Skip to main content
Top
Published in: Clinical and Experimental Nephrology 5/2013

01-10-2013 | Review Article

ANCA-associated vasculitis: report from Korea

Authors: Hye Won Kim, Yeong Wook Song

Published in: Clinical and Experimental Nephrology | Issue 5/2013

Login to get access

Abstract

We investigated the clinical features of Korean patients with anti-neutrophil cytoplasmic autoantibody (ANCA)-associated vasculitis (AAV) by reviewing the literature. The characteristics of AAV in Korean patients were as follows: (1) granulomatous and limited disease is prevalent in granulomatosis with polyangiitis (Wegener’s) (GPA), (2) ANCA positivity is lower in GPA (56.6–68.9 %) and eosinophilic granulomatosis with polyangiitis (EGPA) (5.9–8.3 %), whereas it is higher in microscopic polyangiitis (MPA) (69–94 %), (3) C-ANCA/proteinase 3 (PR3)-ANCA positivity is 71.5–100 % in GPA and P-ANCA/myeloperoxidase (MPO)-ANCA positivity reached 94–100 % in patients with MPA, (4) renal involvement or progression to end-stage renal disease was lower in Korean patients with GPA and EGPA than in Caucasians with GPA and EGPA (according to data provided in reports). The data provided here may need to be confirmed in large-scale studies.
Appendix
Available only for authorised users
Literature
1.
go back to reference Lyons PA, Rayner TF, Trivedi S, Holle JU, Watts RA, Jayne DRW, et al. Genetically distinct subsets within ANCA-associated vasculitis. N Engl J Med. 2012;367:214–23.PubMedCrossRef Lyons PA, Rayner TF, Trivedi S, Holle JU, Watts RA, Jayne DRW, et al. Genetically distinct subsets within ANCA-associated vasculitis. N Engl J Med. 2012;367:214–23.PubMedCrossRef
2.
go back to reference Kim HW, Kim JW, Im CH, Shin KC, Lee EY, Lee EB, et al. The clinicopathologic characteristics of granulomatosis with polyangiitis (Wegener’s): a retrospective study of 45 patients in Korea. Mod Rheumatol. 2012. Kim HW, Kim JW, Im CH, Shin KC, Lee EY, Lee EB, et al. The clinicopathologic characteristics of granulomatosis with polyangiitis (Wegener’s): a retrospective study of 45 patients in Korea. Mod Rheumatol. 2012.
3.
go back to reference Park YB, Kim JY, Linton JA, Jung HJ, Lee SK, Shin DH. Clinicopathologic study of Wegener’s granulomatosis with special emphasis on early lesions in 10 Korean patients. Yonsei Med J. 2001;42:46–54.PubMed Park YB, Kim JY, Linton JA, Jung HJ, Lee SK, Shin DH. Clinicopathologic study of Wegener’s granulomatosis with special emphasis on early lesions in 10 Korean patients. Yonsei Med J. 2001;42:46–54.PubMed
4.
go back to reference Park KT, Kong IG, Han DH, Kim DW, Kim SH, Rhee CS, et al. Clinical experiences of diagnosis and treatment for Wegener’s granulomatosis. Korean J Otorhinolaryngol Head Neck Surg. 2008;51:1109–18. Park KT, Kong IG, Han DH, Kim DW, Kim SH, Rhee CS, et al. Clinical experiences of diagnosis and treatment for Wegener’s granulomatosis. Korean J Otorhinolaryngol Head Neck Surg. 2008;51:1109–18.
5.
go back to reference Holle JU, Laudien M, Gross WL. Clinical manifestations and treatment of Wegener’s granulomatosis. Rheum Dis Clin North Am. 2010;36:507–26.PubMedCrossRef Holle JU, Laudien M, Gross WL. Clinical manifestations and treatment of Wegener’s granulomatosis. Rheum Dis Clin North Am. 2010;36:507–26.PubMedCrossRef
6.
go back to reference Oh JS, Lee CK, Kim YG, Nah SS, Moon HB, Yoo B. Clinical features and outcomes of microscopic polyangiitis in Korea. J Korean Med Sci. 2009;24:269–74.PubMedCrossRef Oh JS, Lee CK, Kim YG, Nah SS, Moon HB, Yoo B. Clinical features and outcomes of microscopic polyangiitis in Korea. J Korean Med Sci. 2009;24:269–74.PubMedCrossRef
7.
go back to reference Ahn JK, Hwang JW, Lee J, Jeon CH, Cha HS, Koh EM. Clinical features and outcome of microscopic polyangiitis under a new consensus algorithm of ANCA-associated vasculitides in Korea. Rheumatol Int. 2012;32:2979–86.PubMedCrossRef Ahn JK, Hwang JW, Lee J, Jeon CH, Cha HS, Koh EM. Clinical features and outcome of microscopic polyangiitis under a new consensus algorithm of ANCA-associated vasculitides in Korea. Rheumatol Int. 2012;32:2979–86.PubMedCrossRef
