Abstract
Granulomatosis with polyangiitis (GPA) is a potentially life-threatening, rare disease. The etiology is unknown. GPA is histomorphologically characterized by extravascular necrotizing granulomatous inflammation and a systemic necrotizing vasculitis of small to medium-sized vessels. Clinically, a pulmonary-renal syndrome with pulmonary infiltrates, alveolar hemorrhage and a rapidly progressive glomerulonephritis is seen in about 80% of the cases with generalized disease. GPA is associated with proteinase 3-specific anti-neutrophil cytoplasmic autoantibodies (PR3-ANCA). Treatment is guided by severity of organ involvement and disease activity. Cytostatic immunosuppressants or the monoclonal anti-CD20 antibody rituximab are applied.
Translated title of the contribution | Granulomatosis with polyangiitis |
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Original language | German |
Journal | Deutsche Medizinische Wochenschrift |
Volume | 142 |
Issue number | 1 |
Pages (from-to) | 24-31 |
Number of pages | 8 |
ISSN | 0012-0472 |
DOIs | |
Publication status | Published - 05.01.2017 |
Research Areas and Centers
- Academic Focus: Center for Infection and Inflammation Research (ZIEL)