Validation of the 2010 histopathological classification of ANCA-associated glomerulonephritis in a Japanese single-center cohort.

Abstract:

:OBJECTIVES: To validate the 2010 histopathological classification system of anti-neutrophil cytoplasmic antibodies (ANCA)-associated glomerulonephritis (GN) in a Japanese single-center cohort. METHODS: We retrospectively studied 54 patients (28 renally limited pauci-immune GN, 25 microscopic polyangiitis, and one Churg-Strauss syndrome). RESULTS: There were 17 patients with focal GN, eight patients with crescentic GN, 19 patients with mixed GN, and 10 patients with sclerotic GN. Detailed information regarding treatment was available in 39 patients. All these patients were treated with steroids with or without immunosuppressive agents. Hemodialysis was introduced in two patients with crescentic GN and three patients with sclerotic GN. During the follow-up period, 27 of 54 patients died. The major cause of death was pneumonia. Significant differences were observed in estimated glomerular filtration rate among patients with focal, crescentic, mixed, and sclerotic GN at entry and 1- and 5-year follow-up. Patients with focal GN had preserved renal function and favorable outcome. CONCLUSIONS: Our validation study suggests that the 2010 histopathological classification of ANCA-associated GN might aid in prognostication of patients at the time of diagnosis and in therapy selection.

journal_name

Mod Rheumatol

journal_title

Modern rheumatology

authors

Togashi M,Komatsuda A,Nara M,Omokawa A,Okuyama S,Sawada K,Wakui H

doi

10.1007/s10165-013-0877-0

subject

Has Abstract

pub_date

2013-04-12 00:00:00

eissn

1439-7595

issn

1439-7609

pub_type

杂志文章
  • Efficacy profile of bucillamine in rheumatoid arthritis patients in a large observational cohort study, IORRA.

    abstract::Bucillamine (Buc) is a disease-modifying antirheumatic drug (DMARD) developed in Japan, which has been used as one of the first-line DMARDs for the treatment of rheumatoid arthritis (RA) in Japan. However, direct comparison of this drug with standard DMARDs including sulfasalazine (SASP) and methotrexate (MTX) has bee...

    journal_title:Modern rheumatology

    pub_type: 临床试验,杂志文章

    doi:10.1007/s10165-006-0527-x

    authors: Iwatani M,Inoue E,Nakamura T,Nakajima A,Hara M,Tomatsu T,Kamatani N,Yamanaka H

    更新日期:2006-01-01 00:00:00

  • A case of systemic lupus erythematosus complicated with pneumatosis cystoides intestinalis.

    abstract::Pneumatosis cystoides intestinalis (PCI), which is characterized by the presence of multiple gas-filled mucosal, submucosal, or subserosal cysts located throughout the colon and/or small intestine, is an unusual complication of systemic lupus erythematosus (SLE). We report a case of a 33-year-old woman with a 5-year h...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.1007/s10165-005-0437-3

    authors: Yamaguchi Y,Ohno S,Yamazaki S,Ideguchi H,Shirai A,Takeno M,Ishigatsubo Y

    更新日期:2005-01-01 00:00:00

  • Imbalanced expression of dysfunctional regulatory T cells and T-helper cells relates to immunopathogenesis in polyarteritis nodosa.

    abstract:OBJECTIVES:We investigated the characteristics of circulating T-helper (Th) cells and CD4+ regulatory T cells (Tregs) in polyarteritis nodosa (PAN). METHODS:Peripheral blood samples were obtained from 14 patients with PAN. Nine patients having granulomatosis with polyangiitis (GPA) and 11 healthy individuals (HC) were...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.3109/14397595.2016.1172999

    authors: Shimojima Y,Ishii W,Kishida D,Fukushima K,Ikeda SI

    更新日期:2017-01-01 00:00:00

  • Long-term safety and efficacy of treatment with subcutaneous abatacept in Japanese patients with rheumatoid arthritis who are methotrexate inadequate responders.

    abstract:OBJECTIVE:To assess the long-term safety, immunogenicity, and efficacy of subcutaneous (SC) abatacept in combination with methotrexate (MTX) in Japanese patients with rheumatoid arthritis who were MTX inadequate responders, in a long-term extension (LTE) to a double-dummy, double-blind study (NCT01001832). METHODS:Pat...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.3109/14397595.2015.1012786

    authors: Amano K,Matsubara T,Tanaka T,Inoue H,Iwahashi M,Kanamono T,Nakano T,Uchimura S,Izumihara T,Yamazaki A,Karyekar CS,Takeuchi T,Japan Abatacept Study Group.

