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  • Abstract Number: 728 • 2013 ACR/ARHP Annual Meeting

    Unraveling The Identity Of FoxP3+ Regulatory T-Cells In Gpa-Patients

    WH Abdulahad1, Coen A. Stegeman2, MG Huitema1, Pieter C. Limburg3, Abraham Rutgers1, Peter Heeringa4 and Cees G.M. Kallenberg1, 1Rheumatology and Clinical Immunology, University Medical Center Groningen, Groningen, Netherlands, 2Nephrology, University Medical Center Groningen, Groningen, Netherlands, 3Department of Laboratory Medicine, University Medical Center Groningen, Groningen, Netherlands, 4Pathology and Medical Biology, University Medical Center Groningen, Groningen, Netherlands

    Background/Purpose: Human FoxP3+ Th-cells are heterogeneous in function and include not only suppressive cells (TRegs) but also non-suppressive cells that abundantly secrete proinflammatory cytokines. We…
  • Abstract Number: 729 • 2013 ACR/ARHP Annual Meeting

    Role Of Innate Immunity In The Pathogenesis Of ANCA-Associated Vasculitis

    Angelica Gattamelata1, Giovanna Peruzzi2, Rossana Scrivo3, Roberta Priori3, Stefania Morrone4, Angela Santoni2 and Guido Valesini3, 1Sapienza University of Rome, Rome, Italy, 2Department of Molecular Medicine, Sapienza University, Rome, Italy, 3Department of Internal Medicine and Medical Specialties, Sapienza University, Rome, Italy, 4Department of Experimental Medicine, Sapienza University, Rome, Italy

    Background/Purpose: Natural killer cells (NK) represent one of the main effectors of the innate immune response through the defense against viral infections and the production…
  • Abstract Number: 730 • 2013 ACR/ARHP Annual Meeting

    Cell-Mediated Immune Responses To Influenza and Herpesvirus Antigen Stimulation Are Conserved But Adversely Impacted By Immunosuppressive Therapy and Active Infection In Patients With Granulomatosis With Polyangiitis

    John McKinnon1, Robbie Mailliard2, Dawn McClemens-McBride3, Donald Jones3, Charles Rinaldo Jr.4 and Kathleen Maksimowicz-McKinnon5, 1Infectious Disease, Henry Ford Hospital, Detroit, MI, 2Infectious Diseases and Microbiology, University of Pittsburgh, Pittsburgh, PA, 3Rheumatology, University of Pittsburgh, Pittsburgh, PA, 4Infectious Diseases and Microbiology, Pathology, University of Pittsburgh, Pittsburgh, PA, 5Rheumatology, Henry Ford Hospital, Detroit, MI

    Background/Purpose: Reactivation of chronic herpesvirus infections is not uncommon in immunosuppressed patients, including those with granulomatosis with polyangiitis (GPA).  The effects of GPA disease and…
  • Abstract Number: 731 • 2013 ACR/ARHP Annual Meeting

    C3 Activation Is Associated With The Disease Activity Of Microscopic Polyangiitis

    Dan Liu1,2,3, Jin-song Zhou4, Qing-ping Chen4, Chao-yang Duan1, Li Wang4, Yuan Jia3 and Ke Li1, 1Core Research Laboratory, The Second Affiliated Hospital, Xi'an Jiaotong University, Xi'an, China, 2Department of Rheumatology and Immunology, The Fifth Hospital of Xi'an, Xi'an, China, 3Department of Rheumatology and Immunology,Clinical Immunology Center, Peking University People's Hospital, Beijing, China, 4Department of Rheumatology and Immunology, The Fifth Hospital of Xi'an, Xi’an, China

    Background/Purpose: Microscopic polyangiitis (MPA) is the most common anti-neutrophil cytoplasmic antibodies(ANCA) associated small-vessel vasculitis with specificity of the ANCA to myeloperoxidase(MPO) of neutrophils. MPA mainly…
  • Abstract Number: 732 • 2013 ACR/ARHP Annual Meeting

    Expansion Of IgA-Plasma Cells As a Sign For Ear-Nose-Throat-Involvment In Granulomatosis With Polyangiitis?