8.
go back to reference Fujimoto S, Uezono S, Hisanaga S, Fukudome K, Kobayashi S, Suzuki K, et al. Incidence of ANCA-associated primary renal vasculitis in the Miyazaki Prefecture: the first population-based, retrospective, epidemiologic survey in Japan. Clin J Am Soc Nephrol. 2006;1:1016–22.PubMedCrossRef Fujimoto S, Uezono S, Hisanaga S, Fukudome K, Kobayashi S, Suzuki K, et al. Incidence of ANCA-associated primary renal vasculitis in the Miyazaki Prefecture: the first population-based, retrospective, epidemiologic survey in Japan. Clin J Am Soc Nephrol. 2006;1:1016–22.PubMedCrossRef
9.
go back to reference Lamprecht P, Holle J, Gross WL. Update on clinical, pathophysiological and therapeutic aspects in ANCA associated vasculitides. Curr Drug Discov Technol. 2009;6:241–51.PubMedCrossRef Lamprecht P, Holle J, Gross WL. Update on clinical, pathophysiological and therapeutic aspects in ANCA associated vasculitides. Curr Drug Discov Technol. 2009;6:241–51.PubMedCrossRef
10.
go back to reference Mahr AD, Neogi T, Lavalley MP, Davis JC, Hoffman GS, Mccune WJ, et al. Assessment of the item selection and weighting in the Birmingham vasculitis activity score for Wegener’s granulomatosis. Arthritis Care Res. 2008;59:884–91.CrossRef Mahr AD, Neogi T, Lavalley MP, Davis JC, Hoffman GS, Mccune WJ, et al. Assessment of the item selection and weighting in the Birmingham vasculitis activity score for Wegener’s granulomatosis. Arthritis Care Res. 2008;59:884–91.CrossRef
11.
go back to reference Oh MJ, Lee JY, Kwon NH, Choi DC. Churg–Strauss syndrome: the clinical features and long-term follow-up of 17 patients. J Korean Med Sci. 2006;21:265–71.PubMedCrossRef Oh MJ, Lee JY, Kwon NH, Choi DC. Churg–Strauss syndrome: the clinical features and long-term follow-up of 17 patients. J Korean Med Sci. 2006;21:265–71.PubMedCrossRef
12.
go back to reference Kim YK, Lee KS, Chung MP, Han J, Chong S, Chung MJ, et al. Pulmonary involvement in Churg–Strauss syndrome: an analysis of CT, clinical, and pathologic findings. Eur Radiol. 2007;17:3157–65.PubMedCrossRef Kim YK, Lee KS, Chung MP, Han J, Chong S, Chung MJ, et al. Pulmonary involvement in Churg–Strauss syndrome: an analysis of CT, clinical, and pathologic findings. Eur Radiol. 2007;17:3157–65.PubMedCrossRef
13.
go back to reference Choi YH, Im JG, Han BK, Kim JH, Lee KY, Myoung NH. Thoracic manifestation of Churg–Strauss syndrome. Chest. 2000;117:117–24.PubMedCrossRef Choi YH, Im JG, Han BK, Kim JH, Lee KY, Myoung NH. Thoracic manifestation of Churg–Strauss syndrome. Chest. 2000;117:117–24.PubMedCrossRef
14.
go back to reference Kang DW, Jeong IK, Kim HJ, Lee KW. Neurologic manifestations of Churg–Strauss syndrome. J Korean Neurol Assoc. 1999;17:836–40. Kang DW, Jeong IK, Kim HJ, Lee KW. Neurologic manifestations of Churg–Strauss syndrome. J Korean Neurol Assoc. 1999;17:836–40.
15.
go back to reference Seok JI, Bae JS, Joo EY, Min TH, Choi DC, Kim BJ. Clinical and electrophysiologic features of peripheral neuropathy in Churg–Strauss syndrome. J Korean Neurol Assoc. 2004;22:127–33. Seok JI, Bae JS, Joo EY, Min TH, Choi DC, Kim BJ. Clinical and electrophysiologic features of peripheral neuropathy in Churg–Strauss syndrome. J Korean Neurol Assoc. 2004;22:127–33.
16.
go back to reference Keogh KA, Specks U. Churg–Strauss syndrome: clinical presentation, antineutrophil cytoplasmic antibodies, and leukotriene receptor antagonists. Am J Med. 2003;115:284–90.PubMedCrossRef Keogh KA, Specks U. Churg–Strauss syndrome: clinical presentation, antineutrophil cytoplasmic antibodies, and leukotriene receptor antagonists. Am J Med. 2003;115:284–90.PubMedCrossRef
17.