    更新日期:2015-09-01 00:00:00

  • Possible participation of IgG4 in the activation of complement in IgG4-related disease with hypocomplementemia.

    abstract:OBJECTIVE:To investigate which IgG subclasses contribute to the activation of the complement pathway in IgG4-related disease (IgG4RD) patients with hypocomplementemia. METHODS:Sera of IgG4RD patients were analyzed for the binding ability of IgG subclasses to complement component 1q (C1q). Polyethylene glycol (PEG) pre...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.3109/14397595.2015.1076924

    authors: Sugimoto M,Watanabe H,Asano T,Sato S,Takagi T,Kobayashi H,Ohira H

    更新日期:2016-01-01 00:00:00

  • A case of eosinophilic orbital myositis associated with CSS.

    abstract::We report a novel case of eosinophilic orbital myositis associated with Churg-Strauss syndrome. A 56-year-old man with a 20-year history of chronic sinusitis and seasonal allergic rhinitis was admitted because of fever, swelling of cheeks and extremities, diplopia, and eosinophilia. With findings from gadolinium-enhan...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.1007/s10165-009-0252-3

    authors: Fujii T,Norizuki M,Kobayashi T,Yamamoto M,Kishimoto M

    更新日期:2010-04-01 00:00:00

  • Leuconostoc bacteremia in a patient with amyloidosis secondary to rheumatoid arthritis and tuberculosis arthritis.

    abstract::Leuconostoc infections are rare and usually occur in immunocompromised patients. This report describes a case of Leuconostoc lactis bacteremia in a patient with coexisting rheumatoid arthritis and tuberculosis arthritis. A disrupted gastrointestinal barrier due to gastrointestinal amyloidosis in long-standing rheumato...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.1007/s10165-011-0465-0

    authors: Shin J,Her M,Moon C,Kim D,Lee S,Jung S

    更新日期:2011-12-01 00:00:00

  • Plantar pressure and surgical indication of toe arthroplasty for rheumatoid forefoot deformity.

    abstract:OBJECTIVES:The objective of this study is to clarify the surgical indication for rheumatoid forefoot deformity according to background characteristics and plantar pressure. METHODS:Patients with rheumatoid arthritis were divided into a non-surgical group (group N) and a surgical group (group S). The former consisted o...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.1080/14397595.2017.1301015

    authors: Lee H,Ishikawa H,Miyagawa Y,Takai C,Nomura Y,Nemoto T,Kobayashi D,Abe A,Otani H,Ito S,Nakazono K,Ishii T,Saito S,Tokuhashi Y,Murasawa A

    更新日期:2017-11-01 00:00:00

  • Prevalence and clinical characteristics of overactive bladder in systemic sclerosis.

    abstract::Objectives: Overactive bladder (OAB) is a clinical diagnosis defined with the presence of urinary urgency, usually accompanied by frequency and nocturia, with or without urgency urinary incontinence. Objective was to evaluate the demographic and clinical characteristics of Japanese systemic sclerosis (SSc) patients wi...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.1080/14397595.2019.1589913

    authors: Motegi SI,Sekiguchi A,Sekine Y,Nakayama H,Suzuki K,Ishikawa O

    更新日期:2020-03-01 00:00:00

  • Elevated level of serum cystatin-C concentration is a useful predictor for myelosuppression induced by methotrexate for treatment of rheumatoid arthritis.

    abstract::Methotrexate (MTX) is indispensable for the treatment of rheumatoid arthritis (RA). However, a small number of patients treated with MTX occasionally encounter some life-threatening events, including myelosuppression. Renal insufficiency, one of risk factors for these events, is difficult to assess because the serum c...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.1007/s10165-010-0315-5

    authors: Hayashi T,Ito S,Goto D,Matsumoto I,Sumida T

    更新日期:2010-12-01 00:00:00

  • Establishment of a serum IgG4 cut-off value for the differential diagnosis of IgG4-related disease in Chinese population.

