Background: High-dose methylprednisolone pulses were one of the main treatments for anti-neutrophil cytoplasmic autoantibody (ANCA) associated vasculitides (AAV) but had obvious side effects. We aimed to know the impact on renal survival and identify the prognostic factors of this treatment in Chinese AAV patients with severe renal involvement.
Methods: One hundred and eleven AAV patients with an estimated glomerular filtration rate (eGFR) of 10ml/min/1.