PMID- 31033197 OWN - NLM STAT- MEDLINE DCOM- 20200106 LR - 20200106 IS - 1744-9987 (Electronic) IS - 1744-9979 (Linking) VI - 23 IP - 3 DP - 2019 Jun TI - Efficacy of Plasma Exchange in Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis. PG - 248-252 LID - 10.1111/1744-9987.12828 [doi] AB - We aimed to investigate the efficacy of plasma exchange on severe anti-neutrophil cytoplasmic antibody-associated vasculitis (AAV). Of 182 patients with AAV in our hospital, 12 patients with life-threatening organ damage (rapidly progressive glomerulonephritis and/or diffuse alveolar hemorrhage) underwent centrifuge-based therapeutic plasma exchange and immunosuppressive therapy. Twenty-four patients matched for age, serum creatinine, and severity of vasculitis, who received high-dose glucocorticoids with or without immunosuppressants, were included in the nonplasma exchange group. Renal survival rate at 2 years from induction treatment was not significantly different between the plasma and nonplasma exchange groups (P = 0.524). Mortality rate at 5 years from induction treatment was not significantly different between the plasma and nonplasma exchange groups (P = 0.631). In this retrospective study, we could not show the significant differences in the renal survival rate and survival rate between the two groups. CI - (c) 2019 International Society for Apheresis, Japanese Society for Apheresis, and Japanese Society for Dialysis Therapy. FAU - Nishimura, Keisuke AU - Nishimura K AD - Department of Endocrinology and Rheumatology, Kurashiki Central Hospital, Kurashiki, Japan. FAU - Waki, Daisuke AU - Waki D AD - Department of Endocrinology and Rheumatology, Kurashiki Central Hospital, Kurashiki, Japan. FAU - Kadoba, Keiichiro AU - Kadoba K AD - Department of Endocrinology and Rheumatology, Kurashiki Central Hospital, Kurashiki, Japan. FAU - Mukoyama, Hiroki AU - Mukoyama H AD - Department of Endocrinology and Rheumatology, Kurashiki Central Hospital, Kurashiki, Japan. FAU - Yokota, Toshihiko AU - Yokota T AD - Department of Endocrinology and Rheumatology, Kurashiki Central Hospital, Kurashiki, Japan. FAU - Murabe, Hiroyuki AU - Murabe H AD - Department of Endocrinology and Rheumatology, Kurashiki Central Hospital, Kurashiki, Japan. LA - eng PT - Comparative Study PT - Journal Article DEP - 20190530 PL - Australia TA - Ther Apher Dial JT - Therapeutic apheresis and dialysis : official peer-reviewed journal of the International Society for Apheresis, the Japanese Society for Apheresis, the Japanese Society for Dialysis Therapy JID - 101181252 RN - 0 (Glucocorticoids) RN - 0 (Immunosuppressive Agents) SB - IM MH - Adult MH - Age Factors MH - Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis/*diagnosis/mortality/*therapy MH - Cohort Studies MH - Disease Progression MH - Female MH - Glomerulonephritis/diagnosis/mortality/therapy MH - Glucocorticoids/*administration & dosage MH - Humans MH - Immunosuppressive Agents/*administration & dosage MH - Japan MH - Kaplan-Meier Estimate MH - Kidney Function Tests MH - Male MH - Middle Aged MH - Plasma Exchange/*methods MH - Prognosis MH - Retrospective Studies MH - Risk Assessment MH - Severity of Illness Index MH - Sex Factors MH - Statistics, Nonparametric MH - Survival Rate MH - Treatment Outcome OTO - NOTNLM OT - Anti-neutrophil cytoplasmic antibody-associated vasculitis OT - Diffuse alveolar hemorrhage OT - Plasma exchange OT - Rapidly progressive glomerulonephritis EDAT- 2019/04/30 06:00 MHDA- 2020/01/07 06:00 CRDT- 2019/04/30 06:00 PHST- 2018/12/27 00:00 [received] PHST- 2019/02/07 00:00 [accepted] PHST- 2019/04/30 06:00 [pubmed] PHST- 2020/01/07 06:00 [medline] PHST- 2019/04/30 06:00 [entrez] AID - 10.1111/1744-9987.12828 [doi] PST - ppublish SO - Ther Apher Dial. 2019 Jun;23(3):248-252. doi: 10.1111/1744-9987.12828. Epub 2019 May 30.