Evaluation of Ministry of Health, Labour and Welfare diagnostic criteria for antineutrophil cytoplasmic antibody-associated vasculitis compared to ACR/EULAR 2022 classification criteria

被引：2

作者：

Sada, Ken-ei ^{[1
,2
,18
]}

Nagasaka, Kenji ^{[3
,4
]}

Kaname, Shinya ^{[5
]}

Higuchi, Tomoaki ^{[6
,7
]}

Furuta, Shunsuke ^{[8
]}

Nanki, Toshihiro ^{[9
]}

Tsuboi, Naotake ^{[10
]}

Amano, Koichi ^{[11
]}

Dobashi, Hiroaki ^{[12
]}

Hiromura, Keiju ^{[13
]}

Bando, Masashi ^{[14
]}

Wada, Takashi ^{[15
]}

Arimura, Yoshihiro ^{[5
,16
]}

Makino, Hirofumi ^{[17
]}

Harigai, Masayoshi ^{[7
]}

机构：

[1] Kochi Med Sch, Dept Clin Epidemiol, Nankoku, Japan

[2] Okayama Univ, Dept Nephrol Rheumatol Endocrinol & Metab, Grad Sch Med Dent & Pharmaceut Sci, Okayama, Japan

[3] Ome Municipal Gen Hosp, Dept Rheumatol, Ome, Japan

[4] Tokyo Med & Dent Univ, Dept Rheumatol, Tokyo, Japan

[5] Kyorin Univ, Dept Nephrol & Rheumatol, Sch Med, Tokyo, Japan

[6] Tokyo Womens Med Univ, Div Multidisciplinary Management Rheumat Dis, Sch Med, Tokyo, Japan

[7] Tokyo Womens Med Univ, Dept Internal Med, Div Rheumatol, Sch Med, Tokyo, Japan

[8] Chiba Univ, Dept Allergy & Clin Immunol, Chiba, Japan

[9] Toho Univ, Dept Internal Med, Div Rheumatol, Sch Med, Tokyo, Japan

[10] Fujita Hlth Univ, Grad Sch Med, Dept Nephrol, Toyoake, Aichi, Japan

[11] Saitama Med Univ, Saitama Med Ctr, Dept Rheumatol & Clin Immunol, Kawagoe, Saitama, Japan

[12] Kagawa Univ, Fac Med, Dept Internal Med, Div Hematol Rheumatol & Resp Med, Kagawa, Japan

[13] Gunma Univ, Dept Nephrol & Rheumatol, Grad Sch Med, Maebashi, Gumma, Japan

[14] Jichi Med Univ, Dept Med, Div Pulm Med, Shimotsuke, Tochigi, Japan

[15] Kanazawa Univ, Kanazawa, Japan

[16] Kichijoji Asahi Hosp, Musashino, Japan

[17] Okayama Univ, Okayama, Japan

[18] Kochi Med Sch, Dept Clin Epidemiol, Oko Cho, Nankoku, Kochi 7838505, Japan

来源：

MODERN RHEUMATOLOGY | 2024年 / 34卷 / 03期

关键词：

Antineutrophil cytoplasmic antibody; classification criteria; eosinophilic granulomatosis with polyangiitis; granulomatosis with polyangiitis; microscopic polyangiitis; AMERICAN-COLLEGE; RHEUMATOLOGY/EUROPEAN ALLIANCE; EOSINOPHILIC GRANULOMATOSIS;

D O I：

10.1093/mr/road052

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Objective This study aimed to evaluate the Ministry of Health, Labour and Welfare (MHLW) diagnostic criteria for antineutrophil cytoplasmic antibody-associated vasculitis compared to the new American College of Rheumatology/European Alliance of Associations for Rheumatology 2022 criteria. Methods Two nationwide cohort studies were used, and participants were categorised as having eosinophilic granulomatosis with polyangiitis, granulomatosis with polyangiitis (GPA), or microscopic polyangiitis (MPA) according to the American College of Rheumatology/European Alliance of Associations for Rheumatology 2022 and MHLW criteria. Results Of the entire patient population, only 10 (2.1%) were unclassifiable according to the MHLW probable criteria, while a significant number of patients (71.3%) met at least two criteria. The MHLW probable criteria for MPA had some challenges in differentiating between MPA and eosinophilic granulomatosis with polyangiitis, and the same was true for MHLW probable criteria for GPA in differentiating MPA from GPA. Nevertheless, improved classification results were obtained when the MHLW probable criteria were applied in the order of eosinophilic granulomatosis with polyangiitis, MPA, and GPA. Conclusions The application of MHLW criteria could categorise a substantial number of patients with antineutrophil cytoplasmic antibody-associated vasculitis into one of the three antineutrophil cytoplasmic antibody-associated vasculitis diseases. The classification was in accordance with the American College of Rheumatology/European Alliance of Associations for Rheumatology 2022 criteria when considering the order of application.

引用

页码：551 / 558

页数：8

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