TY - JOUR T1 - Prevalence, Correlates and Outcomes of Gastric Antral Vascular Ectasia in Systemic Sclerosis: A EUSTAR Case-control Study JF - The Journal of Rheumatology JO - J Rheumatol SP - 99 LP - 105 DO - 10.3899/jrheum.130386 VL - 41 IS - 1 AU - Etienne Ghrénassia AU - Jérome Avouac AU - Dinesh Khanna AU - Chris T. Derk AU - Oliver Distler AU - Yossra Atef Suliman AU - Paolo Airo AU - Patricia E. Carreira AU - Rosario Foti AU - Brigitte Granel AU - Alice Berezne AU - Jean Cabane AU - Francesca Ingegnoli AU - Edoardo Rosato AU - Paola Caramaschi AU - Roger Hesselstrand AU - Ulrich A. Walker AU - Juan Jose Alegre-Sancho AU - Virginie Zarrouk AU - Christian Agard AU - Valeria Riccieri AU - Elena Schiopu AU - Heather Gladue AU - Virginia D. Steen AU - Yannick Allanore Y1 - 2014/01/01 UR - http://www.jrheum.org/content/41/1/99.abstract N2 - Objective. To estimate the prevalence, determine the subgroups at risk, and the outcomes of patients with systemic sclerosis (SSc) and gastric antral vascular ectasia (GAVE). Methods. We queried the European League Against Rheumatism Scleroderma Trials and Research (EUSTAR) network for the recruitment of patients with SSc-GAVE. Each case was matched for cutaneous subset and disease duration with 2 controls with SSc recruited from the same center, evaluated at the time the index case made the diagnosis of GAVE. SSc characteristics were recorded at the time GAVE occurred and the last observation was collected to define the outcomes. Results. Forty-nine patients with SSc and GAVE were included (24 with diffuse cutaneous SSc) and compared to 93 controls with SSc. The prevalence of GAVE was estimated at about 1% of patients with SSc. By multivariate analysis, patients with SSc-GAVE more frequently exhibited a diminished (< 75%) DLCO value (OR 12.8; 95% CI 1.9–82.8) despite less frequent pulmonary fibrosis (OR 0.2; 95% CI 0.1–0.6). GAVE was also associated with the presence of anti-RNA-polymerase III antibodies (OR 4.6; 95% CI 1.2–21.1). SSc-GAVE was associated with anemia (82%) requiring blood transfusion (45%). Therapeutic endoscopic procedures were performed in 45% of patients with GAVE. After a median followup of 30 months (range 1–113 months), survival was similar in patients with SSc-GAVE compared to controls, but a higher number of scleroderma renal crisis cases occurred (12% vs 2%; p = 0.01). Conclusion. GAVE is rare and associated with a vascular phenotype, including anti-RNA-polymerase III antibodies, and a high risk of renal crisis. Anemia, usually requiring blood transfusions, is a common complication. ER -