Vasculitis
My favorite three presentations from day 4 (Tuesday) at ACR 2021 included the following.

Guy Katz, MD GuyKatzMD
3 years 7 months ago
📢No difference in ESRD or mortality with RTX-based vs CYC-based induction regimen in ANCA #Vasculitis
#ACR21 https://t.co/Bdz5t2uyHi


EnvisionRheumat ERheumat
3 years 7 months ago
#ACR21 #ACR2021 Clinical Pearls
🚨 Thread Alert
1/n
💥AAV does not typically cause hard palate lesions➡️consider:
Cocaine induced midline destructive lesion(HNE+)/Malignancy
💥Limited GPA can be ANCA negetive in 50%
💥 oral cavity examination is a must in Rheum https://t.co/RxkLiGdcJt


Eric Dein ericdeinmd
3 years 7 months ago
#ACR21 TM24. Hydralazine-induced ANCA vasculitis presenting with chondritis.
Labs:
+ANA
+Anti-histone
+p-ANCA, +MPO and +PR3
@Rheumnow https://t.co/YQvqj0vCHp https://t.co/LPyVYYzLtI


Eric Dein ericdeinmd
3 years 7 months ago
#ACR21 2022 ACR/EULAR GPA Criteria
▶️Classification, NOT diagnostic!
⭐️Clinical, lab, imaging, and biopsy criteria
⭐️+5 pts for cANCA or PR3, negative pts for pANCA or MPO, or eosinophilia
@RheumNow https://t.co/6YWmabNzuH https://t.co/vg8zaFt5dR


Mike Putman EBRheum
3 years 7 months ago
ACR/EULAR Classification Criteria for ANCA vasculitis, updated from prior
Similar disclaimer; these are for use AFTER the diagnosis of small or medium vasculitis has been made
Great international effort, kudos to all involved
#ACR21 #ACRambassador https://t.co/a29TVvzVF7


EnvisionRheumat ERheumat
3 years 7 months ago
#ACR21
new 2022 classification criteria by ACR/EULAR for AAV
💥GPA-Sensitivity-92%, Specificity-94%
💥MPA-Sensitivity-91%, Specificity-94%
💥EGPA-Sensitivity-85%, Specificity-99%
💥Score based https://t.co/61SOl4Tovg


Dr. John Cush RheumNow
3 years 7 months ago
What's Cool and Hot in Vasculitis: Dr. Janet Pope reviews abstracts #0505, #0466, #0430, #0507 and #0504, being presented at the #ACR21 annual meeting.
https://t.co/7XwjFuJEMM https://t.co/BC9wjPzNC0


Eric Dein ericdeinmd
3 years 7 months ago
#ACR21 2022 ACR/EULAR MPA Criteria
▶️Classification, NOT diagnostic!
⭐️Clinical: negative for nasal GPA symptoms
⭐️Lab: +6 for pANCA or MPO, negative for cANCA/PR3 or eosinophilia
@RheumNow https://t.co/6YWmabNzuH https://t.co/XVzBF2KONp


Eric Dein ericdeinmd
3 years 7 months ago
#ACR21 2022 ACR/EULAR Large Vessel Vasculitis Criteria:
🌎One reason for updating 31 year old criteria -> now an international effort that better reflects heterogeneous global disease
@RheumNow https://t.co/6YWmabNzuH https://t.co/YXm85uQZCK


Mike Putman EBRheum
3 years 7 months ago
ACR/EULAR Classification Criteria for Large Vessel Vasculitis (TAK/GCA), updated from prior to include imaging
Must emphasize typical disclaimers; these are for classification, not specifically for diagnosis
Great effort and useful result, esp for trials
#ACR21 @petercgrayson https://t.co/IYFyh5oYBT


Eric Dein ericdeinmd
3 years 7 months ago
#ACR21 2022 ACR/EULAR GCA Criteria
▶️Classification, NOT diagnostic!
⭐️Must be >50yo
⭐️Clinical, lab, imaging, and biopsy findings
+TA biopsy or Halo sign = 5 points, 6+ points needed for classification
@RheumNow https://t.co/6YWmabNzuH https://t.co/cZVrWA02U6


Md Yuzaiful Md Yusof Yuz6Yusof
3 years 7 months ago
#ACR21 #AbstrL21 Phase III RCT which stratified pts using FFS showed no superiority of Rituximab vs SOC for remission induction of EGPA #vasculitis at Day 180 (63.5% vs 60.4%). No difference in secondary endpoints, safety or subgroup analyses @RheumNow https://t.co/AbdAvlU0Bg https://t.co/yta1CM7hrs


Janet Pope Janetbirdope
3 years 7 months ago
IL17 IS Impt in giant cell arthritis. Who would’ve thought that #secukinumab would treat #GCA? More options for pts. Only 52 pts but maybe another Rx for GCA? #ACR21 abst#L19 https://t.co/dwbPmGswQ9
