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Daïen CI, Tubery A, Beurai-Weber M, du Cailar G, Picot MC, Jaussent A, Roubille F, Cohen JD, Morel J, Bousquet J, Fesler P, Combe B. Relevance and feasibility of a systematic screening of multimorbidities in patients with chronic inflammatory rheumatic diseases. Joint Bone Spine 2019; 86:49-54. [DOI: 10.1016/j.jbspin.2018.03.016] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2017] [Accepted: 03/15/2018] [Indexed: 12/14/2022]
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Tubery A, Fortenfant F, Combe B, Abreu I, Bossuyt X, Chretien P, Desplat-Jégo S, Fabien N, Hue S, Johanet C, Lakomy D, Vincent T, Daïen CI. Clinical association of mixed connective tissue disease and granulomatosis with polyangiitis: a case report and systematic screening of anti-U1RNP and anti-PR3 auto-antibody double positivity in ten European hospitals. Immunol Res 2017; 64:1243-1246. [PMID: 27618831 DOI: 10.1007/s12026-016-8861-3] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
We report here the case of a 50-years-old man treated for mixed connective tissue disease (MCTD) positive for anti-U1 ribonucleoprotein (U1RNP) antibodies who secondarily developed a granulomatosis with polyangiitis (GPA) associated with anti-proteinase 3 anti-neutrophil cytoplasmic antibodies (PR3-ANCA). We then evaluated the frequency of the association between anti-U1RNP and anti-PR3-ANCA antibodies by a systematic retrospective study in ten European hospitals. Overall, out of 11,921 samples analyzed for both auto-antibodies, 18 cases of anti-U1RNP and anti-PR3-ANCA double positivity were found and only one patient presented with both MCTD and GPA symptoms. Our retrospective analysis indicates that anti-U1RNP and anti-PR3-ANCA antibodies double positivity is infrequent and very rarely associated with both MTCD and GPA. Our observation describes for the first time the coexistence of MTCD and severe GPA in a Caucasian patient. Association of anti-U1RNP and ANCA antibodies was rarely reported in the literature. Eleven cases of MCTD and ANCA vasculitis have been reported to date, with only two cases with anti-PR3-ANCA association, and only one vasculitis. The seven other cases reported in the literature presented with an association of MCTD and microscopic polyangiitis which appears to be a more frequent presentation than MTCD associated with GPA.
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Affiliation(s)
- Amandine Tubery
- Department of Rheumatology, Lapeyronie Hospital, Montpellier University, Montpellier, France.
| | - Françoise Fortenfant
- Groupe d'Etude de l'Auto-Immunité (GEAI), 49933, Angers, France
- Department of Immunology, Hôpital Rangueil, 31059, Toulouse, Cedex 9, France
| | - Bernard Combe
- Department of Rheumatology, Lapeyronie Hospital, Montpellier University, Montpellier, France
| | - Isabelle Abreu
- Groupe d'Etude de l'Auto-Immunité (GEAI), 49933, Angers, France
- Departamento Universitário de Imunologia, Faculdade de Ciências Médicas, Universidade Nova de Lisboa, 1169-056, Lisbon, Portugal
| | - Xavier Bossuyt
- Groupe d'Etude de l'Auto-Immunité (GEAI), 49933, Angers, France
- Department of Microbiology and Immunology, Catholic University of Leuven, Louvain, Belgium
- Department of Laboratory Medicine, University Hospitals Leuven, Louvain, Belgium
| | - Pascale Chretien
- Groupe d'Etude de l'Auto-Immunité (GEAI), 49933, Angers, France
- Department of Immunology, CHU Bicetre, 94270, Kremlin Bicêtre, France
| | - Sophie Desplat-Jégo
- Groupe d'Etude de l'Auto-Immunité (GEAI), 49933, Angers, France
- Department of biological Immunology, UMR CNRS/AMU 7259, LBM AP-HM et Aix-Marseille-Université, 13005, Marseille, France
| | - Nicole Fabien
- Groupe d'Etude de l'Auto-Immunité (GEAI), 49933, Angers, France
- Department of Immunology, Centre Hospitalier Lyon-Sud, Hospices Civils de Lyon, Pierre-Benite Cedex, 69495, France
| | - Sophie Hue
- Groupe d'Etude de l'Auto-Immunité (GEAI), 49933, Angers, France
- Department of Immunology, CHU Henri Mondor - Service d'Immunologie Biologique, 94010, Créteil, France
| | - Catherine Johanet
- Groupe d'Etude de l'Auto-Immunité (GEAI), 49933, Angers, France
- Department of Immunology, AP-HP hôpital Saint-Antoine, UFR 967, Faculté de medecine, Université Pierre et Marie Curie, 75571, Paris Cedex 12, France
| | - Daniela Lakomy
- Groupe d'Etude de l'Auto-Immunité (GEAI), 49933, Angers, France
- Department of Immunology, CHU Dijon, 21079, Dijon, Cedex, France
| | - Thierry Vincent
- Groupe d'Etude de l'Auto-Immunité (GEAI), 49933, Angers, France
- Department of Immunology, St Eloi Hospital, Montpellier University, CHRU Montpellier, 34295, Montpellier Cedex 5, France
| | - Claire I Daïen
- Department of Rheumatology, Lapeyronie Hospital, Montpellier University, Montpellier, France
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Daïen CI, Tubery A, Cailar GD, Mura T, Roubille F, Morel J, Bousquet J, Fesler P, Combe B. Application of the 2015/2016 EULAR recommendations for cardiovascular risk in daily practice: data from an observational study. Ann Rheum Dis 2017; 77:625-626. [DOI: 10.1136/annrheumdis-2017-211074] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2017] [Revised: 04/21/2017] [Accepted: 04/22/2017] [Indexed: 12/31/2022]
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Daien C, Tubery A, Du Cailar G, Mura T, Picot M, Bourret R, Roubille F, Bousquet J, Morel J, Fesler P, Combe B. FRI0122 Eular 2015 Recommendations for Cardiovascular Risk Could Radically Change Patients Care in Chronic Inflammatory Rheumatisms. Ann Rheum Dis 2016. [DOI: 10.1136/annrheumdis-2016-eular.2967] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Tubery A, Fesler P, Du Cailar G, Morel J, Bousquet J, Combe B, Daien C. AB0986 A Systematic Screening of Comorbidities by The Rheumatologist in Inflammatory Rheumatisms Impacts Chronic Disease Care. Ann Rheum Dis 2016. [DOI: 10.1136/annrheumdis-2016-eular.2758] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Tubery A, Fesler P, Cailar GD, Morel J, Bousquet J, Combe B, Daien C. Interest of a systematic screening of comorbidities in chronic inflammatory rheumatisms. Ann Phys Rehabil Med 2015. [DOI: 10.1016/j.rehab.2015.07.289] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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Daien C, Tubery A, Fesler P, Du Cailar G, Morel J, Bousquet J, Combe B. SAT0107 Interest of a Systematic Screening of Comorbidities in Chronic Inflammatory Rheumatisms. Ann Rheum Dis 2015. [DOI: 10.1136/annrheumdis-2015-eular.4722] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Tubery A, Castelli C, Erny F, Barchechath-Flaisler F, Dadoun S, Fautrel B, Gaujoux Viala C. OP0148 The Effect of Biological Agents on Work in Patients with Chronic Inflammatory Arthritides: A Meta-Analysis of Randomized Controlled Trials and Controlled Cohorts. Ann Rheum Dis 2015. [DOI: 10.1136/annrheumdis-2015-eular.4799] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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