ACR Meeting Abstracts

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  • Abstract Number: 2620 • 2019 ACR/ARP Annual Meeting

    Effects of Tofacitinib Suppressed Pulmonary Vascular Remodeling of Allergic Vasculitis in a Murine Model

    Yuka Oikawa1, Kohei Yamauchi 2 and Makoto Maemondo 1, 1Iwate Medical University School of Medicine, Morioka, Japan, Division of Pulmonary medicine, Allergy and Rheumatology, Department of Internal Medicine, morioka, Japan, 2Takizawa central Hospital, morioka, Japan

    Background/Purpose: We reported allergic granulomatous vasculitis with eosinophil infiltration in an asthma model of C57BL/6 sensitized with ovalbumin (OVA). TGF-btea and IL-6 are thought to…
  • Abstract Number: 2621 • 2019 ACR/ARP Annual Meeting

    Association Between Outcome Renal, Clinical Variables and Findings of Renal Biopsy in Patients with ANCA Vasculitis

    Linda Vergel Orduz1, Alejandro Brigante 2, Diego Marino 3, Natalia Perrotta 3, Romina Hassan 4, Gisele Verna 5, Adriana Hamaui 6, Eduardo Kerzberg 7 and Diana Dubinsky 6, 1Sanatorio Guemes, Ciudad Autonoma de Buenos Aires, Buenos Aires, Argentina, 2Sanatorio Güemes, Servicio de Medicina Interna – Reumatología, Francisco Acuña de Figueroa 1240, C1180AAD, Buenos Aires, Ciudad Autonoma de Buenos Aires, Argentina, 3Hospital de Clínicas José de San Martín, Ciudad Autonoma de Buenos Aires, Ciudad Autonoma de Buenos Aires, Argentina, 4Hospital Ramos Mejía, Ciudad Autonoma de Buenos Aires, Ciudad Autonoma de Buenos Aires, Argentina, 5Sanatorio Guemes, Ciudad Autonoma de Buenos Aires, Ciudad Autonoma de Buenos Aires, Argentina, 6Sanatorio Güemes, Buenos Aires, Argentina, 7Hospital Ramos Mejia, Ciudad Autónoma de Buenos Aires, Buenos Aires, Argentina

    Background/Purpose: In associated ANCA vasculitis (AAV), rapidly progressive glomerulonephritis (GN) is one of the most serious complications. In 40% of cases they progress to chronic…
  • Abstract Number: 2622 • 2019 ACR/ARP Annual Meeting

    A Single Center Retrospective Analysis of Efficacy and Safety Between Low-Dose versus High-Dose Rituximab as Remission Induction Therapy with ANCA-Associated Vasculitis

    Kei Hirose1, Manami Hirata 1, Akiko Ueno 1 and Masahiro Yamamura 1, 1Okayama Saiseikai General Hospital, Okayama City, Japan

    Background/Purpose: Rituximab therapy for ANCA-associated vasculitis (AAV) patients was covered by insurance from 2013 in Japan. Administration of four once-weekly doses of 375 mg/m2 rituximab…
  • Abstract Number: 2623 • 2019 ACR/ARP Annual Meeting

    Abnormality of Percentages and Absolute Numbers of CD4+ Memory and Regulatory T Subset Cells in ANCA-associated Vasculitis

    Yanlin Wang1, Xiangcong Zhao 2, Chong Gao 3 and Jing Luo 2, 1The Second Hospital of Shanxi Medical University, Taiyuan, Shanxi, China (People's Republic), 2the Second Hospital of Shanxi Medical University, Taiyuan, China (People's Republic), 3Brigham and Women’s Hospital, Harvard Medical School, Boston

    Background/Purpose: CD4+ T cell subsets control immune system in check and prevent autoimmunity by keeping a balance among them. However, their levels of blood in ANCA-associated vasculitis (AAV), especially absolute…
  • 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…
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