Revisiting the systemic vasculitis in eosinophilic granulomatosis with polyangiitis (Churg-Strauss): A study of 157 patients by the Groupe d'Etudes et de Recherche sur les Maladies Orphelines Pulmonaires and the European Respiratory Society Taskforce on eosinophilic granulomatosis with polyangiitis (Churg-Strauss).

Détails

ID Serval
serval:BIB_D8B67F4E95A9
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Revisiting the systemic vasculitis in eosinophilic granulomatosis with polyangiitis (Churg-Strauss): A study of 157 patients by the Groupe d'Etudes et de Recherche sur les Maladies Orphelines Pulmonaires and the European Respiratory Society Taskforce on eosinophilic granulomatosis with polyangiitis (Churg-Strauss).
Périodique
Autoimmunity reviews
Auteur(s)
Cottin V., Bel E., Bottero P., Dalhoff K., Humbert M., Lazor R., Sinico R.A., Sivasothy P., Wechsler M.E., Groh M., Marchand-Adam S., Khouatra C., Wallaert B., Taillé C., Delaval P., Cadranel J., Bonniaud P., Prévot G., Hirschi S., Gondouin A., Dunogué B., Chatté G., Briault C., Pagnoux C., Jayne D., Guillevin L., Cordier J.F.
Collaborateur(s)
Groupe d’Etudes et de Recherche sur les Maladies Orphelines Pulmonaires (GERM“O”P)
ISSN
1873-0183 (Electronic)
ISSN-L
1568-9972
Statut éditorial
Publié
Date de publication
01/2017
Peer-reviewed
Oui
Volume
16
Numéro
1
Pages
1-9
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: ppublish
Résumé
To guide nosology and classification of patients with eosinophilic granulomatosis with polyangiitis (EGPA) based on phenotype and presence or absence of ANCA.
Organ manifestations and ANCA status were retrospectively analyzed based on the presence or not of predefined definite vasculitis features or surrogates of vasculitis in patients asthma, eosinophilia, and at least one systemic organ manifestation attributable to systemic disease.
The study population included 157 patients (mean age 49.4±14.1), with a follow-up of 7.4±6.4years. Patients with ANCA (31%) more frequently had weight loss, myalgias, arthralgias, biopsy-proven vasculitis, glomerulonephritis on biopsy, hematuria, leukocytoclastic capillaritis and/or eosinophilic infiltration of arterial wall on biopsy, and other renal disease. A total of 41% of patients had definite vasculitis manifestations (37%) or strong surrogates of vasculitis (4%), of whom only 53% had ANCA. Mononeuritis multiplex was associated with systemic vasculitis (p=0.005) and with the presence of ANCA (p<0.001). Overall, 59% of patients had polyangiitis as defined by definite vasculitis, strong surrogate of vasculitis, mononeuritis multiplex, and/or ANCA with at least one systemic manifestation other than ENT or respiratory. Patients with polyangiitis had more systemic manifestations including arthralgias (p=0.02) and renal disease (p=0.024), had higher peripheral eosinophilia (p=0.027), and a trend towards less myocarditis (p=0.057). Using predefined criteria of vasculitis and surrogates of vasculitis, ANCA alone were found to be insufficient to categorise patients with vasculitis features.
We suggest a revised nomenclature and definition for EGPA and a new proposed entity referred to as hypereosinophilic asthma with systemic (non vasculitic) manifestations.

Mots-clé
Adult, Asthma/immunology, Churg-Strauss Syndrome/drug therapy, Churg-Strauss Syndrome/immunology, Churg-Strauss Syndrome/pathology, Female, Humans, Immunosuppressive Agents/therapeutic use, Male, Middle Aged, Prognosis, Retrospective Studies, Treatment Outcome
Pubmed
Web of science
Création de la notice
29/09/2016 17:07
Dernière modification de la notice
20/08/2019 15:58
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