From: Anti-neutrophil cytoplasmic antibody associated vasculitis in patients with rheumatoid arthritis
Characteristics | Our center (n = 15) | Literature (n = 32) | Total (n = 47) |
---|---|---|---|
Female | 9 (60.0%) | 24 (75.0%) | 33 (70.2%) |
Age at diagnosis of AAV (ys) | 54 ± 17 | 50 ± 15 | 51 ± 15 |
ANCA serologya | |||
P-ANCA or myeloperoxidase -ANCA | 14 (93.3%) | 24 (75%) | 38 (80.9%) |
C-ANCA or proteinase 3-ANCA | 2 (13.3%) | 6 (18.8%) | 8 (17.0%) |
negative | 0 (0.0%) | 2 (6.3%) | 2 (4.3%) |
Vasculitis diagnosis | |||
Microscopic Polyangiitis | 15 (100.0%) | 22 (68.8%) | 37 (78.7%) |
Granulomatosis with polyangiitis | 0 (0.0%) | 10 (31.3%) | 10 (21.3%) |
Chronological order of diseases | |||
Rheumatoid arthritis first | 13 (86.7%) | 26 (81.3%) | 39 (83.0%) |
ANCA associated vasculitis first | 0 (0.0%) | 4 (12.5%) | 4 (8.5%) |
Contemporaneous | 2 (13.3%) | 2 (6.3%) | 4 (8.5%) |
Interval between diagnosis of RA and AAV (ys) | 5.0 (2.0–20.0) | 6.5 (1.6–12.0) | 5.0 (2.0–12.0) |
Organs involved | |||
Kidney | 13 (86.7%) | 22 (68.8%) | 35(74.5%) |
Lung | 8 (53.3%) | 16 (50.0%) | 24(51.1%) |
Skin | 1 (6.7%) | 3 (9.4%) | 4(8.5%) |
Nose | 0 (0.0%) | 2 (6.3%) | 2(4.3%) |
Nervous system | 1 (6.7%) | 0 (0.0%) | 1 (2.1%) |
Renal manifestations | |||
n = 15 | n = 19 | n = 34 | |
Serum creatinine (umol/L) | 164 (106–471) | 292 (148–352) | 282(132–379) |
n = 15 | n = 17 | n = 32 | |
24-h urine protein(g/d) | 1.56(0.38–4.79) | 0.94 (0.50–3.10) | 1.25(0.50–3.40) |
n = 15 | n = 32 | n = 47 | |
Rapidly progressive glomerulonephritis | 2(13.3%) | 4(12.5%) | 6(12.8%) |
Therapy for RA | n = 12 | n = 29 | n = 41 |
Gold compounds | 1 (8.3%) | 5 (17.2%) | 6(15.6%) |
Methotrexate | 1 (8.3%) | 10(34.5%) | 11(26.8%) |
Leflunomide | 4 (33.3%) | 2(6.9%) | 6(14.6%) |
Therapy for AAV | n = 15 | n = 31 | n = 46 |
Glucocorticoid | 1 (6.7%) | 4 (12.9%) | 5(10.9%) |
Glucocorticoid plus cyclophosphamide | 13 (86.7%) | 16 (51.6%) | 29(63.0%) |
Glucocorticoid plus other immunosuppressants | 1 (6.7%) | 9 (29.0%) | 10(21.7%) |
None | 0 (0.0%) | 2 (6.5%) | 2(4.3%) |
Prognosis | n = 14 | N = 31 | n = 45 |
Improved | 8 (57.1%) | 22 (71.0%) | 30(66.7%) |
End Stage Renal Failure | 4 (28.6%) | 7 (22.6%) | 11(24.4%) |
Death | 2 (14.3%) | 2 (6.5%) | 4(8.9%) |