Vasculitis & polymyalgia rheumatica

Application of the 2022 ACR/EULAR criteria for microscopic polyangiitis to patients with previously diagnosed microscopic polyangiitis

Clin Exp RheumatolPublished Retrospective classification study

Authors' conclusion

In the new criteria, excessively high score was assigned to MPO-ANCA (or P-ANCA) and MPA-specific histopathological findings were not considered.

Study context

Population
Patients with previously diagnosed microscopic polyangiitis (MPA) as per the 2007 EMA algorithm and the 2012 CHCC definitionsmedian age 64.0 years
Participants
117 patients
Exposure
2022 ACR/EULAR criteria for MPA vs 2007 EMA algorithm and 2012 CHCC definitions
Outcome
Concordance rate between the new and old criteria

Main finding

As reported in the abstract

Concordance rate

96.6%

Previously diagnosed MPA unclassified by new criteria

4

Observational data: associations, not effects.

Further findings

Patients without MPO-ANCA (or P-ANCA) not reclassified as MPA despite histopathology suggestive of MPA

Not reclassified as MPA (of 4 unclassified)
3

Patients with both MPO-ANCA (or P-ANCA) and PR3-ANCA (or C-ANCA) reclassified as both MPA and granulomatosis with polyangiitis (GPA)

Reclassified as both MPA and GPA (of four)
3

Original publication

Application of the 2022 ACR/EULAR criteria for microscopic polyangiitis to patients with previously diagnosed microscopic polyangiitis. Clin Exp Rheumatol. Published 21 February 2022. doi:10.55563/clinexprheumatol/vmrk76

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