ACR Meeting Abstracts

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Abstracts tagged "ANCA"

  • Abstract Number: 1945 • 2016 ACR/ARHP Annual Meeting

    Development and Validation of Case-Finding Algorithms for the Identification of Patients with ANCA-Associated Vasculitis and Large-Vessel Vasculitis in Healthcare Administrative Databases

    Antoine G. Sreih1, Narender Annapureddy2, Jason Springer3, Kevin Byram4, George Casey5, Andy Cruz6, Maya Estephan7, Vince Frangiosa8, Michael D. George8, Mei Liu9, Mehrdad Maz10, Adam Parker7, Sapna Sangani11, Rebecca Sharim12 and Peter A. Merkel13, 1Rheumatology, The University of Pennsylvania, Philadelphia, PA, 2Vanderbilt University, Nashville, TN, 3Department of Internal Medicine, Division of Allergy, Clinical Immunology, & Rheumatology, Kansas University Medical Center, Kansas City, KS, 4Internal Medicine, Vanderbilt University, Nashville, TN, 5The Vasculitis Foundation, Kansas City, MO, 6Informational Technology, The University of Pennsylvania, Philadelphia, PA, 7Rheumatology, The University of Kansas, Kansas City, KS, 8Rheumatology, University of Pennsylvania, Philadelphia, PA, 9Informational Technology, The University of Kansas, Kansas City, KS, 10Allergy, Clinical Immunology, and Rheumatology, The University of Kansas Medical Center, Department of Internal Medicine, Division of Allergy, Clinical Immunology and Rheumatology, Kansas City, KS, 11Penn Vasculitis Center, Division of Rheumatology, University of Pennsylvania, Philadelphia, PA, 12Rheumatology, Temple University, Philadelphia, PA, 13Division of Rheumatology, University of Pennsylvania, Philadelphia, PA

    Background/Purpose: ANCA-associated vasculitis (AAV) is a group of vasculitides that consists of granulomatosis with polyangiitis (GPA), eosinophilic granulomatosis with polyangiitis (Churg-Strauss; EGPA), and microscopic polyangiitis…
  • Abstract Number: 881 • 2015 ACR/ARHP Annual Meeting

    ANCA Associated Vasculitis with Hypocomplementemia Has More Diffuse Alveolar Hemorrhage and a Poor Prognosis

    Shoichi Fukui1, Naoki Iwamoto2, Masataka Umeda2, Ayako Nishino2, Yoshikazu Nakashima2, Tomohiro Koga2, Shin-ya Kawashiri2, Kunihiro Ichinose2, Yasuko Hirai1, Mami Tamai3, Hideki Nakamura1, Tomoki Origuchi4 and Atsushi Kawakami1, 1Nagasaki University, Nagasaki, Japan, 2Department of Immunology and Rheumatology, Nagasaki University, Nagasaki, Japan, 3Transitional Med/Immun/Rheum, Nagasaki University, Nagasaki, Japan, 4Department of Rehabilitation Sciences, Nagasaki University, Nagasaki, Japan

    Background/Purpose: ANCA associated vasculitis (AAV) is known as a systemic vasculitis with unknown etiology. Recently, relationship between AAV and complement have been shown and complement…
  • Abstract Number: 884 • 2015 ACR/ARHP Annual Meeting

    Patient Perceptions of Treatment with Glucocorticoids in ANCA-Associated Vasculitis

    Joanna Robson1, Susan Ashdown2, Jill Dawson3, Ebony Easley4, Don Gebhart5, Katherine Kellom6, Georgia Lanier7, Nataliya Milman8, Jacqueline Peck9, Judy A. Shea10, Peter F. Cronholm4 and Peter A. Merkel11, 1Nuffield Department of Orthopaedics Rheumatology and Musculoskeletal Sciences, Botnar Research Centre, University of Oxford, Oxford, United Kingdom, 2NONE, Branbury, United Kingdom, 3Nuffield Department of Population Health HSRU, University of Oxford, Oxford, United Kingdom, 4Department of Family Medicine and Community Health, The University of Pennsylvania, Philadelphia, PA, 5NONE, Columbus, OH, 6PolicyLab, Children's Hospital of Philadelphia, Philadelphia, PA, United Kingdom, 7NONE, Framingham, MA, 8Division of Rheumatology, University of Ottawa, Ottawa, ON, Canada, 9NONE, Oxford, United Kingdom, 10Division of General Internal Medicine, University of Pennsylvania, Philadelphia, PA, United Kingdom, 11Penn Vasculitis Center, Division of Rheumatology, University of Pennsylvania, Philadelphia, PA

