Elderly-onset rheumatoid arthritis receives less aggressive therapies than young-onset rheumatoid arthritis in an Argentinian cohort.

OBJECTIVES: When rheumatoid arthritis (RA) starts after the age of 60 it is called elderly-onset rheumatoid arthritis (EORA) and when it starts earlier, young-onset rheumatoid arthritis. (YORA). There are few Latin American studies that compared both groups. The objective of the study was to evaluate differences in the clinical characteristics, evolution and treatment among patients with RA with onset before or after 60 years of age. MATERIALS AND METHODS: Observational study of patients with RA attended consecutively in four centers in Argentina. Sociodemographic data, comorbidities, clinical manifestations at diagnosis, presence of rheumatoid factor and/or anti-CCP (cyclic citrullinated peptide) and treatments received were collected. At the last visit, swollen and tender joints, assessment of disease activity by the patient and physician, the presence of radiographic erosions, and functional status using the HAQ-DI were recorded. RESULTS: 51 patients from each group were analyzed. The EORA group had a significantly higher proportion of smokers (58.8% vs. 35.3%, p = 0.029), cardiovascular history (54.9% vs. 21.6%, p = 0.001), abrupt onset (49% vs. 29.4%, p = 0.034) or with symptoms similar to PMR (19.6% vs. 0%, p = 0.001). Lower methotrexate doses were used in the EORA group: 19 mg (15-25) vs. 21.9 mg (20-25) (p = 0.0036) and more frequently did not receive bDMARDs or tsDMARDs. DISCUSSION AND CONCLUSIONS: The benefits of intensive treatment in patients with RA have been described. In this study, the use of DMARDs in the EORA group was less intensive, suggesting that advanced age constitutes a barrier in the therapeutic choice.

The Population Dynamics and Parasitism Rates of Ceratitis capitata, Anastrepha fraterculus, and Drosophila suzukii in Non-Crop Hosts: Implications for the Management of Pest Fruit Flies.

Understanding the seasonal dynamics inherent to non-crop host-fruit fly-parasitoid interactions is vitally important for implementing eco-friendly pest control strategies. This study assessed the abundance and seasonal infestation levels of three pest fly species, Ceratitis capitata (Wiedemann), Anastrepha fraterculus (Wiedemann), Drosophila suzukii (Matsumura), as well as the related saprophytic drosophilids, and their natural parasitism in a disturbed wild habitat characterized by non-crop hosts in northwestern Argentina over 40 months. Juglans australis Griseb (walnut), Citrus aurantium L. (sour orange), Eriobotrya japonica (Thunb.) Lindley (loquat), Prunus persica (L.) Batsch (peach), and Psydium guajava L. (guava) were sampled throughout their fruiting seasons. Fruits were collected from both the tree canopies and the ground. The most abundant puparia was A. fraterculus, followed by C. capitata and D. suzukii. Drosophila species from the D. melanogaster group were highly abundant only in fallen fruits. Spatiotemporal overlaps of different host fruit availability provided suitable sources for pest proliferation throughout the year. The populations of both invasive pests peaked from December to January, and were related to the highest ripe peach availability, whereas the A. fraterculus population peaked from February to April, overlapping with the guava fruiting period. The three pest fly species were parasitized mainly by three generalist resident parasitoids, which are potential biocontrol agents to use within an integrated pest management approach.

Assessing Natural Incidence of Resident Pupal Parasitoids on the Drosophila suzukii (Diptera: Drosophilidae) Population in Non-crop Fruits.

