Vasculitis & polymyalgia rheumatica

Antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis in patients with rheumatoid arthritis: A single-center cohort study

Semin Arthritis RheumPublished Retrospective cohort study

Authors' conclusion

RA often preceded the diagnosis of AAV and GPA was the most frequently observed AAV.

Study context

Population
Patients with rheumatoid arthritis (RA) and positive ANCA, single centre
Participants
77 patients
Exposure
RA+AAV vs RA+ANCA
Outcome
Characteristics of AAV in patients with RA and positive ANCA; factors associated with AAV
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

AAV characteristics in RA+ANCA
AAV diagnosed
29 %
Granulomatosis with polyangiitis (GPA) among AAV
45 %
MPA among AAV
36 %
EGPA among AAV
5 %
Unclassifiable AAV
14 %
Renal involvement
41 %
Upper airway involvement
36 %
RA diagnosis preceded AAV
59 %

Observational data: associations, not effects.

Further findings

OutcomeP value
Factors more frequent in RA+AAV than RA+ANCAP < 0.05
  • Factors more frequent in RA+AAV than RA+ANCA: positive RF, MPO-ANCA, rheumatoid nodules, inflammatory eye disease; positive ANCA via immunofluorescence alone and positive dsDNA

Cohort ANCA profile

%

p-ANCA positivity
45
Myeloperoxidase (MPO) positivity
42

Treatment exposure for RA

Did not differ between the two groups

Original publication

ANCA-associated vasculitis in patients with rheumatoid arthritis: A single-center cohort study. Semin Arthritis Rheum. Published 28 January 2025. doi:10.1016/j.semarthrit.2025.152648

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