[Recent advances in the treatment of antineutrophil cytoplasm antibody associated vasculitides]

Orv Hetil. 2015 Oct 11;156(41):1653-60. doi: 10.1556/650.2015.30273.
[Article in Hungarian]

Abstract

The authors review the nomenclature of vasculitides and the classification of antineutrophil cytoplasm antibody associated vasculitides and present the method of measuring disease activity (Five-factor Score, Birmingham Vasculitis Activity Score) and its role in defining therapeutical needs. They discuss the treatment algorithm of antineutrophil cytoplasm antibody associated vasculitides, present the sometimes equipotential medications used during the induction therapy followed by a maintenance regimen, and outline their usage and possible side-effects that may require medical attention. They point out the importance of plasmapheresis as an adjunctive treatment in some cases, as well as indications and possible outcome of kidney transplantation in therapy-resistant cases. Finally, they review several ongoing clinical studies, as their outcome will probably influence therapeutical opportunities of antineutrophil cytoplasm antibody associated vasculitides in the next few years.

Keywords: antineutrofil citoplazmatikus antitest asszociált vasculitis; antineutrophil cytoplasm antibody associated vasculitis; ciklofoszfamid; cyclophoshamide; plasmapheresis; plazmaferézis; rituximab; tituximab.

Publication types

  • Review

MeSH terms

  • Algorithms
  • Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis / classification
  • Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis / complications
  • Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis / diagnosis
  • Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis / drug therapy
  • Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis / therapy*
  • Azathioprine / therapeutic use
  • Clinical Trials as Topic
  • Granulomatosis with Polyangiitis / therapy
  • Humans
  • Immunosuppressive Agents / therapeutic use*
  • Kidney Transplantation
  • Methotrexate / therapeutic use
  • Microscopic Polyangiitis / therapy
  • Mycophenolic Acid / analogs & derivatives
  • Mycophenolic Acid / therapeutic use
  • Plasmapheresis
  • Prognosis
  • Rituximab / therapeutic use
  • Severity of Illness Index
  • Terminology as Topic

Substances

  • Immunosuppressive Agents
  • Rituximab
  • Mycophenolic Acid
  • Azathioprine
  • Methotrexate