    Bimba F. Hoyer1,2, Adriano Taddeo3, Qingyu Cheng2, Laleh Khodadadi2, Gerd Burmester2 and Falk Hiepe2, 1Rheumatology/Immunology, Charite University Hospital, Berlin, Germany, 2Charité University Medicine, Department of Medicine/Rheumatology and Clinical Immunology and German Rheumatism Research Centre Berlin (DRFZ), Germany, Berlin, Germany, 3Deutsches Rheumaforschungszentrum, Berlin, Germany

    Background/Purpose: B cells are playing a major role in granulomatosis with polyangiitis (GPA, formarly known as Wegener’s disease). This is reflected by the presence of…
  • Abstract Number: 733 • 2013 ACR/ARHP Annual Meeting

    Plasma Levels Of Fibrin/Fibrinogen Degradation Products Might Be a Useful Indicator Of Disease Activity, Classification and Nephritis Complications In Antineutrophil Cytoplasmic Antibody-Associated Vasculitis

    Kuninobu Wakabayashi, Nao Oguro, Yoko Miura, Sho Ishii, Shinya Seki, Masayu Umemura, Takahiro Tokunaga, Hiroyuki Tsukamoto, Sakiko Isojima, Hidekazu Furuya, Ryo Yanai, Kumiko Otsuka, Ryo Takahashi, Takeo Isozaki, Nobuyuki Yajima, Yusuke Miwa and Tsuyoshi Kasama, Div of Rheumatology, Showa University School of Med, Shinagawa-ku Tokyo, Japan

    Background/Purpose: It is important to determine the biomarkers for assessing disease activity of patients with antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis (AAV). Plasma levels of fibrin/fibrinogen…
  • Abstract Number: 734 • 2013 ACR/ARHP Annual Meeting

    The Significance Of Anti-Myeloperoxidase and Anti-Proteinase 3 Antibodies In The Absence Of Anti-Neutrophil Cytoplasmic Antibody Immunofluorescence Positivity

    Deepak A. Rao1, Joseph F. Merola1, William R. O'Brien1, Kevin Wei1, Samuel U. Takvorian2, Paul F. Dellaripa3 and Peter H. Schur1, 1Rheumatology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, 2Internal Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, 3Division of Rheumatology, Immunology, and Allergy, Brigham and Women's Hospital, Harvard Medical School, Boston, MA

    Background/Purpose: Identification of serum anti-neutrophil cytoplasmic antibodies (ANCA) for the detection of ANCA-associated vasculitis (AAV) is often performed by screening with indirect immunofluorescence (IF), followed…
  • Abstract Number: 735 • 2013 ACR/ARHP Annual Meeting

    Clinical Research Of Microscopic Polyangiitis Combined With Autoimmune Hemolytic Anemia

    Dan Liu1,2,3, Qing-ping Chen4, Hai-hong Yao5, Ru Li1, Yin Su1, Jie Zhang4, Yu Chen4, Ke Li3 and Yuan Jia1, 1Department of Rheumatology and Immunology,Clinical Immunology Center, Peking University People's Hospital, Beijing, China, 2Department of Rheumatology and Immunology, The Fifth Hospital of Xi'an, Xi'an, China, 3Core Research Laboratory, The Second Affiliated Hospital, Xi'an Jiaotong University, Xi'an, China, 4Department of Rheumatology and Immunology, The Fifth Hospital of Xi'an, Xi’an, China, 5Department of Rheumatology and Immunology, Peking University People's Hospital, Beijing, China

    Background/Purpose: Autoimmune hemolytic anemia (AIHA) and Microscopic polyangiitis (MPA) are both rare autoimmune conditions. AIHA is caused by autoantibody-induced hemolysis (the premature destruction of circulating…
  • Abstract Number: 736 • 2013 ACR/ARHP Annual Meeting

    Antineutrophil Cytoplasmic Antibody-Associated Vasculitis Associated With Systemic Sclerosis In Japan: A Review Of The Literature

    Natsumi Nagao1, Yuri Sadanaga1, Satoko Tashiro1, Rie Suematsu1, Syuichi Koarada1, Akihide Ohta2 and Yoshifumi Tada1, 1Rheumatology, Saga University, Saga, Japan, 2Nursing, Saga University, Saga, Japan

    Background/Purpose: Cases of Antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis (AAV) during the course of systemic sclerosis (SSc) have recently been reported. Japanese cases of AAV associated…
  • Abstract Number: 738 • 2013 ACR/ARHP Annual Meeting

