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Longitudinal prospective multicenter Armenian registry of systemic autoimmune, autoinflammatory diseases with constitution of bio-banking.
Autoimmune and auto inflammatory diseases are a growing group of disorders caused by a dysregulation of the innate immune system leading to episodes of systemic inflammation.
They represent a group of diseases characterized by excessive autoimmune or inflammatory reaction leading to various organ damage and drop in patient's quality of life, usually underlined by particular genetic factors and environmental triggers.
The progress of these diseases is often evaluated in the form of activity scores.
A number of scores are available to predict the evolution of autoimmune autoinflammatory diseases.
For a long time, these pathologies have remained slightly explored because of their complex physiopathology and the absence of specific therapies.
In the last few years, significant progress has been made in terms of both pathophysiology and treatment.
Treatment with biological targeted therapies transformed the prognosis and survival of the patients, improved their quality of life and underlined the necessity of a global management of these patients.
In Armenia, the epidemiological elements of these pathologies are not known, nor are the circumstances of their discovery. The initial biological manifestations and the management of these patients are variable from one center to another, whether in terms of supportive or specific therapeutic elements.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Systemic autoimmune and autoinflammatory diseases |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Usual medical management of patients, additional blood and stool samples for biobanking | Other | For all systemic diseases the following data will be collected: Clinical examination, Laboratory data, Current medications, Constitution of biobanking. For each disease: Pathology specific Activity score, Global subjective disease activity by patient and by physician. |
| Measure | Description | Time Frame |
|---|---|---|
| Systemic manifestations and evolution of the diseases under treatment by disease-specific activity scores | Description of Initial manifestations and the progress of these diseases. The progress of these diseases is assessed in the form of disease-specific activity scores:
| Through study completion, an average of 5 years |
| Measure | Description | Time Frame |
|---|---|---|
| Identification of rare clinical forms | Clinical and biological correlations to characterize rare clinical forms of each pathology | Through study completion, an average of 5 years |
| Prognostic factors of the diseases |
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Inclusion Criteria:
Patients with a confirmed diagnosis of at least one of following autoimmune systemic diseases:
Behcet disease, ANCA -positive vasculitis, Takayasu arteritis, Giant cell arteritis, Systemic sclerosis, Sjogren syndrome, Rheumatoid arthritis, Spondylarthritis (psoriatic, ankylosing, crohn's related), Angioedema hereditary and acquired, Pediatric dermatology, Autoinflammatory diseases (hereditary and acquired), Unexplained infertility, Immune thrombocytopenic purpura/ Autoimmune hemolytic anemia (ITP, AHA), Primary anti-phospholipid syndrome (APS), Celiac disease.
Age: major and minor
Patients who have been informed and provided with written informed consent to participate Or consent from legal representative
Exclusion Criteria:
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Outpatients and inpatients at participating centers, major and minor patients with a confirmed diagnosis of at least one of autoimmune systemic diseases
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Arsene Mekinian, Prof. | Contact | 01 49 28 23 92 | +33 | arsene.mekinian@aphp.fr |
| Name | Affiliation | Role |
|---|---|---|
| Merry Mazmanian, Dr. | Santé Arménie French - Armenian Academic Research Organization FAARO | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hematology Center after Prof.R.H. Yeolyan | Recruiting | Yerevan | 0014 | Armenia |
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Samples (or components of the samples, PBMCs, DNA, serum, microbiota) taken as part of the study will be stored in a biological sample collection.
|
Interest in prognostic factors obtained through more targeted radiological examinations and correlation with the response to different treatments.
| Through study completion, an average of 5 years |
| Nairi Medical Center, Rheumatology Department | Recruiting | Yerevan | 0015 | Armenia |
|
| Heratsi Hospital Complex n°1, Rheumatology Department | Not yet recruiting | Yerevan | 0025 | Armenia |
|
| Heratsi Hospital Complex №1, Allergology Department | Recruiting | Yerevan | 0025 | Armenia |
|
| Mikaelyan Institute of Surgery, Rheumatology Department | Recruiting | Yerevan | 0052 | Armenia |
|
| Erebouni Medical Center, Rheumatology Department | Not yet recruiting | Yerevan | 0087 | Armenia |
|
| ID | Term |
|---|---|
| D001528 | Behcet Syndrome |
| D013625 | Takayasu Arteritis |
| D013700 | Giant Cell Arteritis |
| D012859 | Sjogren's Syndrome |
| D001172 | Arthritis, Rheumatoid |
| C538173 | Acquired angioedema |
| D002446 | Celiac Disease |
| D001168 | Arthritis |
| D000799 | Angioedema |
| ID | Term |
|---|---|
| D009059 | Mouth Diseases |
| D009057 | Stomatognathic Diseases |
| D014606 | Uveitis, Anterior |
| D015864 | Panuveitis |
| D014605 | Uveitis |
| D014603 | Uveal Diseases |
| D005128 | Eye Diseases |
| D014657 | Vasculitis |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D056660 | Hereditary Autoinflammatory Diseases |
| D030342 | Genetic Diseases, Inborn |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
| D012873 | Skin Diseases, Genetic |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D017445 | Skin Diseases, Vascular |
| D001015 | Aortic Arch Syndromes |
| D001018 | Aortic Diseases |
| D001167 | Arteritis |
| D020293 | Vasculitis, Central Nervous System |
| D020274 | Autoimmune Diseases of the Nervous System |
| D009422 | Nervous System Diseases |
| D002561 | Cerebrovascular Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D001327 | Autoimmune Diseases |
| D007154 | Immune System Diseases |
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
| D012216 | Rheumatic Diseases |
| D014987 | Xerostomia |
| D012466 | Salivary Gland Diseases |
| D015352 | Dry Eye Syndromes |
| D007766 | Lacrimal Apparatus Diseases |
| D003240 | Connective Tissue Diseases |
| D008286 | Malabsorption Syndromes |
| D007410 | Intestinal Diseases |
| D005767 | Gastrointestinal Diseases |
| D004066 | Digestive System Diseases |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
| D014581 | Urticaria |
| D006969 | Hypersensitivity, Immediate |
| D006967 | Hypersensitivity |
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