    Background/Purpose: Granulomatosis with polyangiitis (GPA), microscopic polyangiitis (MPA) and eosinophilic granulomatosis with polyangiitis (EGPA) comprise a group of multisystem diseases of the small blood vessels…
  • Abstract Number: 886 • 2015 ACR/ARHP Annual Meeting

    Rituximab As a Cyclophosphimide Sparing Agent for Patients with Multi-Relapsing Antineutrophil Cytoplasmic Antibody Associated Small Vessel Vasculitis

    Sophia Lionaki1, George Fragoulis2, Aliki Venetsanopoulou2, Panayiotis Vlachoyiannopoulos2, John Boletis1, Haralampos M. Moutsopoulos2 and Athanasios G. Tzioufas2, 1Nephrology, Laiko Hospital, Department of Nephrology, Athens, Greece, 2Pathophysiology, School of Medicine, National University of Athens, Athens, Greece

    Background/Purpose: To evaluate the long term outcomes, of patients with multi-relapsing Antineutrophil Cytoplasmic Antibody (ANCA) associated Vasculitis (AAV), who received induction therapy with a rituximab…
  • Abstract Number: 887 • 2015 ACR/ARHP Annual Meeting

    Intravenous Immunoglobulin As Immunomodulating Agent in ANCA-Associated Vasculitides: A French Nationwide Study of 92 Patients

    Etienne Crickx1, Irène Machelart2, Estibaliz Lazaro3, Jean-Emmanuel Kahn4, Fleur Cohen5, Thierry Martin6, Alexandre Mania7, Pierre-Yves Hatron8, Gilles Hayem9, Claire Blanchard-Delaunay10, Claire De Moreuil11, Guillaume Le Guenno12, Frédéric Vandergheynst13, Francois Maurier14, Bruno Crestani15, Robin Dhote16, Nicolas Martin Silva17, Yann Ollivier18, Anas Mehdaoui19, Bertrand Godeau20, Xavier Mariette21, Jacques Cadranel22, Pascal Cohen23, Xavier Puéchal23, Claire Le Jeunne24, Luc Mouthon25, Loïc Guillevin26 and Benjamin Terrier23, 1Internal Medicine, Cochin Hospital, Paris, France, 2Hôpital Pellegrin, Pessac, France, 3Hôpital Haut-Lévêque, Pessac, France, 4Internal Medicine, Foch Hospital, Suresnes, France, 5Internal Medicine Dpt 2, Pitié-Salpêtrière Hospital, APHP, Paris, France, 6Cnrs UPR9021, IBMC, Strasbourg, France, 7Hôpital Gabriel Montpied, Clermont-Ferrand, France, 8Service de Médecine Interne, Centre National de Référence des Maladies Systémiques Rares, Hôpital Claude Huriez, CHRU Lille, Lille, France, 9Hôpital Ambroise Paré, Boulogne Billancourt, France, 10Internal Medicine, Centre Hospitalier, Niort, France, 11CHU, Brest, France, 12Internal Medicine department, Clermont-Ferrand, France, 13Hôpital Erasme, Bruxelles, Belgium, 14HP Metz Belle Isle Hospital, Department of Internal Medicine, Metz, France, 15Pneumology, Bichat Claude-bernard, Universitary Hospital, APHP, Paris, France, 16Internal Medicine, Hospital Avicenne, Bobigny, France, 17CHU Caen, caen, France, 18Hôpital Cote de Nacre, Caen, France, 19Hôpital Eure Seine, Evreux, France, 20Henri Mondor, Créteil, France, 21Université Paris-Sud, AP-HP, Hôpitaux Universitaires Paris-Sud, Paris, France, 22Hôpital Tenon, Paris, France, 23Internal Medicine, National Referral Center for Rare Systemic Autoimmune Diseases, Hôpital Cochin, Paris, France, 24Department of Internal Medicine, Hotel-Dieu Hospital, AP-HP, Paris, Paris, France, 25Department of Internal Medicine, Department of Internal Medicine, Cochin Hospital, Referent Center for Necrotizing Vasculitis and Systemic Sclerosis, Paris-Descartes University, AP-HP, Paris, France, 26Internal Medicine, Hopital Cochin, Paris, France

    Background/Purpose: Despite recent therapeutic advances in treating ANCA-associated vasculitides (AAVs), some patients relapse or require long-term immunosuppression, leading to significant morbidity and mortality. IVIg represents…
  • Abstract Number: 888 • 2015 ACR/ARHP Annual Meeting

