ANCA-associated vasculitis

被引:0
作者
Holle, J. U. [1 ]
机构
[1] Klinikum Bad Bramstedt, Poliklin Rheumatol, UKSH, D-24576 Bad Bramstedt, Germany
来源
ZEITSCHRIFT FUR RHEUMATOLOGIE | 2013年 / 72卷 / 05期
关键词
Granulomatosis with polyangiitis; Microscopic polyangiitis; Eosinophilic granulomatosis with polyangiitis; Immunosuppressants; Glucocorticoids; CHURG-STRAUSS-SYNDROME; RHEUMATOLOGY; 1990; CRITERIA; ANTINEUTROPHIL CYTOPLASMIC ANTIBODIES; TERM-FOLLOW-UP; MICROSCOPIC POLYANGIITIS; WEGENERS-GRANULOMATOSIS; CLASSIFICATION; MAINTENANCE; AZATHIOPRINE; METHOTREXATE;
D O I
10.1007/s00393-013-1211-0
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Granulomatosis with polyangiitis, microscopic polyangiitis and eosinophilic granulomatosis with polyangiitis belong to the anti-neutrophil cytoplasmic antibodies (ANCA) associated vasculitides (AAV). They share the feature of vasculitic manifestations in small to medium-size vessel beds which can occur in nearly any organ system. The treatment of AAV is dependent on stage and activity and is carried out on the basis of randomized controlled trials with an initial remission induction regimen followed by maintenance treatment. Apart from glucocorticoids, conventional immunosuppressants are the basis of treatment whereby biologics, such as rituximab have emerged as new treatment options.
引用
收藏
页码:445 / 456
页数:12
相关论文
共 28 条
[11]   Randomized trial of plasma exchange or high-dosage Methylprednisolone as adjunctive therapy for severe renal vasculitis [J].
Jayne, David R. W. ;
Gaskin, Gill ;
Rasmussen, Niels ;
Abramowicz, Daniel ;
Ferrario, Franco ;
Guillevin, Loic ;
Mirapeix, Eduardo ;
Savage, Caroline O. S. ;
Sinico, Renato A. ;
Stegeman, Coen A. ;
Westman, Kerstin W. ;
van der Woude, Fokko J. ;
van Wijngaarden, Robert A. F. de Lind ;
Pusey, Charles D. .
JOURNAL OF THE AMERICAN SOCIETY OF NEPHROLOGY, 2007, 18 (07) :2180-2188
[12]   2012 Revised International Chapel Hill Consensus Conference Nomenclature of Vasculitides [J].
Jennette, J. C. ;
Falk, R. J. ;
Bacon, P. A. ;
Basu, N. ;
Cid, M. C. ;
Ferrario, F. ;
Flores-Suarez, L. F. ;
Gross, W. L. ;
Guillevin, L. ;
Hagen, E. C. ;
Hoffman, G. S. ;
Jayne, D. R. ;
Kallenberg, C. G. M. ;
Lamprecht, P. ;
Langford, C. A. ;
Luqmani, R. A. ;
Mahr, A. D. ;
Matteson, E. L. ;
Merkel, P. A. ;
Ozen, S. ;
Pusey, C. D. ;
Rasmussen, N. ;
Rees, A. J. ;
Scott, D. G. I. ;
Specks, U. ;
Stone, J. H. ;
Takahashi, K. ;
Watts, R. A. .
ARTHRITIS AND RHEUMATISM, 2013, 65 (01) :1-11
[13]   THE AMERICAN-COLLEGE-OF-RHEUMATOLOGY 1990 CRITERIA FOR THE CLASSIFICATION OF WEGENER GRANULOMATOSIS [J].
LEAVITT, RY ;
FAUCI, AS ;
BLOCH, DA ;
MICHEL, BA ;
HUNDER, GG ;
AREND, WP ;
CALABRESE, LH ;
FRIES, JF ;
LIE, JT ;
LIGHTFOOT, RW ;
MASI, AT ;
MCSHANE, DJ ;
MILLS, JA ;
STEVENS, MB ;
WALLACE, SL ;
ZVAIFLER, NJ .
ARTHRITIS AND RHEUMATISM, 1990, 33 (08) :1101-1107
[14]   Early mortality in systemic vasculitis: relative contribution of adverse events and active vasculitis [J].
Little, Mark A. ;
Nightingale, Peter ;
Verburgh, C. A. ;
Hauser, Thomas ;
De Groot, Kirsten ;
Savage, Caroline ;
Jayne, David ;
Harper, Lorraine .
ANNALS OF THE RHEUMATIC DISEASES, 2010, 69 (06) :1036-1043
[15]  
Mahr A, 2012, ANN RHEUM DIS
[16]   THE AMERICAN-COLLEGE-OF-RHEUMATOLOGY 1990 CRITERIA FOR THE CLASSIFICATION OF CHURG-STRAUSS-SYNDROME (ALLERGIC GRANULOMATOSIS AND ANGIITIS) [J].
MASI, AT ;
HUNDER, GG ;
LIE, JT ;
MICHEL, BA ;
BLOCH, DA ;
AREND, WP ;
CALABRESE, LH ;
EDWORTHY, SM ;
FAUCI, AS ;
LEAVITT, RY ;
LIGHTFOOT, RW ;
MCSHANE, DJ ;
MILLS, JA ;
STEVENS, MB ;
WALLACE, SL ;
ZVAIFLER, NJ .
ARTHRITIS AND RHEUMATISM, 1990, 33 (08) :1094-1100
[17]  
Metzler C, 2004, CLIN EXP RHEUMATOL, V22, pS52
[18]  
Moosig F, 2012, ANN RHEUM DIS
[19]   Targeting Interleukin-5 in Refractory and Relapsing Churg-Strauss Syndrome [J].
Moosig, Frank ;
Gross, Wolfgang Ludwig ;
Herrmann, Kristina ;
Bremer, Jan Phillip ;
Hellmich, Bernhard .
ANNALS OF INTERNAL MEDICINE, 2011, 155 (05) :341-343
[20]   EULAR recommendations for the management of primary small and medium vessel vasculitis [J].
Mukhtyar, C. ;
Guillevin, L. ;
Cid, M. C. ;
Dasgupta, B. ;
de Groot, K. ;
Gross, W. ;
Hauser, T. ;
Hellmich, B. ;
Jayne, D. ;
Kallenberg, C. G. M. ;
Merkel, P. A. ;
Raspe, H. ;
Salvarani, C. ;
Scott, D. G. I. ;
Stegeman, C. ;
Watts, R. ;
Westman, K. ;
Witter, J. ;
Yazici, H. ;
Luqmani, R. .
ANNALS OF THE RHEUMATIC DISEASES, 2009, 68 (03) :310-317