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Abstracts tagged "ANCA"

  • 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: 2718 • 2018 ACR/ARHP Annual Meeting

    Comparison of Various ANCA Detection Methods in Predominantly MPO ANCA-Associated Vasculitis Cohort

    Yasuhiro Katsumata1, Ken-ei Sada2, Tomohiro Kameda3, Hiroaki Dobashi3, Hisashi Yamanaka4 and Masayoshi Harigai5, 1Institute of Rheumatology, Tokyo Women's Medical University, Tokyo, Japan, 2Okayama University, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences,Department of Nephrology, Rheumatology, Endocrinology and Metabolism, Okayama, Japan, 3Internal Medicine Division of Hematology, Rheumatology, and Respiratory Medicine, Kagawa University, Kagawa, Japan, 4Institute of Rheumatology, Institute of Rheumatology, Tokyo Women's Medical University, Tokyo, Japan, 5Tokyo Women's Medical University, Division of Epidemiology and Pharmacoepidemiology of Rheumatic Diseases, Institute of Rheumatology, Tokyo, Japan

    Background/Purpose: In 2017, the multicenter European Vasculitis Study Group (EUVAS) evaluated the diagnostic accuracy of a wide spectrum of detection tests of MPO and PR3-ANCAs…
  • Abstract Number: 2743 • 2018 ACR/ARHP Annual Meeting

    Favorable Efficacy of Rituximab in ANCA-Associated Vasculitis Patients with Excessive B Cell Differentiation

    Yusuke Miyazaki1, Shingo Nakayamada1, Satoshi Kubo1, Kazuhisa Nakano1, Shigeru Iwata2, Shunsuke Fukuyo3, Akio Kawabe4 and Yoshiya Tanaka5, 1First Department of Internal Medicine, University of Occupational and Environmental Health, Japan, Kitakyushu, Japan, 2First Department of Internal Medicine, School of Medicine, University of Occupational and Environmental Health, Japan, Kitakyushu, Japan, 3University of Occupational and Environmental Health, Japan, Fukuoka, Japan, 4University of Occupational and Environmental Health, Japan, Kitakyusyu, Japan, 5University of Occupational and Environmental Health, Kitakyushu, Japan

    Background/Purpose: B cell depletion by rituximab (RTX)is effective treatment for ANCA-associated vasculitis (AAV). However, the phenotype of peripheral B cells and the selection criteria for…
  • 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: 2719 • 2018 ACR/ARHP Annual Meeting

    Tracking the Risk of Infections in ANCA-Associated Vasculitis: Results from a Scottish Matched-Cohort Study

    Shifa Sarica1, Neeraj Dhaun2, Jan Sznajd3, John Harvie3, Nicola Joss3, John McLaren4, Lucy McGeoch5, Nicole Amft6, Vinod Kumar7, Angharad Marks1, Corri Black1 and Neil Basu1, 1Institute of Applied Health Sciences, University of Aberdeen, Aberdeen, United Kingdom, 2University/British Heart Foundation Centre for Cardiovascular Science, University of Edinburgh, Edinburgh, United Kingdom, 3Department of Rheumatology, Raigmore Hospital, Inverness, United Kingdom, 4Fife Rheumatic Diseases Unit, Whyteman's Brae Hospital, Kirkcaldy, United Kingdom, 5Center for Rheumatic Diseases, Glasgow Royal Infirmary, Glasgow, United Kingdom, 6Department of Rheumatology, Western General Hospital, Edinburgh, United Kingdom, 7Rheumatology Department, Ninewells Hospital, Dundee, United Kingdom

    Background/Purpose: Evaluation of infection risk in ANCA-associated vasculitis (AAV) has been limited to small, selected populations and/or serious episodes. In this large study, we aimed…
  • Abstract Number: 2788 • 2018 ACR/ARHP Annual Meeting

    The Effects of Plasma Exchange and Reduced-Dose Glucocorticoids during Remission-Induction for Treatment of Severe ANCA-Associated Vasculitis

