Vasculitis & polymyalgia rheumatica

Changing incidence and serotype trends in ANCA-associated vasculitis: a 30-year population-based study in Norfolk, UK

Rheumatology (Oxford)Published Population-based incidence study

Authors' conclusion

This is the longest incidence study of AAV in the world. The incidence of GPA showed a 9-year periodicity. The incidence of MPO AAV rose steadily.

Study context

Population
Adults in the county of Norfolk, UK, 1991–2020
Exposure
ANCA associated vasculitides (AAV) vs GPA vs microscopic polyangiitis (MPA) vs eosinophilic GPA (EGPA) vs PR3 AAV vs MPO AAV
Outcome
Incidence of AAV and its subtypes (GPA, MPA, EGPA, PR3 AAV, MPO AAV), temporal fluctuations and seasonality
Methodological details30-year, EMA classification
  • 30-year
  • EMA classification

Main finding

As reported in the abstract

Incidence per million person-years · 1991–2020 (PR3/MPO AAV: 2001–2020)

Observational data: associations, not effects.

Further findings

Temporal trends in incidence

GPA incidence statistical periodicity (years)
9
MPO AAV incidence linear rise 2001–2020, R2
0.66
Temporal fluctuations in EGPA and PR3 AAV incidence not significant
Patients getting older at diagnosis
Seasonality not observed

Original publication

Changing incidence and serotype trends in ANCA-associated vasculitis: a 30-year population-based study in Norfolk, UK. Rheumatology (Oxford). Published 26 June 2026. doi:10.1093/rheumatology/keag325

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