Drosophila suzukii (Matsumura) (Diptera: Drosophilidae), world-renowned as spotted-wing drosophila, is an invasive pest mainly affecting healthy, soft and stone fruit crops throughout Argentinian fruit-growing regions. Natural environments overgrown by exotic feral host plants apparently favour D. suzukii proliferation. This is common in the subtropical northwestern Argentina's berry-producing region. An assemblage of resident parasitoid species has been associated with D. suzukii in crop and non-crop areas of Tucumán, the Argentina's leading berries producer and exporter. Consequently, the hypothesis that the combined action of two pupal parasitoid species, Pachycrepoideus vindemiae Rondani (Hymenoptera: Pteromalidae) and Trichopria anastrephae Lima (Hymenoptera: Diapriidae), occurring in non-crop fruit areas, has a significant impact on D. suzukii natural regulation in such invaded habitats was tested. A survey of D. suzukii puparia from both feral peach [Prunus persica (L.) Batsch] (Rosaceae) and guava (Psydium guajava L.) (Myrtaceae) fallen fruits and soil surrounding them was performed in a wilderness area of Tucumán. Abundance of D. suzukii and associated parasitoids, and parasitism levels were assessed. Whole of 3437 D. suzukii puparia were recovered; 78% and 22% were surveyed from fruits and soil underneath the fruit, respectively. Tested fruits are important D. suzukii multiplying hosts. Both P. vindemiae and T. anastrephae accounted for 99.8% of total parasitoid individuals. Pupal parasitoids contribute to the D. suzukii natural mortality, as they killed a quarter of all puparia. Mostly T. anastrephae foraged on host puparia located in the fruit and P. vindemiae in both microhabitats. This information supports an augmentative biological control strategy in non-crop areas.

Survey on Drosophila suzukii and Ceratitis capitata (Diptera: Drosophilidae, Tephritidae) and Associated Eucoilinae Species (Hymenoptera: Figitidae) in Northwestern Argentina. First Record of Dicerataspis grenadensis and Leptopilina boulardi as Parasitoids of D. suzukii.

The Southeast Asian-native Drosophila suzukii (Matsumura) (Diptera: Drosophilidae), also known as "spotted-wing Drosophila," is one of the most globally invasive agricultural species. Although D. suzukii is a pest spread throughout all the Argentinian fruit-growing regions, few information has been published on its impact on local fruit production. Parasitoid species associated with D. suzukii in Argentina belong to Pteromalidae (Chalcidoidea), Diapriidae (Diaprioidea), both attacking host pupae, and Figitidae (Cynipoidea), which attack host larvae. Nine Eucoilinae (Figitidae) species, belonging to Dicerataspis, Dieucoila, Euxestophaga, Ganaspis, Hexacola, and Leptopilina genera, have been associated with D. suzukii in Argentina. Ceratitis capitata (Wiedemann), commonly known as "medfly," is native to Africa and has a worldwide distribution, covering many tropical, subtropical, and temperate regions. In Argentina, C. capitata has been associated with several native hymenopterous parasitoids belonging to Braconidae (Ichneumonioidea), Eulophidae (Chalcidoidea), Pteromalidae, Diapriidae, and Figitidae families. Only two eucoline species, Ganaspis pelleranoi (Brèthes) and Leptopilina haywardi (Blanchard) have been related to medfly in Argentina. We report new trophic associations between the parasitoids Dicerataspis grenadensis Ashmead and Leptopilina boulardi (Barbotin, Carton and Kelner-Pillault) and D. suzukii, and between the parasitoid Odontosema albinerve Kieffer and C. capitata, after surveys conducted in Tucumán, northwestern Argentina. An annotated checklist and a taxonomic key of Eucoilinae associated with both invasive pests, in Argentina, are also provided.

Drosophila suzukii in Argentina: State of the Art and Further Perspectives.

Drosophila suzukii (Matsumura) (Diptera: Drosophilidae), commonly known as spotted-wing drosophila or SWD, is an invasive, severe, and damaging pest, which is able to inflict huge economic losses on soft thin-skinned fruits worldwide. Argentina was not excluded from the rapid invasion of this new and aggressive pest. Berries and cherries are among the most economically important fruits, showing an increasing demand from both domestic and export markets, which make necessary the application of effective and early protection measures. Although SWD is currently established almost everywhere in Argentina, the scarcity of research on and rapid regulatory actions against this pest have probably contributed to its fast spread throughout the country. In view of that, the article reviews first the current threat status of SWD in Argentina, provides summarized information on crop and non-crop host fruits, seasonal variation and population dynamics, resident natural enemy assemblages, and describes control actions implemented to date. Finally, the need to focus local control actions within an integrated national SWD management program is emphasized. The development and application of complementary eco-friendly strategies, such as Sterile Insect Technique, biological control, mass trapping, and the use of innovative lactone-derived synthetic insecticides with extremely low toxicity for SWD parasitoids, in environmentally distinguishable Argentinian regions is also highlighted.