    Michael Walsh1, Peter A. Merkel2 and David Jayne3, 1Nephrology, McMaster University, Hamilton, ON, Canada, 2Division of Rheumatology, Division of Rheumatology, University of Pennsylvania, Philadelphia, PA, 3Department of Medicine, University of Cambridge, Cambridge, United Kingdom

    Background/Purpose: It is uncertain whether plasma exchange improves clinical outcomes in anti-neutrophil cytoplasmic antibody (ANCA)-associated vasculitis.  Also uncertain is whether, compared to standard therapy with…
  • 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: 2721 • 2018 ACR/ARHP Annual Meeting

    Venous Thromboembolism in ANCA Associated Vasculitis. a Population-Based Cohort Study from Southern Sweden

    Matina Liapi1, David Jayne2, Mårten Segelmark3 and Aladdin Mohammad4, 1Medicine, Blekinge Hospital, Karlskrona, Sweden, 2Department of Medicine, University of Cambridge, Cambridge, United Kingdom, 3Clinical Sciences, Nephrology, Lund University, Lund, Sweden, 4Rheumatology, Department of Clinical Sciences, Lund, Lund University, Lund, Sweden

    Background/Purpose: To estimate the rate and predictors of venous thromboembolic events (VTEs) in a population-based cohort of patients with ANCA- associated vasculitis (AAV). Methods: 322…
  • Abstract Number: 2852 • 2018 ACR/ARHP Annual Meeting

    Excessive Formation of Neutrophil Extracellular Traps: Different Role in the Pathogenesis of ANCA-Associated Vasculitis and Systemic Lupus Erythematosus

    Laura van Dam1, Tineke Kraaij1, Sylvia W.A. Kamerling1, Hans U. Scherer2, Ton Rabelink1, Cees van Kooten1 and Y.K. Onno Teng1, 1Nephrology, Leiden University Medical Center, Leiden, Netherlands, 2Department of Rheumatology, Leiden University Medical Center, Leiden, Netherlands

    Background/Purpose: ANCA-associated vasculitis (AAV) and systemic lupus erythematosus (SLE) both cause glomerulonephritis with pauci-immune and full-house immunofluorescence patterns, respectively. Although AAV and SLE are clinically…
  • 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: 2722 • 2018 ACR/ARHP Annual Meeting

    Incidence and Predictors of Severe Infections in ANCA Associated Vasculitis in a Population-Based Cohort – Preliminary Results

    Jens Rathmann1, David Jayne2, Goran Jönsson3, Mårten Segelmark4, Jan-Åke Nilsson5 and Aladdin Mohammad2, 1Rheumatology, Skanes University Hospital, Lund, Lund, Sweden, 2Department of Medicine, University of Cambridge, Cambridge, United Kingdom, 3Clinical Sciences Lund, Department of Infection Medicine, Lund University, Lund, Sweden, 4Clinical Sciences, Nephrology, Lund University, Lund, Sweden, 5Department of Rheumatology, Skåne University Hospital, Malmö, Sweden

    Background/Purpose: To determine the incidence rates, predictors and outcome of severe infections in ANCA associated vasculitis (AAV). Methods: We conducted a population-based cohort study in…
  • Abstract Number: 2971 • 2018 ACR/ARHP Annual Meeting

    Rituximab Associated Hypogammaglobulinemia in Autoimmune Disease: Long Term Outcomes

    Joanna Tieu1,2, Seerapani Gopaluni3,4, Rona Smith1 and David Jayne1, 1Department of Medicine, University of Cambridge, Cambridge, United Kingdom, 2Department of Medicine, University of Adelaide, Adelaide, Australia, 3Medicine, University of Cambridge, Cambridge, United Kingdom, 4Vasculitis and Lupus, Addenbrooke’s Hospital, Cambridge, United Kingdom

