M31.5 M31.6 M31.3 M31.7 M30.1
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients of the department of rheumatology. Age > 18 years. Presentation of large vessel vasculitis (giant cell vasculitis) or ANCA-associated small vessel vasulitis (Wegener's granulomatosis, Churg-Strauss-syndrom, microskopic polyangiitis) independend of disease activity. Existence of a consent form.
Exclusion criteria
Exclusion criteria: Patients with another chronic-rheumatic disease or another systemic autoimmune disease. glaucoma or increased intraocular preasure. Coronary heart disease, peripherial artery disease, cerebrovascular disease, nephropathy with renal failure 4-5, diabetes mellitus, instable epilepsy, pregnancy/lactation.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1) RVA-measurement at the right eye using flickerlight after application of Tropicamid 1%: Baseline-measurement of the retinal vessels diameters for 50 seconds and measurement for 80 seconds after application of 20 seconds flickerlight. Performance of 3 of this measurement-circles. 2) EndoPAT-measurement: 5 minutes baseline-measurement and 5 minutes measurement after occlusion of the A. brachialis for a duration of 5 minutes. 3) laser-doppler-measurement: 5 minutes baseline-measurement and 5 minutes measurement after occlusion of the A. brachialis for a duration of 5 minutes. 4) ultrasound-measurement of the intima-media-thickness of the far wall of the A. carotis communis. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1) disease activity and course of disease: Birmingham vasculitits activity score (BVAS V3), vascular damage index (VDI), duration of disease, number/duration/severity of acute attacks; 2) serological inflammation markers; p-/c-ANCAs, PR3, MPO (ELISA); S-Kreatinin, eGFR nach CKD-Epi, Proteinuria, blood picture, HbA1c, blood-lipids, ASAT, ALAT, GGT; 3) serum-concentration of biomarkers: E-Selectin, epidermal growth factor, epidermal growth factor-like domain containing protein 7 and basic-fibroblast growth factor; 4) serum-concentration of circulating endothel cells; 5) serum-concentration of thombocytic microparticles | — |
Countries
Germany
Contacts
Universitätsklinikum Jena Klinik für Innere Medizin 3 Rheumatologie