    Pulmonary Fibrosis In ANCA-Associated Vasculitis

    Cloé Comarmond1, Bruno Crestani2, Abdellatif Tazi3, Baptiste Hervier4, Sylvain Adam-Marchand5, Hilario Nunes6, Fleur Cohen-Aubart7, Marie Wislez8, Jacques Cadranel8, Bruno Housset9, Célia Lloret-Linares10, Pascal Sève11, Christian Pagnoux12, Sébastien Abad13, Juliette Camuset14, Boris Bienvenu15, Michael Duruisseaux16, Eric Hachulla17, Jean-Benoît Arlet18, Mohamed Hamidou19, Alfred Mahr20, Anne-Laure Brun21, Philippe Grenier21, Patrice Cacoub22 and David Saadoun23, 1Internal Medicine and Clinical Imunology, Referal Center for Autoimmune diseases, Internal Medicine and Clinical Imunology, Hôpital Pitié Salpétrière, Paris, France, 2Pneumology A, Hôpital Bichat, Paris, France, 3Hôpital Saint-Louis, Paris, France, 4Internal Medicine & Clinical Immunology Dpt, Pitié-Salpêtrière Hospital, APHP, Paris, France, 5Pneumology, Centre Hospitalier Universitaire de Tours, Tours, France, 6Department of Pneumology, Avicenne Hospital (AP-HP), Bobigny, France, 7Internal Medicine Dpt 2, Pitié-Salpêtrière Hospital, APHP, Paris, France, 8Pneumology, Hôpital Tenon, Paris, France, 9Pneumology, Centre Hospitalier Intercommunal de Créteil, Créteil, France, 10Médecine Interne A, Hôpital Lariboisière, Paris, France, 11Internal medicine, CHU Lyon, Lyon, France, 12Rheumatology, Mount Sinai Hospital, Toronto, Canada, Toronto, ON, Canada, 13Internal Medicine, Avicenne Hospital, Bobigny, France, 14Pneumology, Centre Hospitalier Victor Dupouy, Argenteuil, France, 15Division of Internal Medicine, Centre Hospitalier Régional Universitaire de Caen, Côte de Nacre, Caen, France, Caen, France, 16Pneumology, CHU de Grenoble, Grenoble, France, 17Internal Medicine, Lille CEDEX, France, 18Internal Medicine, HEGP, Paris, France, 19Internal Medicine Department, Nantes University Hospital, Nantes, France, 20Department of Internal Medicine, Hospital Saint-Louis, Paris, France, 21Radiology, Hôpital Pitié-Salpêtrière, Paris, France, 22Médecine Interne 2, Hopital Pitié-Salpétrière, Paris, France, 23Groupe Hospitalier Pitié Salpétrière, Service de Médecine Interne, DHU i2B, Paris, France

    Background/Purpose: The association of pulmonary fibrosis (PF) with anti neutrophil cytoplasmic antibodies (ANCA)-associated vasculitis (AAV), especially microscopic polyangiitis (MPA), is rare but related to poor…
  • Abstract Number: 739 • 2013 ACR/ARHP Annual Meeting

    Cardiac Involvement In Granulomatosis With Polyangiitis

    Lucy McGeoch1, Simon Carette2, David Cuthberston3, Gary S. Hoffman4, Nader A. Khalidi5, Curry L Koening6, Carol A. Langford7, Paul A. Monach8, Larry W. Moreland9, Philip Seo10, Ulrich Specks11, Steven R. Ytterberg12, Carol McAlear13, Peter A Merkel14, Christian Pagnoux2 and The Vcrc15, 1Vasculitis clinic, Division of rheumatology, Mount Sinai Hospital, University Health Network, University of Toronto, Toronto, ON, Canada, 2Division of Rheumatology, University of Toronto, Toronto, ON, Canada, 3Biostatistics, University of South Florida, Tampa, FL, 4Center for Vasculitis Care and Research, Cleveland Clinic Foundation, Cleveland, OH, 5Internal Medicine/Rheumatology, McMaster University, Hamilton, ON, Canada, 6Division of rheumatology, George E. Wahlen Department of Veterans Affairs Medical Center Salt Lake City and University of Utah, University of Utah School of Medicine, Salt Lake City, UT, 7Center for Vasculitis Care and Research, Cleveland Clinic, Cleveland, OH, 8Rheumatology, Boston University, Boston, MA, 9Division of Rheumatology & Clinical Immunology, University of Pittsburgh, Pittsburgh, PA, 10Rheumatology Division, Johns Hopkins Vasculitis Center, Johns Hopkins University, Baltimore, MD, 11Mayo Clinic, Rochester, MN, 12Rheumatology Division, Mayo Clinic, Rochester, MN, 13University of Pennsylvania, Philadelphia, PA, 14Division of Rheumatology, University of Pennsylvania and VA Medical Center, Philadelphia, PA, 15University of Pennsylvania and VA Medical Center, Philadelphia, PA

    Background/Purpose: Prior cohort studies in Europe have found cardiac involvement to be rare in granulomatosis with polyangiitis (GPA) but associated with significant increases in mortality…
  • Abstract Number: 740 • 2013 ACR/ARHP Annual Meeting

    Clinically Apparent Arterial Thrombosis In Persons With Systemic Vasculitis

    Alexander Tsoukas1, Christian A. Pineau2, Sasha Bernatsky3, Lawrence Joseph4 and Patrick Belisle5, 1Rheumatology, McGill University, Montreal, QC, Canada, 2Rheumatology, McGill University Health Center, Montreal, QC, Canada, 3Division of Clinical Epidemiology, McGill University Health Center, Montreal, QC, Canada, 4McGill University, Montreal, QC, Canada, 5Division of Clinical Epidemiology, Research Institute of the McGill University Health Centre, Montreal, QC, Canada