Medfly Population Suppression through Augmentative Release of an Introduced Parasitoid in an Irrigated Multi-Fruit Orchard of Central-Western Argentina.

Biological control through the augmentative release of parasitoids is an important complementary tool that may be incorporated into other strategies for the eradication/eco-friendly control of pest fruit flies. However, not much information is available on the effectiveness of fruit fly parasitoids as biocontrol agents in semi-arid and temperate fruit-growing regions. Therefore, this study evaluated the effect of augmentative releases of the larval parasitoid Diachasmimorpha longicaudata (Ashmead) on Ceratitis capitata (Wiedemann) (medfly) populations over two fruit seasons (2013 and 2014) on a 10 ha irrigated fruit farm in San Juan province, central-western Argentina. The parasitoids were mass reared on irradiated medfly larvae of the Vienna-8 temperature-sensitive lethal genetic sexing strain. About 1692 (±108) parasitoids/ha were released per each of the 13 periods throughout each fruit season. Another similar farm was chosen as a control of non-parasitoid release. The numbers of captured adult flies in food-baited traps and of recovered fly puparia from sentinel fruits were considered the main variables to analyze the effect of parasitoid release on fly population suppression using a generalized least squares model. The results showed a significant decrease (p < 0.05) in the medfly population on the parasitoid release farm when compared to the Control farm, demonstrating the effectiveness of augmentative biological control using this exotic parasitoid. Thus, D. longicaudata could be used in combination with other medfly suppression strategies in the fruit production valleys of San Juan.

Implications of the Niche Partitioning and Coexistence of Two Resident Parasitoids for Drosophila suzukii Management in Non-Crop Areas.

Understanding the mechanisms associated with the coexistence of competing parasitoid species is critical in approaching any biological control strategy against the globally invasive pest spotted-wing drosophila (=SWD), Drosophila suzukii (Matsumura). This study assessed the coexistence of two resident pupal parasitoids, Trichopria anastrephae Lima and Pachycrepoideus vindemiae Rondani, in SWD-infested fruit, in disturbed wild vegetation areas of Tucumán, northwestern Argentina, based on niche segregation. Drosophilid puparia were collected between December/2016 and April/2017 from three different pupation microhabitats in fallen feral peach and guava. These microhabitats were "inside flesh (mesocarp)", "outside flesh", but associated with the fruit, and "soil", i.e., puparia buried close to fruit. Saprophytic drosophilid puparia (=SD) belonging to the Drosophila melanogaster group and SWD were found in all tested microhabitats. SD predominated in both inside and outside flesh, whereas SWD in soil. Both parasitoids attacked SWD puparia. However, T. anastrephae emerged mainly from SD puparia primarily in the inside flesh, whereas P. vindemiae mostly foraged SWD puparia in less competitive microhabitats, such as in the soil or outside the flesh. Divergence in host choice and spatial patterns of same-resource preferences between both parasitoids may mediate their coexistence in non-crop environments. Given this scenario, both parasitoids have potential as SWD biocontrol agents.

Augmentative Releases of Two Diachasmimorpha longicaudata (Hymenoptera: Braconidae) Population Lines Under Field-Cage Conditions to Control Ceratitis capitata (Diptera: Tephritidae).

Ceratitis capitata (Wiedemann) (Diptera: Tephritidae), known as Medfly, is a severe agricultural invasive pest in Argentinian fruit-producing regions. The native habitat disturbance and introduction and spread of exotic host plants strongly favored Medfly proliferation. This scenario is common throughout the northern subtropical citrus-growing region. Environmentally friendly strategies to suppress Medfly populations by the National Fruit Fly Control and Eradication Program have currently been taken. One of these actions involves augmentative biological control through releases of the exotic parasitoid Diachasmimorpha longicaudata (Ashmead) (Hymenoptera: Braconidae). Consequently, the hypothesis that the effectiveness of D. longicaudata females, from two different population lines, in controlling Medfly larvae progressively increases as the density of released females increases was tested. One parasitoid line derives from larvae of a biparental Medfly strain. The other hails from irradiated larvae of the genetic sexing Temperature Sensitive Lethal Vienna-8 medfly strain reared at the "BioPlanta San Juan" biofactory. Parasitoids foraged for 24 h on peaches artificially inoculated with naked lab-reared biparental Medfly larvae. Peaches were placed near the roof or on the ground in field cages. Five treatments (20, 40, 80, 160, and 320 females released) and a control (no parasitoids) for each population line were carried out throughout summer and autumn 2016. Host density (200 larvae) remained constant. At 320 released parasitoid females, both D. longicaudata population lines highly increased the Medfly mortality in both testing seasons, and foraged skillfully on peaches at both fruit height levels. These data encourage the application of augmentative biological control against Medfly.