    Plasma Exchanges to Treat Primary Systemic Necrotizing Vasculitides: Data from a French Nationwide Study

    Gonzalo De Luna1, Dominique Chauveau2, Julien Aniort3, Pierre-Louis Carron4, Pierre Gobert5, Alexandre Karras6, Sylvain Adam-Marchand7, Francois Maurier8, Pierre-Yves Hatron9, Alexandre Mania10, Guillaume Le Guenno11, Stéphane Ballly12, Boris Bienvenu13, Eric Cardineau14, Tiphaine Goulenok15, Noémie Jourde-Chiche Sr.16, Maxime Samson17, Antoine Huart18, Jacques Pourrat19, Aurelien Tiple20, Olivier Aumaître21, Xavier Puéchal22, Farhad Heshmati23, Claire Le Jeunne24, Luc Mouthon25, Loïc Guillevin26 and Benjamin Terrier22, 1Medecine Interne, Cochin University Hospital, Paris, France, 2CH Toulouse, Toulouse, France, 3CHU, Clermont-Ferrand, France, 4Internal Medicine, Centre Hospitalier de Grenoble, Grenoble, France, 5Nephrology, Centre Hospitalier d'Avignon, Avignon, France, 6George Pompidou European Hospital, Paris, France, 7Pneumology, Centre Hospitalier Universitaire de Tours, Tours, France, 8HP Metz Belle Isle Hospital, Department of Internal Medicine, Metz, France, 9Service de Médecine Interne, Centre National de Référence des Maladies Systémiques Rares, Hôpital Claude Huriez, CHRU Lille, Lille, France, 10Hôpital Gabriel Montpied, Clermont-Ferrand, France, 11Internal Medicine department, Clermont-Ferrand, France, 12CH, Chambéry, France, 13Internal Medicine, Hospital Caen, Caen, France, 14CH, Alencon, France, 15University Paris Diderot - APHP - Bichat Hospital, aris, France, 16Nephrology, Aix-Marseille Université - APHM, Marseille, France, 17Department of Internal Medicine and Clinical Immunology, Dijon University Hospital, Dijon, France, 18CHU, Toulouse, France, 19Nephrology, Rangeuil Hospital, Paris, France, 20Nephrology, CHU, Clermont-Ferrand, France, 21Department of Internal Medicine 2. Referal center for SLE/APS, CHU Pitié-Salpêtrière, Paris, France, 22Internal Medicine, National Referral Center for Rare Systemic Autoimmune Diseases, Hôpital Cochin, Paris, France, 23Cochin Hospital, Paris, France, 24Department of Internal Medicine, Hotel-Dieu Hospital, AP-HP, Paris, Paris, France, 25Department of Internal Medicine, Department of Internal Medicine, Cochin Hospital, Referent Center for Necrotizing Vasculitis and Systemic Sclerosis, Paris-Descartes University, AP-HP, Paris, France, 26Internal Medicine, Hopital Cochin, Paris, France

    Background/Purpose: Plasma exchange (PE) is usually used to treat severe primary systemic necrotizing vasculitides (SNVs) and/or virus-induced vasculitides. Only severe renal insufficiency (serum creatinine (SCR)…
  • Abstract Number: 892 • 2015 ACR/ARHP Annual Meeting

    Autoimmune Associated Orbital Inflammatory Masses and Response to Immunosuppressive Therapy

    Alina Casian1, Shirish Sangle (joint first author)2, Ritu Malaiya3, Pamela Lutalo4, Louise Nel5, Bina Menon6, Hema Varma7, Miles Stanford8 and David P. D'Cruz5, 1Louise Coote Lupus Unit, Guy's and St Thomas' Hospital, London, UK, London, United Kingdom, 2Louise Coote Lupus Unit, Guy's and St. Thomas' Hospital, London, United Kingdom, 3Louise Coote Lupus Unit, Louise Coote Lupus Unit, St Thomas' Hospital, London, United Kingdom, 4Rheumatology, St. George's Hospital, London, United Kingdom, 5Louise Coote Lupus Unit, Guy's and St Thomas' Hospital, London, United Kingdom, 6Rheumatology, Guy's Hospital, London, United Kingdom, 7Radiology, Guy's and St. Thomas' Hospital, London, United Kingdom, 8Ophthalmology, Guy's and St. Thomas' Hospital, London, United Kingdom