go back to reference Kang HJ, Park SH, Park JY, Shin YB, Kim CD, Tak WT, et al. Clinical characteristics of p-ANCA (anti-neutrophil cytoplasmic antibody)-related nephritis: a single center experience. Korean J Med. 2008;74:523–30. Kang HJ, Park SH, Park JY, Shin YB, Kim CD, Tak WT, et al. Clinical characteristics of p-ANCA (anti-neutrophil cytoplasmic antibody)-related nephritis: a single center experience. Korean J Med. 2008;74:523–30.
18.
go back to reference Han S, Kwon Y, Jo S, Shin J, Cha D, Cho W, et al. Patients’ and renal survival in ANCA-associated vasculitis and glomerulonephritis. Korean J Nephrol. 1999;18:409–15. Han S, Kwon Y, Jo S, Shin J, Cha D, Cho W, et al. Patients’ and renal survival in ANCA-associated vasculitis and glomerulonephritis. Korean J Nephrol. 1999;18:409–15.
19.
go back to reference Leavitt RY, Fauci AS, Bloch DA, Michel BA, Hunder GG, Arend WP, et al. The American College of Rheumatology 1990 criteria for the classification of Wegener’s granulomatosis. Arthritis Rheum. 1990;33:1101–7.PubMedCrossRef Leavitt RY, Fauci AS, Bloch DA, Michel BA, Hunder GG, Arend WP, et al. The American College of Rheumatology 1990 criteria for the classification of Wegener’s granulomatosis. Arthritis Rheum. 1990;33:1101–7.PubMedCrossRef
20.
go back to reference Watts R, Lane S, Hanslik T, Hauser T, Hellmich B, Koldingsnes W, et al. Development and validation of a consensus methodology for the classification of the ANCA-associated vasculitides and polyarteritis nodosa for epidemiological studies. Ann Rheum Dis. 2007;66:222–7.PubMedCrossRef Watts R, Lane S, Hanslik T, Hauser T, Hellmich B, Koldingsnes W, et al. Development and validation of a consensus methodology for the classification of the ANCA-associated vasculitides and polyarteritis nodosa for epidemiological studies. Ann Rheum Dis. 2007;66:222–7.PubMedCrossRef
21.
go back to reference Jennette JC, Falk RJ, Andrassy K, Bacon PA, Churg J, Gross WL, et al. Nomenclature of systemic vasculitides. Proposal of an international consensus conference. Arthritis Rheum. 1994;37:187–92.PubMedCrossRef Jennette JC, Falk RJ, Andrassy K, Bacon PA, Churg J, Gross WL, et al. Nomenclature of systemic vasculitides. Proposal of an international consensus conference. Arthritis Rheum. 1994;37:187–92.PubMedCrossRef
22.
go back to reference Masi AT, Hunder GG, Lie JT, Michel BA, Bloch DA, Arend WP, et al. American College of Rheumatology 1990 criteria for the classification of Churg–Strauss syndrome (allergic granulomatosis and angiitis). Arthritis Rheum. 1990;33:1094–100.PubMedCrossRef Masi AT, Hunder GG, Lie JT, Michel BA, Bloch DA, Arend WP, et al. American College of Rheumatology 1990 criteria for the classification of Churg–Strauss syndrome (allergic granulomatosis and angiitis). Arthritis Rheum. 1990;33:1094–100.PubMedCrossRef
23.
go back to reference Sehgal M, Swanson JW, DeRemee RA, Colby TV. Neurologic manifestations of Churg–Strauss syndrome. Mayo Clin Proc. 1995;70:337–41.PubMedCrossRef Sehgal M, Swanson JW, DeRemee RA, Colby TV. Neurologic manifestations of Churg–Strauss syndrome. Mayo Clin Proc. 1995;70:337–41.PubMedCrossRef
24.
go back to reference Lanham JG, Elkon KB, Pusey CD, Hughes GR. Systemic vasculitis with asthma and eosinophilia: a clinical approach to the Churg–Strauss syndrome. Medicine (Baltimore). 1984;63:65–81. Lanham JG, Elkon KB, Pusey CD, Hughes GR. Systemic vasculitis with asthma and eosinophilia: a clinical approach to the Churg–Strauss syndrome. Medicine (Baltimore). 1984;63:65–81.
Metadata
Title
ANCA-associated vasculitis: report from Korea
Authors
Hye Won Kim
Yeong Wook Song
Publication date
01-10-2013
Publisher
Springer Japan
Published in
Clinical and Experimental Nephrology / Issue 5/2013
Print ISSN: 1342-1751
Electronic ISSN: 1437-7799
DOI
https://doi.org/10.1007/s10157-012-0754-8

Other articles of this Issue 5/2013

Clinical and Experimental Nephrology 5/2013 Go to the issue
Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin
Prof. Florian Limbourg
Prof. Anoop Chauhan
Developed by: Springer Medicine
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine