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[Recent advance in vasculitis syndrome]
1Department of Rheumatology and Internal Medicine, Juntendo University School of Medicine.
Insights
This review discusses recent vasculitis classifications, including criteria from the American College of Rheumatology and Chapel Hill Consensus Conference. It highlights ANCA-related vasculitis, temporal arteritis, and other specific syndromes.
Area of Science:
- Rheumatology
- Immunology
- Internal Medicine
Context:
- Multiple classification systems for vasculitis have been developed over time.
- The American College of Rheumatology (ACR) established criteria in 1990.
- The 1994 Chapel Hill Consensus Conference proposed a nomenclature for systemic vasculitides based on artery size and antineutrophil cytoplasmic antibodies (ANCA).
Purpose:
- To review recent advancements in vasculitis classification.
- To discuss current research and diagnostic criteria for vasculitis syndromes in Japan.
- To provide an overview of specific vasculitic conditions including Takayasu arteritis, temporal arteritis, Wegener's granulomatosis, and Churg-Strauss syndrome.
Summary:
- This review examines evolving vasculitis classifications, referencing ACR criteria and the Chapel Hill Consensus Conference nomenclature.
- It details Japanese diagnostic criteria for vasculitis, including ANCA-related conditions, temporal arteritis, and antiphospholipid syndrome.
- Key vasculitides such as Takayasu arteritis, temporal arteritis, Wegener's granulomatosis, and Churg-Strauss syndrome are discussed.
Impact:
- Facilitates a clearer understanding of systemic vasculitides.
- Aids in the diagnosis and management of various vasculitis syndromes.
- Provides a foundation for ongoing research and clinical practice in rheumatology.
Abstract:
Many classifications of vasculitis syndrome have been proposed. The American College of Rheumatology (ACR) proposed criteria for classification of vasculitis in 1990. In 1994, the nomenclature of systemic vasculitides was proposed by Chapel Hill International Consensus Conference. In this conference, the nomenclature of systemic vasculitides was discussed and confirmed by the committee consisted of 16 investigators from 6 countries. The classification of systemic vasculitides was proposed in concern with the size of involved artery and also with the appearance of antineutrophil cytoplasmic antibodies (ANCA). In Japan, Research committee of intractable vasculitis syndrome, Survey and Research on Specific Diseases, the Ministry of Health and Welfare of Japan proposed diagnostic criteria for vasculitis syndrome. The criteria for ANCA related vasculitis syndrome, temporal arteritis and antiphospholipid syndrome were proposed and a nation-wide survey has been undertaken in this committee (Chairman: Hiroshi Hashimoto). In this review, we describe a recent classification of vasculitides and recent topics on Takayasu arteritis, temporal arteritis, Wegener's granulomatosis and Churg-Strauss syndrome.