Treatment of renal ANCA-associated vasculitides.

Postepy Hig Med Dosw (Online)

Department of Nephrology and Transplantation Medicine, Wroclaw Medical University, Wroclaw, Poland.

Published: June 2016

AI Article Synopsis

  • Antineutrophil cytoplasmic antibody (ANCA)-associated vasculitides (AAV) target small blood vessels, primarily affecting the kidneys and leading to severe kidney issues like glomerulonephritis.
  • Various treatment methods such as cyclophosphamide, rituximab, and plasma exchange are discussed for achieving remission and managing cases that relapse or resist standard treatments.
  • The review highlights risk factors for disease complications, impacts on quality of life, and introduces new possible treatments that could improve patient outcomes and longevity.

Article Abstract

Antineutrophil cytoplasmic antibody (ANCA)-associated vasculitides (AAV) are a group of small vessel vasculitides which commonly affect the kidneys, manifesting as rapidly progressive glomerulonephritis. In this review, we present different treatment methods (e.g. cyclophosphamide, rituximab, plasma exchange) used for remission induction and maintenance in renal AAV. We also discuss treatment options in relapsing and refractory disease and for patients with end-stage renal disease due to AAV. In addition, we enumerate the various risk factors associated with relapsing and refractory disease, quality of life impairment and decreased renal and patient survival in AAV. Finally we present information on new, potentially applicable agents which can further help modify the disease course, thereby leading to increased patient survival.

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http://dx.doi.org/10.5604/17322693.1207508DOI Listing

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