[Vasculitis: New nomenclature of the Chapel Hill consensus conference 2012]

K Holl-Ulrich1

  • 1Konsultations- und Referenzzentrum für Vaskulitisdiagnostik, Institut für Pathologie, Universitätsklinikum Schleswig-Holstein, Campus Lübeck, Ratzeburger Allee 160, 23538, Lübeck, Deutschland, konstanze.holl-ulrich@uksh.de.

Insights

The 2012 Chapel Hill Consensus Conference nomenclature updates vasculitis classification, separating ANCA-associated vasculitis and replacing eponyms with systematic names for better clarity in understanding these inflammatory vessel diseases.

Area of Science:

  • Rheumatology
  • Immunology
  • Pathology

Context:

  • Vasculitis classification has evolved significantly.
  • Previous nomenclature lacked clarity on etiopathology and disease course.
  • The 2012 Chapel Hill Consensus Conference (CHCC) aimed to address these limitations.

Purpose:

  • To present the revisions in the 2012 CHCC nomenclature for vasculitis.
  • To summarize recent advances in understanding vasculitis etiopathology and disease courses.
  • To highlight the inclusion of clinically relevant but less common vasculitis types.

Summary:

  • The 2012 CHCC nomenclature distinguishes anti-neutrophil cytoplasmic antibody (ANCA)-associated vasculitis from immune complex small vessel vasculitis.
  • Eponyms like Wegener's granulomatosis are replaced by systematic names such as granulomatosis with polyangiitis.
  • The revised nomenclature incorporates updated knowledge on disease mechanisms and inflammation types, alongside vessel characteristics.

Impact:

  • Facilitates a more precise understanding of vasculitis subtypes and their underlying mechanisms.
  • Improves diagnostic accuracy and therapeutic strategies for vasculitis patients.
  • Provides a standardized framework for research and clinical practice in vasculitis.

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