    abstract:OBJECTIVE:This study was performed to better know diagnosis associated with serum IgG4 concentration, and to explore the possibility for development of a serum IgG4 for IgG4-related disease (IgG4-RD) in Chinese populations. METHODS:We studied retrospectively 497 IgG4 serum subclass measurements from Peking Union Medic...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.3109/14397595.2015.1117171

    authors: Li P,Chen H,Deng C,Wu Z,Lin W,Zeng X,Zhang W,Zhang F,Li Y

    更新日期:2016-07-01 00:00:00

  • Study on sensitivity and specificity of diagnostic criteria for early rheumatoid arthritis.

    abstract::Abstract Sensitivity and specificity were compared among the American College of Rheumatology (ACR) 1987 classification criteria, the Yamasaki diagnostic criteria, and the Japan Rheumatism Association (JRA) diagnostic criteria for early rheumatoid arthritis (RA). The study included 90 patients who consulted our depart...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.3109/s101650070020

    authors: Yamamoto N,Hagino H,Teshima R

    更新日期:2000-09-01 00:00:00

  • Rapid decrease in salivary epidermal growth factor levels in patients with Sjögren's syndrome: A 3-year follow-up study.

    abstract:OBJECTIVES:To assess changes in salivary epidermal growth factor (EGF) levels within three years and investigate the correlation between these changes and the severity of intraoral manifestations in patients with Sjögren's syndrome (SS). METHODS:Twenty-three SS patients (14 primary SS and 9 secondary SS) and 14 contro...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.3109/14397595.2015.1034941

    authors: Azuma N,Katada Y,Kitano S,Sekiguchi M,Kitano M,Nishioka A,Hashimoto N,Matsui K,Iwasaki T,Sano H

    更新日期:2015-01-01 00:00:00

  • A case of Degos disease: demonstration of C5b-9-mediated vascular injury.

    abstract::A 68-year-old Japanese male presented with atrophic erythematous white lesions with peripheral dark reddish rims on his back. Multiple ulcers were detected from his stomach to his large intestine using endoscopy. Although the patient was given high doses of a steroid, aspirin, dipyridamole, and intravenous immunoglobu...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.3109/14397595.2013.874761

    authors: Umemura M,Miwa Y,Yanai R,Isojima S,Tokunaga T,Tsukamoto H,Takahashi R,Yajima N,Kasama T,Takahashi N,Sueki H,Yamaguchi S,Arai K,Takeuchi Y,Ohike N,Norose T,Yamochi-Onizuka T,Takimoto M

    更新日期:2015-05-01 00:00:00

  • Characteristic appearance of large subcutaneous gouty tophi in magnetic resonance imaging.

    abstract::The development of multiple large tophi in patients with gout is rare. We report magnetic resonance (MR) and histological features of large subcutaneous tophi in a 32-year-old male patient with no known arthritis. His subcutaneous lesions were confused with a neoplastic process, evaluated by MR imaging, and surgically...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.1007/s10165-005-0401-2

    authors: Ryu K,Takeshita H,Takubo Y,Hirata M,Taniguchi D,Masuzawa N,Kishimoto M,Kubo T

    更新日期:2005-01-01 00:00:00

  • Elevated muscle enzymes in a patient with severe hypocalcemia mimicking polymyositis.

    abstract::Abstract We report a case of hypocalcemic myopathy confounded by polymyositis due to an elevated level of serum creatine kinase (CK). A 30-year-old man was referred to our hospital for the treatment of provisionally diagnosed polymyositis. His presentation with tetany, hyporeflexia, and general fatigue, in addition to...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.3109/s101650200032

    authors: Hirata D,Nagashima T,Saito S,Okazaki H,Kano S,Minota S

    更新日期:2002-06-01 00:00:00

  • Systemic lupus erythematosus and dermatomyositis with symptomatic bilateral sacroiliitis: an unusual and interesting association.

    abstract::Systemic lupus erythematosus (SLE) is a multisystem autoimmune connective-tissue disease with a complex phenotype and varying disease course. Although SLE often causes a polyarticular synovitis, there are only a few case reports of abnormalities of the synovial lined sacroiliac joints. We report a case with an overlap...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.1007/s10165-008-0120-6

    authors: Chandrasekhara PK,Jayachandran NV,Thomas J,Narsimulu G

    更新日期:2009-01-01 00:00:00

  • Expansion of large granular lymphocytes following Pseudomonas infection in a patient with adult-onset Still's disease.