    Background/Purpose: Despite a low incidence of hypogammaglobulinemia (HG) in clinical trials using rituximab (RTX), HG occurs in follow-up of patients with autoimmune disease. Immunoglobulin replacement…
  • 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: 2725 • 2018 ACR/ARHP Annual Meeting

    Clinical Characteristics and Long-Term Follow-up of 382 Microscopic Polyangiitis Patients

    Yann Nguyen1, Christian Pagnoux2, Alexandre Karras3, Thomas Quémeneur4, Francois Maurier5, Mohamed Hamidou6, Alain Le Quellec7, Noémie Jourde-Chiche8, Pascal Cohen1, Alexis Régent1, François Lifermann9, Arsène Mékinian10, Chahéra Khouatra11, Eric Hachulla12, Jacques Ninet13, Jacques Pourrat14, Marc Ruivard15, Pascal Godmer16, Jean-Francois Viallard17, Benjamin Terrier1, Luc Mouthon1, Loïc Guillevin1 and Xavier Puéchal1, 1Department of Internal Medicine, Referral Center for Rare Autoimmune and Systemic Diseases, Hôpital Cochin, AP–HP, Université Paris Descartes, Paris, France, Paris, France, 2Division of Rheumatology, Division of Rheumatology, Mount Sinai Hospital, Toronto, ON, Canada, 3Department of Nephrology, Hôpital Européen Georges Pompidou, APHP, Paris, France, Paris, France, 4Department of Internal Medicine, CH of Valenciennes, France, Valenciennes, France, 5Médecine interne, Hôpitaux Privés de Metz, Metz, France, 6Department of Internal Medicine, CHU de Nantes, France, Nantes, France, 7Department of Internal Medicine, Hôpital Saint-Eloi, CHU de Montpellier, France, Montpellier, France, 8Nephrology, Department of Nephrology, AP-HM, CHU Conception, Marseille, France, Marseille, France, 9Dax, Dax, France, 10Department of Internal Medicine, Hôpital Saint-Antoine, APHP, Paris, France, Paris, France, 11Department of Respiratory Medicine, National Reference Center for Rare Pulmonary Diseases, Hospices civils de Lyon, Hôpital Louis Pradel, Lyon, France, Lyon, France, 12Department of Internal Medicine, National Reference Center for Systemic Sclerosis, Hôpital Claude Huriez, CHRU Lille, France, Lille, France, 13Department of Internal Medicine, Hôpital Edouard Herriot HCL, CHU de Lyon, France, Lyon, France, 14Department of Nephrology, Hôpital de Rangueil, CHU Toulouse, France, Toulouse, France, 15Department of Internal Medicine, CHU Estang, Clermont-Ferrand, France, Clermont-ferrand, France, 16Department of Internal Medicine, CH Vannes, France, Vannes, France, 17Department of Internal Medicine, Hôpital Haut-Lévêque, Bordeaux, France, CHU Bordeaux, France

    Background/Purpose: Microscopic polyangiitis (MPA) is a systemic ANCA-associated small-vessel necrotizing vasculitis characterized by general symptoms, and visceral manifestations, including rapidly progressive glomerulonephritis and alveolar hemorrhage.…
  • Abstract Number: 1761 • 2018 ACR/ARHP Annual Meeting

    Evaluation of the Functional Activity of Endothelial Progenitor Cells in Patients with ANCA-Associated Vasculitis

    Ana Paula Toledo Del Rio1, Stephanie Ospina Prieto1, Bruno Kosa Lino Duarte1, Manoel Barros Bertolo1,2, Margareth de Castro Ozelo1 and Zoraida Sachetto1, 1Internal Medicine, Faculty of Medical Science - State University of Campinas/Unicamp, Campinas, Brazil, 2INTERNAL MEDICINE, DISCIPLINE OF RHEUMATOLOGY, Faculty of Medical Sciences, State University of Campinas (UNICAMP), Campinas, Brazil

    Background/Purpose: ANCA-associated vasculitis (AAV) are relapsing diseases with high morbidity and mortality. The vascular damage present in these patients requires continuous repair with the participation…
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