Churg-Strauss syndrome: outcome and long-term follow-up of 38 patients from a single Italian centre

Objective: This study was aimed at verifying any potential correlation between anti-myeloperoxidase antineutrophil cytoplasmic antibodies (ANCA-MPO) and clinical features and outcome indices in Churg-Strauss Syndrome (CSS). Methods: Thirhty-eight Churg-Strauss syndrome patients were selected from th...

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Main Authors: R. Neri (Author), M. Mosca (Author), A. d'Ascanio (Author), R. Talarico (Author), E. Catarsi (Author), S. Grossi (Author), A. Della Rossa (Author), C. Baldini (Author), A. Tavoni (Author), S. Bombardieri (Author)
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Published: PAGEPress Publications, 2011-06-01T00:00:00Z.
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042 |a dc 
100 1 0 |a R. Neri  |e author 
700 1 0 |a M. Mosca  |e author 
700 1 0 |a A. d'Ascanio  |e author 
700 1 0 |a R. Talarico  |e author 
700 1 0 |a E. Catarsi  |e author 
700 1 0 |a S. Grossi  |e author 
700 1 0 |a A. Della Rossa  |e author 
700 1 0 |a C. Baldini  |e author 
700 1 0 |a A. Tavoni  |e author 
700 1 0 |a S. Bombardieri  |e author 
245 0 0 |a Churg-Strauss syndrome: outcome and long-term follow-up of 38 patients from a single Italian centre 
260 |b PAGEPress Publications,   |c 2011-06-01T00:00:00Z. 
500 |a 10.4081/reumatismo.2009.118 
500 |a 0048-7449 
500 |a 2240-2683 
520 |a Objective: This study was aimed at verifying any potential correlation between anti-myeloperoxidase antineutrophil cytoplasmic antibodies (ANCA-MPO) and clinical features and outcome indices in Churg-Strauss Syndrome (CSS). Methods: Thirhty-eight Churg-Strauss syndrome patients were selected from the medical records of all vasculitis patients attending the Rheumatology and Immunology Unit at the Department of Internal Medicine of the University of Pisa in the decades between 1989 and 2008. Data were analysed retrospectively. Statistical analyses of the results were carried out using the Mann-Whitney test to determine the correlations between the clinical and serological parameters. Qualitative variables were compared using contingency table analysis and Fisher's exact test. Results: ANCA-MPO were detected in15/38 (39%) patients. Positive ANCA status was associated with peripheral neuropathy (p=0.0006), whereas negative ANCA status was associated with lung involvement (p=0.002). Relapses were strongly associated with positive ANCA status (p=0.01) and with an increase in- or a reappearence of ANCA-MPO levels (p=0.006). Finally, ANCA-MPO were significantly associated with neurological damage (p=0.003). Conclusions: The presence or absence of ANCA-MPO identify different clinical subsets in CSS. Overall, ANCA-MPO appears as a useful tool in the monitoring of CSS and in particular a good predictor of CSS relapses 
546 |a EN 
546 |a IT 
690 |a Medicine 
690 |a R 
690 |a Internal medicine 
690 |a RC31-1245 
655 7 |a article  |2 local 
786 0 |n Reumatismo, Vol 61, Iss 2, Pp 118-124 (2011) 
787 0 |n http://www.reumatismo.org/index.php/reuma/article/view/425 
787 0 |n https://doaj.org/toc/0048-7449 
787 0 |n https://doaj.org/toc/2240-2683 
856 4 1 |u https://doaj.org/article/d794327cea3d4ad99feb08f1c05e12b8  |z Connect to this object online.