PMID- 35687867 OWN - NLM STAT- MEDLINE DCOM- 20220728 LR - 20221201 IS - 1747-6356 (Electronic) IS - 1747-6348 (Linking) VI - 16 IP - 6 DP - 2022 Jun TI - Bronchiectasis in patients with antineutrophil cytoplasmic antibody-associated vasculitis: a case control study on clinical features and prognosis. PG - 697-705 LID - 10.1080/17476348.2022.2088512 [doi] AB - BACKGROUND: Bronchiectasis was reported in 2%-40% of patients with antineutrophil cytoplasmic antibody-associated vasculitis (AAV), but there were no studies on the prevalence, risk factors and impact of AAV-associated bronchiectasis in Chinese patients. RESEARCH DESIGN AND METHODS: AAV patients were retrospectively enrolled. The clinical, laboratory and imaging features and the prognosis were analyzed and compared between those with and without bronchiectasis. RESULTS: Bronchiectasis was present in 48/212 (22.6%) of our AAV patients, among whom 41 were confirmed in 210 patients (19.5%) who received chest HRCT at the initial diagnosis of AAV. There were more women and fewer smokers in those with bronchiectasis as compared to those without. Cases with positive anti-MPO were more likely to have bronchiectasis (26.2%), and those with bronchiectasis were more likely to be anti-MPO positive (93.8%). Patients who had a diagnosis of bronchiectasis before AAV were more likely to have nervous system involvement, while patients without bronchiectasis had higher 24h proteinuria. The presence of bronchiectasis showed no significant effect on the 1, 3, 5-year survival. CONCLUSIONS: Nearly 20% of patients showed bronchiectasis on chest HRCT at the initial diagnosis of AAV, and positivity of anti-MPO was associated with bronchiectasis in a Chinese cohort of AAV patients. FAU - Ren, Jiaqi AU - Ren J AD - Department of Respiratory and Critical Care Medicine, Peking University Third Hospital, Beijing, Haidian, China. FAU - Ding, Yanling AU - Ding Y AD - Department of Respiratory and Critical Care Medicine, Peking University Third Hospital, Beijing, Haidian, China. FAU - Zhao, Jinxia AU - Zhao J AD - Department of Rheumatology and Immunology, Peking University Third Hospital, Beijing, Haidian, China. FAU - Sun, Yongchang AU - Sun Y AD - Department of Respiratory and Critical Care Medicine, Peking University Third Hospital, Beijing, Haidian, China. LA - eng PT - Journal Article DEP - 20220616 PL - England TA - Expert Rev Respir Med JT - Expert review of respiratory medicine JID - 101278196 RN - 0 (Antibodies, Antineutrophil Cytoplasmic) RN - EC 1.11.1.7 (Peroxidase) SB - IM MH - *Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis/complications/epidemiology MH - Antibodies, Antineutrophil Cytoplasmic MH - *Bronchiectasis/epidemiology MH - Case-Control Studies MH - Female MH - Humans MH - Peroxidase MH - Prognosis MH - Retrospective Studies OTO - NOTNLM OT - Antineutrophil cytoplasmic antibody-associated vasculitis OT - bronchiectasis OT - clinical research OT - prognosis OT - retrospective study EDAT- 2022/06/11 06:00 MHDA- 2022/07/29 06:00 CRDT- 2022/06/10 17:02 PHST- 2022/06/11 06:00 [pubmed] PHST- 2022/07/29 06:00 [medline] PHST- 2022/06/10 17:02 [entrez] AID - 10.1080/17476348.2022.2088512 [doi] PST - ppublish SO - Expert Rev Respir Med. 2022 Jun;16(6):697-705. doi: 10.1080/17476348.2022.2088512. Epub 2022 Jun 16.