Vasculitis & polymyalgia rheumatica

Clinical phenotypes and prognoses of microscopic polyangiitis based on kidney biopsies

Arthritis Res TherPublished Retrospective cohort study

Authors' conclusion

MPA is classified into four subtypes with distinct clinical manifestations and prognoses.

Study context

Population
Patients with microscopic polyangiitis (MPA) who underwent renal biopsy, among 436 patients with AAV, single centre, 2015 to 2022 (63% female; median age at onset 63 years)median follow-up 26 months
Participants
90 patients
Exposure
Four clinical subtypes of MPA
Outcome
Clinical subtypes and prognoses (CR, death, renal failure)
Methodological detailssingle-centre, cluster analysis
  • Single-centre
  • Cluster analysis

Main finding

As reported in the abstract

GroupValueComplete remission (CR)DeathRenal failure
Cluster 139%26%11%19%
Cluster 222%55%00
Cluster 326%53%9%4%
Cluster 413%08%75%

Value

Cluster 139%
Cluster 222%
Cluster 326%
Cluster 413%

Complete remission (CR)

Cluster 126%
Cluster 255%
Cluster 353%
Cluster 40

Death

Cluster 111%
Cluster 20
Cluster 39%
Cluster 48%

Renal failure

Cluster 119%
Cluster 20
Cluster 34%
Cluster 475%

Observational data: associations, not effects.

Original publication

Clinical phenotypes and prognoses of microscopic polyangiitis based on kidney biopsies. Arthritis Res Ther. Published 7 December 2023. doi:10.1186/s13075-023-03218-0

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