Natural Parasitism Influences Biological Control Strategies Against Both Global Invasive Pests Ceratitis capitata (Diptera: Tephritidae) and Drosophila suzukii (Diptera: Drosophilidae), and the Neotropical-Native Pest Anastrepha fraterculus (Diptera: Tephritidae).

Ceratitis capitata (Wiedemann) and Drosophila suzukii (Matsumura) are two severe invasive pests widespread in all Argentinean fruit-producing regions. Both coexist with the Neotropical pest Anastrepha fraterculus (Wiedemann) in northern Argentina. The northwestern region shelters major soft fruit and Citrus producing and exporting industries, which are heavily affected by these dipterans. Eco-friendly strategies are under assessment in Argentina. This study mainly assessed D. suzukii, C. capitata, and A. fraterculus temporal abundance variations and their natural parasitism levels on a 1.5-ha-patch of feral peach trees within a disturbed secondary subtropical rainforest of northwestern Argentina. Fly puparia were mainly collected from the soil under fallen peach. Sampling was performed over three peach fruiting seasons. The most abundant pest species was C. capitata. Drosophila suzukii was only found in the last collecting period, but outnumbered A. fraterculus. Natural parasitism distinctly affected the temporal abundance of these dipterans: it significantly depressed C. capitata abundance in last sampling weeks, it did not substantially affect D. suzukii abundance, but it increased synchronously with the increase in the A. fraterculus abundance. Parasitism on C. capitata was mostly exerted by a combination of both a cosmopolitan pupal and a native larval parasitoid, while A. fraterculus was mainly parasitized by two indigenous larval parasitoids. Only three resident pupal parasitoids were associated with D. suzukii, of which the cosmopolitan Pachycrepoideus vindemiae Rondani (Hymenoptera: Pteromalidae) was the most significant. Data on the resident parasitoid impact are relevant for designing biocontrol strategies in noncrop habitats.

Increasing radiation doses in Anastrepha obliqua (Diptera: Tephritidae) larvae improve parasitoid mass-rearing attributes.

Doses of 40, 80, 120, and 160 Gy were applied to 5-, 6-, 7-, and 8-day-old Anastrepha obliqua larvae, which were exposed to the Neotropical-native braconids Doryctobracon crawfordi and Utetes anastrephae and the Asian braconid Diachasmimorpha longicaudata. These tests were performed to know the effect of the increase in host radiation on the emergence of the aforementioned parasitoids and the related consequences of oviposition on the host. The study was based on the fact that higher radiation doses may cause a decrease in the host immune activity. There was a direct relationship between the increase in radiation dose and the parasitoid emergence. Both, the weight and the mortality of the host larvae were not affected by radiation. Although the larval weight of the larvae was lower and the mortality was higher in the younger larvae. Both, the number of scars and immature stages per host puparium originated from the younger larvae were lower than those from older larvae. Only U. anastrephae superparasitized more at lower radiation. Superparasitism by D. longicaudata was more frequent at 160 Gy. Qualitative measurements of melanin in the larvae parasitized showed that the levels were lower with increasing radiation. As radiation doses increased, the antagonistic response of the A. obliqua larva was reduced. Host larvae aged 5- and 6-day-old irradiated at 120-160 Gy significantly improve parasitoid emergence. This evidence is relevant for the mass production of the three tested parasitoid species.

Anti-RNA polymerase III antibodies in systemic sclerosis: Multicentric study from Argentina.