    abstract::We report a patient who had a 4-year history of adult-onset Still's disease (AOSD) and showed a prominent increase in large granular lymphocytes (LGL) when she developed severe Pseudomonas conjunctivitis due to Pseudomonas aeruginosa, skin eruptions, liver damage, and abnormal findings in coagulation studies, without ...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.1007/s10165-006-0462-x

    authors: Tabata R,Tabata C,Fukuda H,Kotani H

    更新日期:2006-01-01 00:00:00

  • Polymorphic lymphoproliferative disorders in patients with rheumatoid arthritis are associated with a better clinical outcome.

    abstract:OBJECTIVES:The characteristics of lymphoproliferative disorders (LPD) in patients with rheumatoid arthritis (RA) remain unclear. Therefore, we retrospectively analyzed the clinical characteristics of these patients in our department. METHODS:Twenty RA patients who developed LPD between April 2003 and August 2016 in ou...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.1080/14397595.2017.1387223

    authors: Tsukui D,Kanda H,Shinozaki-Ushiku A,Tateishi S,Takeshima Y,Nagafuchi Y,Sasaki O,Iwasaki Y,Harada H,Shibuya M,Sumitomo S,Shoda H,Kubo K,Fujio K,Nakamura F,Kurokawa M,Fukayama M,Yamamoto K

    更新日期:2018-07-01 00:00:00

  • Risk for malignancy in rheumatoid arthritis patients treated with biological disease-modifying antirheumatic drugs compared to the general population: A nationwide cohort study in Japan.

    abstract:OBJECTIVES:To investigate and compare the risk for malignancy in rheumatoid arthritis (RA) patients treated with biologics in Japan to the general population. METHODS:Data for 14,440 patients from 335 institutions who were given infliximab, etanercept, adalimumab, golimumab, tocilizumab, or abatacept were retrieved fr...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.3109/14397595.2016.1141740

    authors: Harigai M,Nanki T,Koike R,Tanaka M,Watanabe-Imai K,Komano Y,Sakai R,Yamazaki H,Koike T,Miyasaka N

    更新日期:2016-09-01 00:00:00

  • Cyclosporin A treatment for Japanese patients with severe adult-onset Still's disease.

    abstract::For over 10 years there have been no clinical studies about adult-onset Still's disease (AOSD) in Japan. We aimed to investigate recent clinical features and treatment of AOSD and to evaluate the efficacy of cyclosporin A (CyA) in the treatment of AOSD. The data from 34 patients with AOSD who were admitted to our hosp...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.1007/s10165-008-0126-0

    authors: Mitamura M,Tada Y,Koarada S,Inoue H,Suematsu R,Ohta A,Nagasawa K

    更新日期:2009-01-01 00:00:00

  • Improvement of disease activity of rheumatoid arthritis patients from 2000 to 2006 in a large observational cohort study IORRA in Japan.

    abstract::The objective of this study was to show whether the disease activity of rheumatoid arthritis (RA) patients had improved in Japan, and whether the improvement of disease activity had resulted in a better outcome of patients. In a single-institute-based prospective observational cohort of RA patients (Institute of Rheum...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.1007/s10165-007-0587-6

    authors: Yamanaka H,Inoue E,Singh G,Tanaka E,Nakajima A,Taniguchi A,Hara M,Tomatsu T,Kamatani N

    更新日期:2007-01-01 00:00:00

  • A case of life-threatening refractory polychondritis successfully treated with combined intensive immunosuppressive therapy with methotrexate.

    abstract::Relapsing polychondritis (RP) is a rare disease of unknown etiology causing systematic inflammation and resulting in destruction of cartilaginous tissues. We describe here an 18-year-old Japanese woman who developed severe airway stenosis as the initial symptom with auricular, nasal, and ocular inflammation. The effec...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.1007/s10165-006-0548-5

    authors: Yamaoka K,Saito K,Hanami K,Nakayamada S,Nawata M,Iwata S,Azuma T,Tanaka Y

    更新日期:2007-01-01 00:00:00

  • Potential therapeutics for antiphospholipid antibody associated thrombocytopenia: A systematic review and meta-analysis.

    abstract::Objectives: Thrombocytopenia is frequently observed in antiphospholipid antibody (aPL) carriers. Due to the paradoxical risks of thrombosis and hemorrhage, the management of aPL-associated thrombocytopenia (APAT) is often deductive. We aimed to investigate the efficacy and safety of therapeutic approaches for APAT thr...

    journal_title:Modern rheumatology

    pub_type: 杂志文章,meta分析

    doi:10.1080/14397595.2018.1558934

    authors: Abe N,Oku K,Amengual O,Fujieda Y,Kato M,Bohgaki T,Yasuda S,Mori R,Morishita E,Suzuki-Inoue K,Atsumi T

