{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T20:30:17Z","timestamp":1786480217840,"version":"build-2736575974"},"reference-count":18,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","funder":[{"DOI":"10.13039\/100007880","name":"Johns Hopkins University","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007880","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Kidney360"],"published-print":{"date-parts":[[2020,4]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The incidence of venous thromboembolism (VTE) is increased in ANCA-associated vasculitis (AAV). We assessed the frequency of VTE observed among patients with AAV evaluated at our center and identified risk factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Patients from the Johns Hopkins Vasculitis Center cohort who were evaluated between 1998 and 2018 and had a diagnosis of granulomatosis with polyangiitis (GPA) or microscopic polyangiitis (MPA) were eligible for analysis. Baseline demographics and clinical and serologic data were extracted. Univariate and multivariate analyses were performed to identify factors associated with VTE in AAV.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 162 patients with AAV were identified, 105 (65%) with GPA; 22 (14%) of these patients had a recorded VTE with a median time to VTE of 1 month. The mean (SD) age in the VTE versus non-VTE groups was 54\u00b120 versus 55\u00b117 years (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      =0.99), 64% versus 60% female (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      =0.93), 82% versus 49% PR3-ANCA positive (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      =0.01), with a total mean BMI of 33.3\u00b15.7 versus 28.3\u00b16.1 kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      , (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt;0.001) respectively. The median Birmingham Vasculitis Activity Score (BVAS version 3) was 19 versus 14 (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      =0.02). Univariate analyses identified PR3-ANCA, rapidly progressive GN (RPGN), and hypoalbuminemia. In multivariate analysis, the significant associations with VTE included PR3-ANCA (OR, 4.77;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      =0.02), hypoalbuminemia (OR, 4.84;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      =0.004), and BMI (OR, 1.18;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt;0.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>VTE is a surprisingly common complication of AAV. PR3-ANCA and hypoalbuminemia are risk factors for developing VTEs. Further studies are needed to confirm these findings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Podcast<\/jats:title>\n                    <jats:p>This article contains a podcast at https:\/\/www.asn-online.org\/media\/podcast\/K360\/2020_04_30_KID0000572019.mp3<\/jats:p>\n                  <\/jats:sec>","DOI":"10.34067\/kid.0000572019","type":"journal-article","created":{"date-parts":[[2020,3,3]],"date-time":"2020-03-03T16:25:11Z","timestamp":1583252711000},"page":"258-262","source":"Crossref","is-referenced-by-count":13,"title":["Venous Thrombotic Events in ANCA-Associated Vasculitis: Incidence and Risk Factors"],"prefix":"10.34067","volume":"1","author":[{"given":"Bradley","family":"Isaacs","sequence":"first","affiliation":[{"name":"Division of Rheumatology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric J.","family":"Gapud","sequence":"additional","affiliation":[{"name":"Division of Rheumatology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brendan","family":"Antiochos","sequence":"additional","affiliation":[{"name":"Division of Rheumatology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philip","family":"Seo","sequence":"additional","affiliation":[{"name":"Division of Rheumatology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8353-5542","authenticated-orcid":false,"given":"Duvuru","family":"Geetha","sequence":"additional","affiliation":[{"name":"Division of Nephrology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2020,4,30]]},"reference":[{"key":"B1-20230821","doi-asserted-by":"crossref","first-page":"530","DOI":"10.1093\/rheumatology\/ken035","article-title":"Venous thromboembolism in ANCA-associated vasculitis--incidence and risk factors","volume":"47","author":"Stassen","year":"2008","journal-title":"Rheumatology (Oxford)"},{"key":"B2-20230821","doi-asserted-by":"crossref","first-page":"244","DOI":"10.1016\/S0140-6736(11)61306-8","article-title":"Risk of pulmonary embolism in patients with autoimmune disorders: A nationwide follow-up study from Sweden","volume":"379","author":"Z\u00f6ller","year":"2012","journal-title":"Lancet"},{"key":"B3-20230821","doi-asserted-by":"crossref","first-page":"620","DOI":"10.7326\/0003-4819-142-8-200505030-00011","article-title":"Brief Communication: High incidence of venous thrombotic events among patients with Wegener Granulomatosis: The Wegener\u2019s clinical occurrence of Thrombosis (WeCLOT) study","volume":"142","author":"Merkel","year":"2005","journal-title":"Ann Intern Med"},{"key":"B4-20230821","doi-asserted-by":"crossref","first-page":"2042","DOI":"10.3899\/jrheum.130200","article-title":"Patients