OBJECTIVE: To describe the frequency of anti-RNA polymerase III antibody in patients with Systemic Sclerosis (SSc) of a group of healthcare centres from Argentina and to explore differences among patients with positive and negative anti-RNA polymerase III antibody. PATIENTS AND METHODS: Data from clinical records, anamnesis and physical examination were collected from 135 patients with SSc (ACR/EULAR 2013). A serum sample from each patient was obtained for the detection of anti-RNA polymerase III IgG antibodies by ELISA. RESULTS: In all, 97.8% were women and the median age at diagnosis was 53 years (range 12-87), 77.7% had limited cutaneous SSc (lcSSC), 19,3% patients had diffuse cutaneous SSc (dcSSC) and 2.9% had scleroderma sine scleroderma. The 67.5% of the patients were from a Mestizos or Amerindian ethnic group. Anti-RNA polymerase III was positive in 5.9% of the patients. In 36 patients, the anticentromere (ACA) and anti-Scl70 antibodies were negative; anti-RNA polymerase III was positive in 16.7% of these 36 patients. Pitting scars and pulmonary artery hypertension were more frequent in anti-RNA polymerase III positive patients who were also older at diagnosis. No association with gastric antral vascular ectasia was found. The only patient with scleroderma renal crisis was anti-RNA polymerase III positive. CONCLUSIONS: Anti-RNA polymerase III frequency found in this study was one of the lowest reported, which could be related to the predominance of the Amerindian and Mestizo ethnic group. It is possible that the detection of anti RNA polymerase III allows better classification of SSc patients, to know their prognosis and to improve their follow-up, therefore more studies are needed.

Clinical characteristics and prognostic factors in an argentinian cohort with ANCA-associated vasculitis / Características clínicas y factores pronósticos en una cohorte argentina de vasculitis asociada a ANCA

Abstract ANCA-associated vasculitis is a heterogeneous group of rare autoimmune conditions of unknown cause. Clinical characteristics and prognostic factors were analyzed in 47 patients: 20 (42.5%) with granulomatosis with polyangiitis, 17 (36.2%) with microscopic polyangiitis, 6 (12.8%) with renal-limited vasculitis, and 4 (8.5%) with eosinophilic granulomatosis with polyangiitis. Mean age at diagnosis was 53.5 ± 16.5 years and the median of BVAS (Birmingham Vasculitis Activity Score) was 14 (4-42). The most frequent clinical manifesta tions were: general in 44 (93.6%), renal in 30 (63.8%) and respiratory in 28 (59.6%). All received corticosteroids at the beginning of treatment. Intravenous cyclophosphamide was associated in 20 (42.5%) and oral route in 14 (29.8%); azathioprine in 3 (6.4%) and rituximab in 2 (4.2%). At a median follow-up of 35.5 months (range 0.14- 234), 21 relapses were recorded in 14 patients. Overall mortality was 3.5 deaths per 100 patient-year in the whole group. Those over 55 years old, the presence of alveolar hemorrhage, those with FFS (Five Factor Score) of 2, and patients with MPA had poor prognosis. Renal involvement, ANCA pattern and BVAS were not associated to a poorer prognosis.

Resumen Las vasculitis asociadas a ANCA son un grupo heterogéneo de entidades autoinmunes, poco frecuentes, de etiología desconocida. Analizamos las características clínicas y factores pronóstico en 47 pacientes: 20 (42.5%) granulomatosis con poliangeítis, 17 (36.2%) poliangeítis microscópica, 6 (12.8%) vasculitis limitada al riñón y 4 (8.5%) granulomatosis eosinofílica con poliangeítis. La edad promedio al diagnóstico fue 53.5 ± 16.5 años y la mediana de BVAS (Birmingham Vasculitis Activity Score) 14 (4-42). Las manifestaciones clínicas más frecuentes fueron: generales en 44 (93.6%), renales 30 (63.8%) y respiratorias en 28 (59.6%). Todos recibieron corticoides al inicio del tratamiento. Se asoció ciclofosfamida endovenosa en 20 (42.5%) y oral en 14 (29.8%); azatioprina en 3 (6.4%) y rituximab en 2 (4.2%). En una mediana de seguimiento de 35.5 meses (rango 0.14-234), se registraron 21 recaídas en 14 pacientes. La mortalidad fue 3.5 por cien pacientes-año en todo el grupo. Los mayores de 55 años, con presencia de hemorragia alveolar, FFS (Five Factor Score) de 2, y los casos con poliangeítis microscópica tuvieron peor pronóstico. El compromiso renal, el patrón de ANCA y el BVAS no se asociaron a peor pronóstico.

