Vasculitis & polymyalgia rheumatica

Performance in adults of the EULAR/PRINTO/PRES (Ankara 2008) classification criteria for IgA vasculitis

RMD OpenPublished Diagnostic accuracy study

Authors' conclusion

The revised EULAR/PReS-endorsed Ankara 2008 IgAV classification criteria perform well in adults with IgAV and are appropriate for use in clinical research.

Study context

Population
Adults with IgA vasculitis (IgAV) and comparators with other forms of small-vessel and medium-vessel vasculitis in an international observational cohort; validation in a multicentre Turkish vasculitis registry178 IgAV cases and 1705 comparators
Comparison
Revised EULAR/Pediatric Rheumatology European Society (PReS)-endorsed Ankara 2008 IgAV classification criteria vs other small- and medium-vessel vasculitis comparators
Outcome
Sensitivity and specificity of the classification criteria for IgAV in adults
Methodological detailsinternational observational cohort, independent validation cohort, multicentre
  • International observational cohort
  • Independent validation cohort
  • Multicentre

Performance

As reported in the abstract

Classification performance of the revised criteria for IgAV in adults
Test or modelSensitivitySpecificitySensitivity, validation setSpecificity, validation set
Revised criteria76.4% (95% CI 69.8% to 82.2%)94.5% (95.0% CI 93.4% to 95.1%)97.8% (95% CI 94.0% to 99.0%)85.0% (95.0% CI 78.0% to 90.0%)

Revised criteria

Sensitivity76.4% (95% CI 69.8% to 82.2%)
Specificity94.5% (95.0% CI 93.4% to 95.1%)
Sensitivity, validation set97.8% (95% CI 94.0% to 99.0%)
Specificity, validation set85.0% (95.0% CI 78.0% to 90.0%)

Original publication

Performance in adults of the EULAR/PRINTO/PRES (Ankara 2008) classification criteria for IgA vasculitis. RMD Open. Published 21 July 2025. doi:10.1136/rmdopen-2025-005728

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