Vasculitis & polymyalgia rheumatica

Dual myeloperoxidase (MPO)/PR3 anti-neutrophil cytoplasm antibodies (ANCA) positivity and vasculitis: insights from a 7-cases study and an artificial intelligence (AI)-powered literature review

Rheumatology (Oxford)Published Case series and literature review

Authors' conclusion

Approximatively 50% of DP-ANCA patients develop AAV, either as drug-induced or idiopathic forms, while the remaining 50%, characterized by pre-existing dysimmune conditions, demonstrates a remarkably low vasculitis risk.

Study context

Population
Patients with dual MPO/PR3 ANCA positivity (DP-ANCA): cases from Brest University Hospital immunology laboratory (France), March 2013 to March 2022, and cases from the literatureown cases plus literature cases
Participants
103 patients
Outcome
Clinical implications, phenotypic profiles and outcomes of patients with DP-ANCA
Methodological detailsretrospective screening, single-centre case series, AI-based (BIBOT) and manual PubMed literature search
  • Retrospective screening
  • Single-centre case series
  • AI-based (BIBOT) and manual PubMed literature search

Main finding

As reported in the abstract

Phenotypic profiles of DP-ANCA

Idiopathic AAV

∼30%

Drug-induced AAV

∼25%

Autoimmune disease associated with a low risk of developing vasculitis

∼20%

Immune-disrupting comorbidities (infections, cancers, etc) not associated with AAV

∼25%

Observational data: associations, not effects.

Original publication

Dual MPO/PR3 ANCA positivity and vasculitis: insights from a 7-cases study and an AI-powered literature review. Rheumatology (Oxford). Published 29 March 2024. doi:10.1093/rheumatology/keae170

Composed by AI from the published abstract and checked against it. How Briefs are made →

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