Anti-RNA Polymerase III Antibodies in Systemic Sclerosis: Multicentric Study from Argentina. / Anticuerpos anti-RNA polimerasa III en esclerosis sistémica: estudio multicéntrico de Argentina.

OBJECTIVE: To describe the frequency of anti-RNA polymerase III antibody in patients with Systemic Sclerosis (SSc) of a group of healthcare centres from Argentina and to explore differences among patients with positive and negative anti-RNA polymerase III antibody. PATIENTS AND METHODS: Data from clinical records, anamnesis and physical examination were collected from 135 patients with SSc (ACR/EULAR 2013). A serum sample from each patient was obtained for the detection of anti-RNA polymerase III IgG antibodies by ELISA. RESULTS: In all, 97.8% were women and the median age at diagnosis was 53 years (range: 12-87), 77.7% had limited cutaneous SSc (lcSSC), 19,3% patients had diffuse cutaneous SSc (dcSSC) and 2.9% had scleroderma sine scleroderma. The 67.5% of the patients were from a Mestizos or Amerindian ethnic group. Anti-RNA polymerase III was positive in 5.9% of the patients. In 36 patients, the anticentromere (ACA) and anti-Scl70 antibodies were negative; anti-RNA polymerase III was positive in 16.7% of these 36 patients. Pitting scars and pulmonary artery hypertension were more frequent in anti-RNA polymerase III positive patients who were also older at diagnosis. No association with gastric antral vascular ectasia was found. The only patient with scleroderma renal crisis was anti-RNA polymerase III positive. CONCLUSIONS: Anti-RNA polymerase III frequency found in this study was one of the lowest reported, which could be related to the predominance of the Amerindian and Mestizo ethnic group. It is possible that the detection of anti-RNA polymerase III allows better classification of SSc patients, to know their prognosis and to improve their follow-up, therefore more studies are needed.

Clinical characteristics and prognostic factors in an Argentinian cohort with ANCA-associated vasculitis.

ANCA-associated vasculitis is a heterogeneous group of rare autoimmune conditions of unknown cause. Clinical characteristics and prognostic factors were analyzed in 47 patients: 20 (42.5%) with granulomatosis with polyangiitis, 17 (36.2%) with microscopic polyangiitis, 6 (12.8%) with renal-limited vasculitis, and 4 (8.5%) with eosinophilic granulomatosis with polyangiitis. Mean age at diagnosis was 53.5 ± 16.5 years and the median of BVAS (Birmingham Vasculitis Activity Score) was 14 (4-42). The most frequent clinical manifestations were: general in 44 (93.6%), renal in 30 (63.8%) and respiratory in 28 (59.6%). All received corticosteroids at the beginning of treatment. Intravenous cyclophosphamide was associated in 20 (42.5%) and oral route in 14 (29.8%); azathioprine in 3 (6.4%) and rituximab in 2 (4.2%). At a median follow-up of 35.5 months (range 0.14-234), 21 relapses were recorded in 14 patients. Overall mortality was 3.5 deaths per 100 patient-year in the whole group. Those over 55 years old, the presence of alveolar hemorrhage, those with FFS (Five Factor Score) of 2, and patients with MPA had poor prognosis. Renal involvement, ANCA pattern and BVAS were not associated to a poorer prognosis.

Las vasculitis asociadas a ANCA son un grupo heterogéneo de entidades autoinmunes, poco frecuentes, de etiología desconocida. Analizamos las características clínicas y factores pronóstico en 47 pacientes: 20 (42.5%) granulomatosis con poliangeítis, 17 (36.2%) poliangeítis microscópica, 6 (12.8%) vasculitis limitada al riñón y 4 (8.5%) granulomatosis eosinofílica con poliangeítis. La edad promedio al diagnóstico fue 53.5 ± 16.5 años y la mediana de BVAS (Birmingham Vasculitis Activity Score) 14 (4-42). Las manifestaciones clínicas más frecuentes fueron: generales en 44 (93.6%), renales 30 (63.8%) y respiratorias en 28 (59.6%). Todos recibieron corticoides al inicio del tratamiento. Se asoció ciclofosfamida endovenosa en 20 (42.5%) y oral en 14 (29.8%); azatioprina en 3 (6.4%) y rituximab en 2 (4.2%). En una mediana de seguimiento de 35.5 meses (rango 0.14-234), se registraron 21 recaídas en 14 pacientes. La mortalidad fue 3.5 por cien pacientes-año en todo el grupo. Los mayores de 55 años, con presencia de hemorragia alveolar, FFS (Five Factor Score) de 2, y los casos con poliangeítis microscópica tuvieron peor pronóstico. El compromiso renal, el patrón de ANCA y el BVAS no se asociaron a peor pronóstico.

