Proposal for a more practical classification of antineutrophil cytoplasmic antibody-associated vasculitis

被引：1

作者：

Oliva-Damaso, Nestor ^{[1
]}

Bomback, Andrew S. ^{[2
]}

机构：

[1] Hosp Costa del Sol, Dept Med, Div Nephrol, Malaga, Spain

[2] Columbia Univ, Dept Med, Div Nephrol, Irving Med Ctr, New York, NY 10027 USA

来源：

CLINICAL KIDNEY JOURNAL | 2021年 / 14卷 / 05期

关键词：

acute glomerulonephritis; antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis; rapidly progressive glomerulonephritis; ANCA-ASSOCIATED VASCULITIS; AZATHIOPRINE MAINTENANCE THERAPY; TERM-FOLLOW-UP; (ANCA)-ASSOCIATED VASCULITIS; INTERNATIONAL CONSENSUS; POLYANGIITIS WEGENERS; TREATMENT RESISTANCE; RELAPSE; MYELOPEROXIDASE; GRANULOMATOSIS;

D O I：

10.1093/ckj/sfaa255

中图分类号：

R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];

学科分类号：

1002 ; 100201 ;

摘要：

The nomenclature for antineutrophil cytoplasmic antibody (ANCA)-associated kidney disease has evolved from honorific eponyms to a descriptive-based classification scheme (Chapel Hill Consensus Conference 2012). Microscopic polyangiitis, granulomatosis with polyangiitis and eosinophilic granulomatosis with polyangiitis do not correlate with presentation, response rates and relapse rates as when comparing myeloperoxidase versus leukocyte proteinase 3. Here we discuss the limitations of the currently used classification and propose an alternative, simple classification according to (i) ANCA type and (ii) organ involvement, which provides important clinical information of prognosis and outcomes.

引用

页码：1327 / 1334

页数：8

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