    Background/Purpose: To characterize a single centre retrospective case series of patients with orbital inflammatory masses associated with autoimmune diseases including granulomatosis with polyangiitis(GPA)(formerly Wegener’s granulomatosis),…
  • Abstract Number: 1082 • 2015 ACR/ARHP Annual Meeting

    ANCA-Negative and Myeloperoxidase-ANCA-Positive Patients with Granulomatosis with Polyangiitis: Clinical Manifestations and Risk of Relapse

    Eli Miloslavsky1, Na Lu2, Sebastian Unizony3, Hyon K. Choi3, Peter A. Merkel4, Philip Seo5, Robert F. Spiera6, Carol A. Langford7, Gary S. Hoffman7, Cees Kallenberg8, E. William St.Clair9, Nadia Tchao10, Fernando Fervenza11, Paul A. Monach12, Ulrich Specks13 and John H. Stone14, 1Division of Rheumatology, Allergy and Immunology, Massachusetts General Hospital, Boston, MA, 2Division of Rheumatology, Allergy and Immunology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, 3Rheumatology, Allergy and Immunology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, 4Penn Vasculitis Center, Division of Rheumatology, University of Pennsylvania, Philadelphia, PA, 5Division of Rheumatology, Johns Hopkins, Baltimore, MD, 6Rheumatology, Hospital for Special Surgery, New York, NY, 7Rheumatology, Cleveland Clinic, Cleveland, OH, 8Rheumatology/Clin Immunol AA21, Univer Med Center Groningen, Groningen, Netherlands, 9Rheumatology and Immunology, Duke University, Durham, NC, 10ITN, San Francisco, CA, 11Mayo Clinic, Rochester, MN, 12Rheumatology, Boston University School of Medicine, Boston, MA, 13Division of Pulmonary and Critical Care Medicine, Mayo Clinic College of Medicine, Rochester, MN, 14Massachusetts General Hospital Rheumatology Unit, Harvard Medical School, Boston, MA

    Background/Purpose: Recent studies in ANCA-associated vasculitis (AAV) have suggested that classification based on ANCA type (PR3 versus MPO) may represent a more clinically relevant division…
  • Abstract Number: 1083 • 2015 ACR/ARHP Annual Meeting

    Nationwide Trends in Hospitalization and in-Hospital Mortality Associated with Granulomatosis with Polyangiitis (GPA)

    Zachary Wallace1, John H. Stone2, Hyon K. Choi3, Na Lu3, Sebastian Unizony3 and Eli Miloslavsky4, 1Division of Rheumatology, Allergy and Immunology, Massachusetts General Hospital, Boston, MA, 2Massachusetts General Hospital Rheumatology Unit, Harvard Medical School, Boston, MA, 3Rheumatology, Allergy and Immunology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, 4Division of Rheumatology, Massachusetts General Hopsital, Boston, MA

    Background/Purpose: Granulomatosis with polyangiitis (GPA) is associated with severe end-organ damage (e.g., renal failure) and treatment-related complications (e.g., severe infection) which often lead to hospitalization…
  • 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: 1084 • 2015 ACR/ARHP Annual Meeting

    Improved Survival in Granulomatosis with Polyangiitis: A General Population-Based Study

    Zachary Wallace1, Sebastian Unizony2, Na Lu2, Hyon K. Choi2 and John H. Stone3, 1Division of Rheumatology, Allergy and Immunology, Massachusetts General Hospital, Boston, MA, 2Rheumatology, Allergy and Immunology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, 3Massachusetts General Hospital Rheumatology Unit, Harvard Medical School, Boston, MA

    Background/Purpose: Granulomatosis with polyangiitis (GPA) is associated with an increased risk of mortality. Advances in diagnosis and treatment strategies are thought to improve outcomes in…
  • 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: 2415 • 2015 ACR/ARHP Annual Meeting

    Use of Plasma Exchange for Children Hospitalized with ANCA-Associated Vasculitis in the United States

    Karen James1, Rui Xiao2, Peter A. Merkel3 and Pamela F. Weiss1, 1Rheumatology, Children's Hospital of Philadelphia, Philadelphia, PA, 2Department of Biostatistics and Epidemiology, University of Pennsylvania, Philadelphia, PA, 3Division of Rheumatology, University of Pennsylvania, Philadelphia, PA

    Background/Purpose: ANCA-associated vasculitis (AAV) is a group of rare systemic vasculitidies with significant morbidity and mortality. Plasma exchange (PLEX) has been shown to decrease risk…
  • 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: 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,…
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