Offseason Medfly Trapping Using Makeshift Fruit-Based and Wine Vinegar Baits.

Development of cost-effective traps and attractants is important for sustainable pest management. In the case of the Medfly, Ceratitis capitata Wiedemann, a worldwide pest of fruit production, recent interest in development of mass trapping strategies and low-cost easy-to-get artisanal traps for resource poor grower use has prompted renewed interest in research on attractants and traps. Additionally, such interest is also rooted on the need for effective female attractants to monitor wild population dynamics under male-only sterile fly releases. Response of wild flies and sterile males to makeshift traps (modified polyethylene terephthalate (pet) bottles) baited with fruit juice and wine vinegar dilutions with and without the addition of sugar revealed that a 50% dilution of wine vinegar or sweetened orange juice were more attractive than the standard Torula baits during the offseason (after harvest) in a peach orchard in arid irrigated valleys of San Juan Argentina. Such results suggest that volatiles from orange peel and juice are good candidates for development of Medfly attractants, and that pet bottles baited with sweetened orange juice and wine vinegar may be used by small growers and homeowners as low-cost-effective traps for Medfly control. Our results also suggest that Medfly response to food-based and fruit-based volatiles may be seasonally dynamic, a finding with important pest management implications.

Biological Control of Tephritid Fruit Flies in the Americas and Hawaii: A Review of the Use of Parasitoids and Predators.

Biological control has been the most commonly researched control tactic within fruit fly management programs. For the first time, a review is carried out covering parasitoids and predators of fruit flies (Tephritidae) from the Americas and Hawaii, presenting the main biological control programs in this region. In this work, 31 species of fruit flies of economic importance are considered in the genera Anastrepha (11), Rhagoletis (14), Bactrocera (4), Ceratitis (1), and Zeugodacus (1). In this study, a total of 79 parasitoid species of fruit flies of economic importance are listed and, from these, 50 are native and 29 are introduced. A total of 56 species of fruit fly predators occur in the Americas and Hawaii.

Host Suitability and Fitness-Related Parameters in Coptera haywardi (Hymenoptera: Diapriidae) Reared on Irradiated Ceratitis capitata (Diptera: Tephritidae) Pupae Stemming From the tsl Vienna-8 Genetic Sexing Strain.

Coptera haywardi (Ogloblin) is a pupal endoparasitoid of tephritid flies with great potential as a biological control agent worldwide as it does not attack other Diptera. To reach its full potential, its mass rearing needs to be enhanced lowering costs. Here, we focused on the use of irradiated pupae of Ceratitis capitata (Wiedemann) stemming from the temperature-sensitive lethal (tsl) Vienna-8 genetic sexing strain (= CcVienna-8), which is mass-produced in the San Juan Medfly and Parasitoid Mass Rearing Facility in Argentina. Exposure of 1- to 2-d-old CcVienna-8 pupae irradiated at 90 Gy to 6- to 8-d-old C. haywardi females at a 10:1 host/parasitoid ratio for 24 h turned out to be highly successful for the rearing of this parasitoid. High radiation doses (90-100 Gy) did not adversely influence fitness parameters of C. haywardi offspring F1, namely lifetime reproductive rates, adult life expectancy, and survival time. Demographic parameters in C. haywardi F1 from irradiated CcVienna-8 young pupae were improved compared to those values recorded from parasitoid originated from nonirradiated CcVienna-8 pupae. These findings will help to enhance parasitoid mass rearing for augmentative releases against medfly in Argentinean fruit-producing regions.

Radiation on Medfly Larvae of tsl Vienna-8 Genetic Sexing Strain Displays Reduced Parasitoid Encapsulation in Mass-Reared Diachasmimorpha longicaudata (Hymenoptera: Braconidae).