    Background/Purpose: Systemic  vasculitides  are a group of heterogeneous, autoimmune disorders characterized by inflammation of blood vessels. As with other autoimmune disorders, inflammation and long-term medical…
  • Abstract Number: 741 • 2013 ACR/ARHP Annual Meeting

    Granulomatosis With Polyangiitis Central Nervous System Involvement: Presentation and Management

    Gonzalo De Luna1,2, Benjamin Terrier3, Pierre Kaminsky4, Francois Maurier5, Roser Solans6, Raphaèle Seror7, Xavier Puéchal8, Luc Mouthon9 and Loic Guillevin10, 1Medecine Interne, Cochin University Hospital, Paris, France, 2Internal Medicine, Hospital Ramon y Cajal, Madrid, Spain, 3Internal Medicine, Cochin University Hospital, Paris, France, 4Université de Lorraine, Nancy, F-54000, France; CHU de Nancy, Orphan disease unit, Nancy, F-54000, France;, Nancy, France, 5HP Metz Belle Isle Hospital, Department of Internal Medicine, Metz, France, 6Autoimmune Systemic Diseases Unit, Department of Internal Medicine, Hospital Vall d'Hebron, Autonomous University of Barcelona, Barcelona, Spain, 7Rheumatology, Bicetre university hospital, LE Kremlin-Bicetre, France, 8National Referral Center for Rare Systemic Auto-immune Diseases, Hôpital Cochin, AP-HP, Université Paris Descartes, Sorbonne Paris Cité, Paris, France, 9Department of Internal Medicine, Referral Center for Rare Autoimmune and Systemic Diseases, Hôpital Cochin, AP–HP, Université Paris Descartes, Paris, France, Paris, France, 10Department of Internal Medicine, Referral Center for Rare Autoimmune and Systemic Diseases, Hôpital Cochin, AP–HP, Université Paris Descartes, Paris, France

    Background/Purpose: Granulomatosis with polyangiitis (GPA), a small-sized–vessel vasculitis, commonly involves ear, nose & throat (ENT), lungs and kidneys, and, more rarely, the central nervous system…
  • Abstract Number: 742 • 2013 ACR/ARHP Annual Meeting

    Safety Of Remission Induction With Rituximab Versus Cyclosphosphamide In Patients 65 and Older With Severe ANCA-Associated Vasculitis

    Eli Miloslavsky1, Ulrich Specks2, Peter A Merkel3, Philip Seo4, Robert F. Spiera5, Carol A. Langford6, Gary S. Hoffman7, Cees G.M. Kallenberg8, E. William St. Clair9, Nadia Tchao10, Linna Ding11, David Ikle12, Brett Jepson12, Paul Brunetta13 and John H. Stone14, 1Division of Rheumatology, Massachusetts General Hopsital, Boston, MA, 2Mayo Clinic, Rochester, MN, 3Division of Rheumatology, University of Pennsylvania and VA Medical Center, Philadelphia, PA, 4Rheumatology Division, Johns Hopkins Vasculitis Center, Johns Hopkins University, Baltimore, MD, 5Rheumatology, Hospital for Special Surgery, New York, NY, 6Center for Vasculitis Care and Research, Cleveland Clinic, Cleveland, OH, 7Center for Vasculitis Care and Research, Cleveland Clinic Foundation, Cleveland, OH, 8Rheumatology and Clinical Immunology, University Medical Center Groningen, Groningen, Netherlands, 9Medicine, Duke University Medical Center, Durham, NC, 10Immune Tolerance Network, Bethesda, MD, 11NIAID, Bethesda, MD, 12Rho, Chapel Hill, NC, 13Biotherapeutics, Genentech, So San Francisco, CA, 14Rheumatology, Massachusetts General Hospital, Boston, MA

    Background/Purpose: Retrospective studies have demonstrated that patients of advanced age with systemic vasculitis experience a higher mortality and adverse events than their younger counterparts. However,…
  • Abstract Number: 743 • 2013 ACR/ARHP Annual Meeting

    Efficacy Of Rituximab For Otolaryngologic (ENT) Manifestations Of Granulomatosis With Polyangiitis (GPA, Wegener’s granulomatosis)

    Lindsay Lally1, Robert Lebovics2, Wei-Ti Huang3 and Robert F. Spiera1, 1Rheumatology, Hospital for Special Surgery, New York, NY, 2Otolaryngology, St. Luke's-Roosevelt Hospital Center, New York, NY, 3Biostatistics, Hospital for Special Surgery, New York, NY

    Background/Purpose: ENT involvement is the most prevalent manifestation of GPA.  Rituximab (RTX) is a proven effective remission induction therapy for severe GPA with vasculitic manifestations. …
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