Department of Nephrology, Renal Registrar, Addenbrooke’s Hospital, Cambridge, Cambridgeshire, CB2 0QQ, UK
Review Article
Management of ANCA-associated Vasculitis
Author(s): Hannah Stacey*
Background: Antibody-neutrophil cytoplasmic antibody (ANCA)-associated vasculitis is a potentially life-threatening condition. Multiorgan
involvement can occur and is associated with significant morbidity, particularly if there is lung and renal disease. Aggressive and early
immunosuppressant therapy is the cornerstone of management and has transformed ANCA-associated vasculitis (AAV) into a chronic relapsing
condition. Remission induction therapy typically consists of high dose glucocorticoids in combination with cyclophosphamide or rituximab or both
for several months. Plasma exchange is recommended for life-threatening disease, although evidence is conflicting. Remission maintenance
therapy is often continued for up to two years and usually consists of glucocorticoids, azathioprine or rituximab. Methotrexate and mycophenolate
mofetil (MMF) c.. Read More»
DOI:
10.37421/2471-9544.2023.9.180
Journal of Vasculitis received 83 citations as per Google Scholar report