Improvements in the mass rearing of Diachasmimorpha longicaudata (Ashmead) on larvae of the Vienna-8 temperature-sensitive lethal genetic sexing strain of Ceratitis capitata (Wiedemann) (Diptera: Tephritidae) (= GSS Vienna-8) at the San Juan biofactory, Argentina, are currently under way. Lowering cost production is a key factor regarding parasitoid rearing. Thus, the variation in mass-reared parasitoid encapsulation levels and the incidence of superparasitism were determined; also, the gamma radiation dose-effect relation on host larvae and the influence of Mediterranean fruit fly strain were considered. Naked Mediterranean fruit fly larvae of both GSS Vienna-8 and a wild bisexual strain (= WBS) aged 6-d-old were irradiated at 0, 20, 40, 60, 80, 100, and 120 Gy, and exposed to parasitoid females. Melanization level was tested for encapsulated parasitoid larval first-instars (= L1). Non-irradiated and irradiated WBS larvae at 20-40 Gy displayed a significantly higher incidence of encapsulation when compared with GSS Vienna-8 larvae. The low melanized level in encapsulated parasitoid L1 was the most common melanization process at 72 h puparium dissection. A high melanized level was only found in non-irradiated WBS larvae. Irradiated GSS Vienna-8 larvae can neutralize the host immunological reactions over irradiated WBS larvae much more quickly. Superparasitism intensity in both Mediterranean fruit fly strains was not affected by radiation doses. High levels of superparasitism seemingly helped to overcome the host's immune reaction by the surviving parasitoid larva. Parasitoid emergence increased from 60 Gy onwards in both Mediterranean fruit fly strains. Radiation in GSS Vienna-8 larvae may favor host's antagonistic reactions decrease in relation with D. longicaudata development.

Cut-off values of immunological tests to identify patients at high risk of severe lupus nephritis.

Cut-off values for anti-dsDNA, anti-nucleosome and anti-C1q antibodies tests and for complementmediated hemolytic activity (CH50) were explored to identify patients with high risk of developing severe lupus nephritis (LN). Forty-one patients with confirmed systemic lupus erythematosus (SLE) were identified; their levels for the three antibodies and complement had been measured on a same serum sample. These patients were classified based on the presence of renal involvem ent; sixteen had active proliferative LN. With the cut-off values accepted in the laboratory for SLE diagnosis (anti-dsDNA > 100 UI/ml, anti-nucleosome > 50 U/ml or CH50 < 190 UCH50%) no significant differences were found between patients with and without LN. Anti-C1q > 40 U/ml showed a statistically significant association with LN and had 80% of specificity. Cut-off values for LN identified by Receiver Operating Characteristic curves (ROC) were higher for anti-dsDNA (> 455 IU/ml) and antinucleosome (>107 U/ml), lower for CH50 (< 150 UCH50%) and, for anti-C1q (> 41 U/ml) coincided with the cut-off values accepted for SLE. Anti-C1q > 134 U/ml had a 92% of specificity, 56% of sensibility and was associated with a fifteen-fold increased risk of LN. The simultaneous presence of anti-nucleosome > 107 U/ml and anti-C1q > 134 U/ml was associated with a 27-fold higher probability for LN. According to these results, the cut-off values used to detect SLE activity could be inadequate to identify patients at high risk of severe LN.

[Dermatomyositis associated with anti-MDA5 autoantibody]. / Dermatomiositis asociada al autoanticuerpo anti-MDA5.

Dematomyositis is an idiopathic inflammatory myopathy with a variable clinical spectrum. In recent years, a number of myositis-specific antibodies have been identified including anti-MDA5, which is us eful for diagnosis, prognosis and classification of the diverse clinical forms of the disease. This antibody is associated with cutaneous ulcers, rapidly progressive interstitial lung disease, early mortality and poor prognosis, so the detection of this antibody in a suitable clinical context, raises the need for an aggressive immunosuppressive treatment. We describe a case of dermatomyositis classified as hypomyopathic (i.e. involving mild muscle weakness), presenting specific skin lesions, interstitial lung disease, and presence of anti-MDA5 antibody that had a favorable response to combined treatment with cyclophosphamide, gamma globulin and corticosteroids.