4.2 Article

Treatment Strategies in ANCA-Associated Vasculitis

Journal

CURRENT RHEUMATOLOGY REPORTS
Volume 21, Issue 7, Pages -

Publisher

SPRINGER
DOI: 10.1007/s11926-019-0835-8

Keywords

Antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis; Remission induction; remission maintenance; Cyclophosphamide; Rituximab; Mycophenolate mofetil; Plasma exchange

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Purpose of ReviewThe long-term survival of patients with antineutrophil cytoplasmic antibody-associated vasculitis (AAV) has improved dramatically as a direct result of evolving therapy. This review summarizes evidence-based treatment strategies with currently approved immunosuppressive medications to serve as a guide for practitioners in the management of patients with AAV.Recent FindingsTargeted therapy aimed at minimizing treatment-related adverse effects while optimizing effectiveness is a propagated approach. Such tailored therapy considers disease severity and is especially warranted in those at high risk for relapsing vasculitis.SummaryAs treatment options for AAV become available, the need to tailor therapy has become increasingly relevant to optimize patient outcomes.

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