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Sökning: onr:"swepub:oai:lup.lub.lu.se:0d113ac6-3a26-4acc-a40d-10cc4bc613d7" > EULAR points to con...

EULAR points to consider in the development of classification and diagnostic criteria in systemic vasculitis

Basu, Neil (författare)
University of Aberdeen, Aberdeen, UK
Watts, Richard (författare)
University of East Anglia, School of Medicine, Norwich, Norfolk, UK
Bajema, Ingeborg (författare)
Leiden University Medical Center, Leiden, The Netherlands
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Baslund, Bo (författare)
Rigshospitalet, Copenhagen, Denmark
Bley, Thorsten (författare)
University Hospital Freiburg, Freiburg, Germany
Boers, Maarten (författare)
VU University Medical Center, Amsterdam, The Netherlands
Brogan, Paul (författare)
Institute of Child Health, London, UK
Calabrese, Len (författare)
Cleveland Clinic Foundation, Cleveland, Ohio, USA
Cid, Maria C. (författare)
Cohen-Tervaert, Jan Willem (författare)
Maastricht UMC, Maastricht, The Netherlands
Flores-Suarez, Luis Felipe (författare)
National Institute of Respiratory Disease, Mexico City, Mexico
Fujimoto, Shouichi (författare)
Miyazaki University, Miyazaki, Japan
de Groot, Kirsten (författare)
Klinikum Offenbach, Offenbach, Germany
Guillevin, Loic (författare)
University of Paris Descartes, Paris, France
Hatemi, Gulen (författare)
University of Istanbul, Istanbul, Turkey
Hauser, Thomas (författare)
Immunologie-Zentrum Zürich, Zurich, Switzerland
Jayne, David (författare)
Addenbrooke's Hospital, Cambridge, UK
Jennette, Charles (författare)
University of North Carolina, Chapel Hill, North Carolina, USA
Kallenberg, Cees G. M. (författare)
Kobayashi, Shigeto (författare)
Juntendo Koshigaya Hospital, Saitama, Japan
Little, Mark A. (författare)
Mahr, Alfred (författare)
University of Paris Descartes, Paris, France
McLaren, John (författare)
Whytemans Brae Hospital, Kirkcaldy, Fife, UK
Merkel, Peter A. (författare)
Ozen, Seza (författare)
Hacettepe University, Ankara, Turkey
Puechal, Xavier (författare)
Centre Hospitalier Le Mans, Le Mans, France
Rasmussen, Niels (författare)
Rigshospitalet, Copenhagen, Denmark
Salama, Alan (författare)
Imperial College London, London, UK
Salvarani, Carlo (författare)
Arcispedale S Maria Nuova, Reggio Emilia, Italy
Savage, Caroline (författare)
Renal Institute of Birmingham, University of Birmingham, Birmingham, UK
Scott, David G. I. (författare)
Segelmark, Mårten (författare)
Lund University,Lunds universitet,Njurmedicin,Sektion II,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Nephrology,Section II,Department of Clinical Sciences, Lund,Faculty of Medicine,Lund University, Lund, Sweden
Specks, Ulrich (författare)
Mayo Clinc, Minnesota, Minneapolis, USA
Sunderkoeetter, Cord (författare)
Suzuki, Kazuo (författare)
Chiba University Graduate School of Medicine, Chiba, Japan
Tesar, Vladimir (författare)
Charles University, Prague, Czech Republic
Wiik, Allan (författare)
Statens Serum Institut, Copenhagen, Denmark
Yazici, Hasan (författare)
University of Istanbul, Istanbul, Turkey
Luqmani, Raashid (författare)
University of Oxford, Oxford, UK
Little, Mark A (författare)
Renal Institute of Birmingham, University of Birmingham, Birmingham, UK
Cid, Maria C (författare)
Hospital Clinic, University of Barcelona IDIBAPS, Barcelona, Spain
Kallenberg, Cees G M (författare)
University Hospital Groningen, Groningen, The Netherlands
Sunderköetter, Cord (författare)
Universitätsklinikum Münster, Münich, Germany
Merkel, Peter A (författare)
Boston University School of Medicine, Boston, Massachusetts, USA
Scott, David G I (författare)
Norfolk and Norwich University Hospital Trust, Norwich, Norfolk, UK
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 (creator_code:org_t)
London, UK : BMJ Publishing Group, 2010
2010
Engelska.
Ingår i: Annals of the Rheumatic Diseases. - London, UK : BMJ Publishing Group. - 1468-2060 .- 0003-4967. ; 69:10, s. 1744-1750
  • Tidskriftsartikel (refereegranskat)
Abstract Ämnesord
Stäng  
  • Objectives The systemic vasculitides are multiorgan diseases where early diagnosis and treatment can significantly improve outcomes. Robust nomenclature reduces diagnostic delay. However, key aspects of current nomenclature are widely perceived to be out of date, these include disease definitions, classification and diagnostic criteria. Therefore, the aim of the present work was to identify deficiencies and provide contemporary points to consider for the development of future definitions and criteria in systemic vasculitis. Methods The expert panel identified areas of concern within existing definitions/criteria. Consequently, a systematic literature review was undertaken looking to address these deficiencies and produce 'points to consider' in accordance with standardised European League Against Rheumatism (EULAR) operating procedures. In the absence of evidence, expert consensus was used. Results There was unanimous consensus for re-evaluating existing definitions and developing new criteria. A total of 17 points to consider were proposed, covering 6 main areas: biopsy, laboratory testing, diagnostic radiology, nosology, definitions and research agenda. Suggestions to improve and expand current definitions were described including the incorporation of anti-neutrophil cytoplasm antibody and aetiological factors, where known. The importance of biopsy in diagnosis and exclusion of mimics was highlighted, while equally emphasising its problems. Thus, the role of alternative diagnostic tools such as MRI, ultrasound and surrogate markers were also discussed. Finally, structures to develop future criteria were considered. Conclusions Limitations in current classification criteria and definitions for vasculitis have been identified and suggestions provided for improvement. Additionally it is proposed that, in combination with the updated evidence, these should form the basis of future attempts to develop and validate revised criteria and definitions of vasculitis.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Reumatologi och inflammation (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Rheumatology and Autoimmunity (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine (hsv//eng)

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