    更新日期:2020-01-01 00:00:00

  • Corticosteroid-free treatment of tocilizumab monotherapy for microscopic polyangiitis: a single-arm, single-center, clinical trial.

    abstract:OBJECTIVES:To assess the efficacy of tocilizumab (TCZ) monotherapy for the remission induction of microscopic polyangiitis (MPA) in a prospective single-arm, single-center, cohort, pilot study. METHODS:Eligible patients were aged between 20 and 80 years and were newly diagnosed with MPA according to Watts' classificat...

    journal_title:Modern rheumatology

    pub_type: 临床试验,杂志文章

    doi:10.3109/14397595.2016.1160968

    authors: Sakai R,Kondo T,Kikuchi J,Shibata A,Chino K,Okuyama A,Takei H,Amano K

    更新日期:2016-11-01 00:00:00

  • Corticosteroid-resistant multiple colonic ulcers in a patient with systemic lupus erythematosus/systemic sclerosis overlap syndrome effectively treated with intravenous cyclophosphamide pulse therapy.

    abstract::Abstract We report a rare case of a 17-year-old female with overlap syndrome (systemic lupus erythematosus and systemic sclerosis) who developed severe abdominal pain and bloody diarrhea accompanied by central nervous system lupus. Colonoscopy revealed multiple irregular and linear ulcers throughout the colon, which w...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.3109/s10165-003-0243-8

    authors: Ota Y,Nozue N,Dei Y,Kondo S,Ohashi H

    更新日期:2003-12-01 00:00:00

  • Radiologic analysis of the effect of tocilizumab on hands and large joints in children with systemic juvenile idiopathic arthritis.

    abstract:OBJECTIVES:To assess the efficacy of tocilizumab for preventing damage to the joints of systemic juvenile idiopathic arthritis (sJIA) patients, we examined serial radiographs of the hands and large weight-bearing joints of these patients before and after treatment with this agent. METHODS:Nine patients with sJIA recei...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.1007/s10165-012-0711-0

    authors: Inaba Y,Ozawa R,Aoki C,Imagawa T,Mori M,Hara R,Miyamae T,Saito T,Yokota S

    更新日期:2013-07-01 00:00:00

  • Updated version of Japanese Childhood Health Assessment Questionnaire (CHAQ).

    abstract::Objectives: The Childhood Health Assessment Questionnaire (CHAQ) is one of the most widely used self- report questionnaires to measure functional status in Juvenile idiopathic arthritis (JIA). The Japanese version of the CHAQ (JCHAQ) has been revised to meet requirements of clinical international trials which need the...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.1080/14397595.2019.1660027

    authors: Miyamae T,Tani Y,Kishi T,Yamanaka H,Singh G

    更新日期:2020-09-01 00:00:00

  • Early diagnosis and treatment for remission of clinically amyopathic dermatomyositis complicated by rapid progress interstitial lung disease: a report of two cases.

    abstract::We report two cases of clinically amyopathic dermatomyositis (CADM) complicated by rapid progress interstitial lung disease (RPILD). The diagnosis of CADM was based on Gottron's papule and RPILD, and the absence of muscle weakness. The female patients were treated with early immunosuppressive therapies including stero...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.1007/s10165-012-0637-6

    authors: Horai Y,Isomoto E,Koga T,Okada A,Kawashiri SY,Tamai M,Yamasaki S,Nakamura H,Origuchi T,Hamaguchi Y,Fujimoto M,Kuwana M,Kawakami A

    更新日期:2013-01-01 00:00:00

  • Survey on attitudes regarding EULAR recommendations for the role of nurses involved in medical care of patients with chronic inflammatory arthritis in Japan.

    abstract:OBJECTIVE:We seek to evaluate the opinions of nurses and doctors in Japan regarding EULAR recommendations for nurses' roles in the management of chronic inflammatory arthritis. METHODS:This is a cross-sectional survey within Japan. We randomly selected nurses and doctors engaged in consultation of patients with rheuma...

    journal_title:Modern rheumatology

    pub_type: 杂志文章

    doi:10.1080/14397595.2016.1260199

    authors: Fusama M,Nakahara H,van Eijk-Hustings Y,Oliver S,Takeuchi T

    更新日期:2017-09-01 00:00:00