology, Massachusetts General Hospital, Boston, MA, 2Immune Tolerance Network, Bethesda, MD, 3Channing Division of Network Medicine, Brigham and Women's Hospital, Boston, MA, 4Rheumatology, Massachusetts General Hospital, Boston, MA, 5Vasculitis Center, Division of Rheumatology, University of Pennsylvania, Philadelphia, PA, 6Rheumatology, Boston University, Boston, MA, 7Rheumatology and Immunology, Duke University, Durham, NC, 8Rheumatology, Hospital for Special Surgery, New York, NY, 9Rheumatology Division, Johns Hopkins Vasculitis Center, Johns Hopkins University, Baltimore, MD, 10Center for Vasculitis Care and Research, Cleveland Clinic, Cleveland, OH, 11Rheumatic & Immunologic Dis, Cleveland Clinic Foundation, Cleveland, OH, 12Rheumatology and Clinical Immunology, University of Groningen, Groningen, Netherlands, 13Frederichs Dr NW, Mayo Clinic, Rochester, MN

    Background/Purpose We explored the utility of peripheral CD19+ CD5+ B-cells (CD5+ B-cells) as biomarkers in ANCA-associated vasculitis (AAV)   Methods CD5+ B-cells were measured longitudinally by…
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