Remission in antineutrophil cytoplasmic antibody-associated systemic vasculitis.

The definition of remission in patients with systemic vasculitis must be distinguished from the term "cure," which implies that patients are well and not requiring ongoing therapy. Remission should be defined using a standardised approach to measuring clinical disease activity, and the def...

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मुख्य लेखकों: Mukhtyar, C, Hellmich, B, Jayne, D, Flossmann, O, Luqmani, R
स्वरूप: Journal article
भाषा:English
प्रकाशित: 2006
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author Mukhtyar, C
Hellmich, B
Jayne, D
Flossmann, O
Luqmani, R
author_facet Mukhtyar, C
Hellmich, B
Jayne, D
Flossmann, O
Luqmani, R
author_sort Mukhtyar, C
collection OXFORD
description The definition of remission in patients with systemic vasculitis must be distinguished from the term "cure," which implies that patients are well and not requiring ongoing therapy. Remission should be defined using a standardised approach to measuring clinical disease activity, and the definition should be qualified by the duration of the remission and the type of maintenance therapy required to sustain remission. Remission is an important goal of management in the systemic vasculitides and is achievable in most patients. Maintenance of remission is a more difficult target, and evidence from studies of patients with antineutrophil cytoplasmic antibody (ANCA)-associated systemic vasculitis indicates that durable, lasting remission is unlikely to occur. Despite good disease control, damage or scarring from disease or its treatment is a common finding and is a separate outcome from remission. Future studies of vasculitis therapies should address the concept of rapid and sustained disease control, so that patients spend most of their time in a state of good health, with minimal damage.
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spelling oxford-uuid:3dfbfda5-6213-4db4-a710-6e2a07b2fec32022-03-26T14:22:44ZRemission in antineutrophil cytoplasmic antibody-associated systemic vasculitis.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:3dfbfda5-6213-4db4-a710-6e2a07b2fec3EnglishSymplectic Elements at Oxford2006Mukhtyar, CHellmich, BJayne, DFlossmann, OLuqmani, RThe definition of remission in patients with systemic vasculitis must be distinguished from the term "cure," which implies that patients are well and not requiring ongoing therapy. Remission should be defined using a standardised approach to measuring clinical disease activity, and the definition should be qualified by the duration of the remission and the type of maintenance therapy required to sustain remission. Remission is an important goal of management in the systemic vasculitides and is achievable in most patients. Maintenance of remission is a more difficult target, and evidence from studies of patients with antineutrophil cytoplasmic antibody (ANCA)-associated systemic vasculitis indicates that durable, lasting remission is unlikely to occur. Despite good disease control, damage or scarring from disease or its treatment is a common finding and is a separate outcome from remission. Future studies of vasculitis therapies should address the concept of rapid and sustained disease control, so that patients spend most of their time in a state of good health, with minimal damage.
spellingShingle Mukhtyar, C
Hellmich, B
Jayne, D
Flossmann, O
Luqmani, R
Remission in antineutrophil cytoplasmic antibody-associated systemic vasculitis.
title Remission in antineutrophil cytoplasmic antibody-associated systemic vasculitis.
title_full Remission in antineutrophil cytoplasmic antibody-associated systemic vasculitis.
title_fullStr Remission in antineutrophil cytoplasmic antibody-associated systemic vasculitis.
title_full_unstemmed Remission in antineutrophil cytoplasmic antibody-associated systemic vasculitis.
title_short Remission in antineutrophil cytoplasmic antibody-associated systemic vasculitis.
title_sort remission in antineutrophil cytoplasmic antibody associated systemic vasculitis
work_keys_str_mv AT mukhtyarc remissioninantineutrophilcytoplasmicantibodyassociatedsystemicvasculitis
AT hellmichb remissioninantineutrophilcytoplasmicantibodyassociatedsystemicvasculitis
AT jayned remissioninantineutrophilcytoplasmicantibodyassociatedsystemicvasculitis
AT flossmanno remissioninantineutrophilcytoplasmicantibodyassociatedsystemicvasculitis
AT luqmanir remissioninantineutrophilcytoplasmicantibodyassociatedsystemicvasculitis