ANCA-associated systemic vasculitis: Aspects of diagnosis
- Autores: Beketova T.V.1,2,3
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Afiliações:
- Central Clinical Hospital with Polyclinic of the Administration of the President of the Russian Federation
- V.A. Nasonova Research Institute of Rheumatology
- Moscow Polytechnic University
- Edição: Volume 10, Nº 1 (2024)
- Páginas: 126-136
- Seção: LECTURES & REPORTS
- URL: https://journals.eco-vector.com/2412-4036/article/view/630673
- DOI: https://doi.org/10.18565/therapy.2024.1.126-136
- ID: 630673
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Resumo
Systemic vasculitis associated with antineutrophil cytoplasmic antibodies (ANCA-SV) are among the rare rheumatological diseases, the importance of early detection of which is due to their poor prognosis. Crucial importance in ANCA-SV diagnosis has a detailed clinical analysis of the course of the disease and a detailed examination of patients with identification of pathognomonic signs, including asymptomatic ones. The article discusses clinical peculiarities of various variants of ANCA-SV, including granulomatosis with polyangiitis, microscopic polyangiitis and eosinophilic granulomatosis with polyangiitis, illustrated by our own clinical observations. New classification criteria for this group of diseases, proposed by international experts in 2022, are discussed. Taking into account the multi-organ nature of ANCA-SV, presented data may be useful to a wide range of specialists.
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Sobre autores
Tatyana Beketova
Central Clinical Hospital with Polyclinic of the Administration of the President of the Russian Federation; V.A. Nasonova Research Institute of Rheumatology; Moscow Polytechnic University
Autor responsável pela correspondência
Email: doc@tvbek.ru
ORCID ID: 0000-0003-2641-9785
MD, Dr. Sci. (Medicine), rheumatologist, head of the Department of rheumatology, Central Clinical Hospital with Polyclinic of the Administration of the President of the Russian Federation, leading researcher at the Department of systemic sclerosis, V.A. Nasonova Research Institute of Rheumatology, professor of Moscow Polytechnic University
Rússia, Moscow; Moscow; MoscowBibliografia
- Jennette J.C., Falk R.J., Bacon P.A. et al. 2012 revised International Chapel Hill Consensus Conference Nomenclature of Vasculitides. Arthritis Rheum. 2013; 65(1): 1–11. https://doi.org/10.1002/art.37715. PMID: 23045170.
- Syed R., Rehman A., Valecha G., El-Sayegh S. Pauci-immune crescentic glomerulonephritis: An ANCA-associated vasculitis. Biomed Res Int. 2015; 2015: 402826. https://doi.org/10.1155/2015/402826. PMID: 26688808. PMCID: PMC4673333.
- Eisenberger U., Fakhouri F., Vanhille P. et al. ANCA-negative pauci-immune renal vasculitis: Histology and outcome. Nephrol Dial Transplant. 2005; 20(7): 1392–99.
- https://doi.org/10.1093/ndt/gfh830. PMID: 15855209.
- Unizony S., Villarreal M., Miloslavsky E.M. et al.; RAVE-ITN Research Group. Clinical outcomes of treatment of anti-neutrophil cytoplasmic antibody (ANCA)-associated vasculitis based on ANCA type. Ann Rheum Dis. 2016; 75(6): 1166–69. https://doi.org/10.1136/annrheumdis-2015-208073. PMID: 26621483. PMCID: PMC4908815.
- Finkielman J.D., Lee A.S., Hummel A.M. et al.; WGET Research Group. ANCA are detectable in nearly all patients with active severe Wegener’s granulomatosis. Am J Med. 2007; 120(7): 643. e9–14. https://doi.org/10.1016/j.amjmed.2006.08.016. PMID: 17602941.
- Robson J.C., Grayson P.C., Ponte C. et al.; DCVAS Study Group. 2022 American College of Rheumatology/European Alliance of Associations for Rheumatology classification criteria for granulomatosis with polyangiitis. Arthritis Rheumatol. 2022; 74(3): 393–99. https://doi.org/10.1002/art.41986. PMID: 35110333.
- Suppiah R., Robson J.C., Grayson P.C. et al.; DCVAS Study Group. 2022 American College of Rheumatology/European Alliance of Associations for Rheumatology classification criteria for microscopic polyangiitis. Arthritis Rheumatol. 2022 Mar; 74(3): 400–6. https://doi.org/10.1002/art.41983. PMID: 35110332.
- Grayson P.C., Ponte C., Suppiah R. et al.; DCVAS Study Group. 2022 American College of Rheumatology/European Alliance of Associations for Rheumatology classification criteria for eosinophilic granulomatosis with polyangiitis. Arthritis Rheumatol. 2022; 74(3): 386–92. https://doi.org/10.1002/art.41982. PMID: 35106968.
- Бекетова Т.В. Гранулематоз с полиангиитом, патогенетически связанный с антинейтрофильными цитоплазматическими антителами: особенности клинического течения. Научно-практическая ревматология. 2012; 50(6): 19–28. [Beketova T.V. Granulomatosis with polyangiitis, which is pathogenetically associated with antineutrophil cytoplasmic antibodies: clinical features. Nauchno-prakticheskaya revmatologiya = Rheumatology Science and Practice. 2012; 50(6): 19–28 (In Russ.)]. https://doi.org/10.14412/1995-4484-2012-1288. EDN: PMSVMB.
- Бекетова Т.В. Микроскопический полиангиит, ассоциированный с антинейтрофильными цитоплазматическими антителами: особенности клинического течения. Терапевтический архив. 2015; 87(5): 33–46. [Beketova T.V. Microscopic polyangiitis associated with antineutrophil cytoplasmic antibodies: clinical features. Terapevticheskiy arkhiv = Therapeutic Archive. 2015; 87(5): 33–46 (In Russ.)]. https://doi.org/10.17116/terarkh201587533-46. EDN: UKTAKZ.
- Lanham J., Elkon K., Pusey C., Hughes G. Systemic vasculitis with asthma and eosinophilia: A clinical approach to the Churg – Strauss syndrome. Medicine. 1984; 63(2): 65–81. https://doi.org/10.1097/00005792-198403000-00001. PMID: 6366453.
- Бекетова Т.В., Волков М.Ю. Международные рекомендации по диагностике и лечению эозинофильного гранулематоза с полиангиитом – 2015. Научно-практическая ревматология. 2016; 54(2): 129–137. [Beketova T.1, Volkov M.Yu. The 2015 international guidelines for the diagnosis and treatment of eosinophilic granulomatosis with polyangiitis. Nauchno-prakticheskaya revmatologiya = Rheumatology Science and Practice. 2016; 54(2): 129–137 (In Russ.)]. https://doi.org/10.14412/1995-4484-2016-129-137. EDN: WXHGEH.
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