with antineutrophil cytoplasmic antibodies associated vasculitis in remission are hypercoagulable","volume":"40","author":"Hilhorst","year":"2013","journal-title":"J Rheumatol"},{"key":"B5-20230821","doi-asserted-by":"crossref","first-page":"564","DOI":"10.1136\/ard.2008.099051","article-title":"High frequency of venous thromboembolic events in Churg-Strauss syndrome, Wegener\u2019s granulomatosis and microscopic polyangiitis but not polyarteritis nodosa: A systematic retrospective study on 1130 patients","volume":"68","author":"Allenbach","year":"2009","journal-title":"Ann Rheum Dis"},{"key":"B6-20230821","first-page":"704","article-title":"Clinical associations with venous thromboembolism in anti-neutrophil cytoplasm antibody-associated vasculitides","volume":"56","author":"Kronbichler","year":"2017","journal-title":"Rheumatology (Oxford)"},{"key":"B7-20230821","doi-asserted-by":"crossref","first-page":"3493","DOI":"10.1002\/art.24957","article-title":"Increased incidence of cardiovascular events in patients with antineutrophil cytoplasmic antibody-associated vasculitides: A matched-pair cohort study","volume":"60","author":"Morgan","year":"2009","journal-title":"Arthritis Rheum"},{"key":"B9-20230821","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1186\/s12959-015-0047-z","article-title":"Thrombosis in vasculitis: From pathogenesis to treatment","volume":"13","author":"Emmi","year":"2015","journal-title":"Thromb J"},{"key":"B10-20230821","doi-asserted-by":"crossref","first-page":"2421","DOI":"10.1681\/ASN.2008030270","article-title":"Antibodies with dual reactivity to plasminogen and complementary PR3 in PR3-ANCA vasculitis","volume":"19","author":"Bautz","year":"2008","journal-title":"J Am Soc Nephrol"},{"key":"B11-20230821","doi-asserted-by":"crossref","first-page":"481","DOI":"10.1182\/blood-2018-07-861237","article-title":"Neutrophil \u03b1-defensins promote thrombosis in vivo by altering fibrin formation, structure, and stability","volume":"133","author":"Abu-Fanne","year":"2019","journal-title":"Blood"},{"key":"B12-20230821","doi-asserted-by":"crossref","first-page":"1449","DOI":"10.1681\/ASN.2012020119","article-title":"Endothelium-neutrophil interactions in ANCA-associated diseases","volume":"23","author":"Halbwachs","year":"2012","journal-title":"J Am Soc Nephrol"},{"key":"B13-20230821","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1002\/art.37715","article-title":"2012 revised International Chapel Hill Consensus Conference Nomenclature of Vasculitides","volume":"65","author":"Jennette","year":"2013","journal-title":"Arthritis Rheum"},{"key":"B14-20230821","doi-asserted-by":"crossref","first-page":"912","DOI":"10.1002\/1529-0131(200104)44:4<912::AID-ANR148>3.0.CO;2-5","article-title":"A disease-specific activity index for Wegener\u2019s granulomatosis: Modification of the Birmingham Vasculitis Activity Score. International Network for the Study of the Systemic Vasculitides (INSSYS)","volume":"44","author":"Stone","year":"2001","journal-title":"Arthritis Rheum"},{"key":"B15-20230821","doi-asserted-by":"crossref","first-page":"371","DOI":"10.1002\/art.1780400222","article-title":"Development and initial validation of the Vasculitis Damage Index for the standardized clinical assessment of damage in the systemic vasculitides","volume":"40","author":"Exley","year":"1997","journal-title":"Arthritis Rheum"},{"key":"B16-20230821","doi-asserted-by":"crossref","first-page":"604","DOI":"10.7326\/0003-4819-150-9-200905050-00006","article-title":"A new equation to estimate glomerular filtration rate [published correction appears in Ann Intern Med 155: 408, 2011]","volume":"150","author":"Levey","year":"2009","journal-title":"Ann Intern Med"},{"key":"B17-20230821","doi-asserted-by":"crossref","first-page":"1617","DOI":"10.1016\/j.ekir.2019.07.006","article-title":"Elevated microparticle tissue factor activity differentiates patients with venous thromboembolism in anti-neutrophil cytoplasmic autoantibody vasculitis","volume":"4","author":"Mendoza","year":"2019","journal-title":"Kidney Int Rep"},{"key":"B18-20230821","first-page":"197","article-title":"Metabolic syndrome in anca-associated vasculitis","volume":"52","author":"Petermann Smits","year":"2013","journal-title":"Rheumatol (United Kingdom)"},{"key":"B19-20230821","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1016\/0049-3848(80)90289-3","article-title":"On the inhibitory effect of albumin on platelet aggregation","volume":"17","author":"J\u00f8rgensen","year":"1980","journal-title":"Thromb Res"}],"container-title":["Kidney360"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.34067\/KID.0000572019","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T19:58:15Z","timestamp":1786478295000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.34067\/KID.0000572019"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,4]]},"references-count":18,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2020]]}},"URL":"https:\/\/doi.org\/10.34067\/kid.0000572019","relation":{},"ISSN":["2641-7650"],"issn-type":[{"value":"2641-7650","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,4]]}}}