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<datestamp>2018-01-08</datestamp>
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<publisher>HAL CCSD</publisher>
<title lang=en>Revisiting the systemic vasculitis in eosinophilic granulomatosis with polyangiitis (Churg-Strauss): A study of 157 patients by the Groupe d'Etudes et de Recherche sur les Maladies Orphelines Pulmonaires and the European Respiratory Society Taskforce on eosinophilic granulomatosis with polyangiitis (Churg-Strauss)</title>
<creator>Cottin, V.</creator>
<creator>Bel, E.</creator>
<creator>Bottero, P.</creator>
<creator>Dalhoff, K.</creator>
<creator>Humbert, M.</creator>
<creator>Lazor, R.</creator>
<creator>Sinico, R.A.</creator>
<creator>Sivasothy, P.</creator>
<creator>Wechsler, M.E.</creator>
<creator>Groh, M.</creator>
<creator>Marchand-Adam, S.</creator>
<creator>Khouatra, C.</creator>
<creator>Wallaert, B.</creator>
<creator>Taillé, C.</creator>
<creator>Delaval, P.</creator>
<creator>Cadranel, J.</creator>
<creator>Bonniaud, P.</creator>
<creator>Prévot, G.</creator>
<creator>Hirschi, S.</creator>
<creator>Gondouin, A.</creator>
<creator>Dunogué, B.</creator>
<creator>Chatté, G.</creator>
<creator>Briault, C.</creator>
<creator>Pagnoux, C.</creator>
<creator>Jayne, D.</creator>
<creator>Guillevin, L.</creator>
<creator>Cordier, J.-F.</creator>
<contributor>Centre de Référence des Maladies Pulmonaires Rares [bron] ; Hôpital Louis Pradel [Lyon]</contributor>
<contributor>Department of Pneumology [Lyon] ; Hospices Civils de Lyon</contributor>
<contributor>Academic Medical Center [Amsterdam] (AMC) ; University of Amsterdam [Amsterdam] (UvA)</contributor>
<contributor>Universität zu Lübeck [Lübeck]</contributor>
<contributor>AP-HP Hôpital Bicêtre (Le Kremlin-Bicêtre)</contributor>
<contributor>Université de Lausanne (UNIL)</contributor>
<contributor>Cambridge University Hospitals NHS Foundation Trust, Addenbrookes Hospital</contributor>
<contributor>University of Colorado Health Sciences Center and National Jewish Medical and Research Center</contributor>
<contributor>Pathologies Respiratoires : Protéolyse et Aérosolthérapie ; Université François Rabelais - Tours - Institut National de la Santé et de la Recherche Médicale (INSERM)</contributor>
<contributor>Service de Pneumologie et Immuno-Allergologie ; Centre Hospitalier Régional Universitaire [Lille] (CHRU Lille)</contributor>
<contributor>Service de Pneumologie [Bichat] ; Assistance publique - Hôpitaux de Paris (AP-HP) - Hôpital Bichat - Claude Bernard [Paris] - Université Paris Diderot - Paris 7 (UPD7) - Centre de Compétence pour les Maladies Pulmonaires Rares</contributor>
<contributor>Institut de recherche, santé, environnement et travail [Rennes] (Irset) ; Université d'Angers (UA) - Université des Antilles et de la Guyane (UAG) - Université de Rennes 1 (UR1) - École des Hautes Études en Santé Publique [EHESP] (EHESP) - Institut National de la Santé et de la Recherche Médicale (INSERM) - Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique )</contributor>
<contributor>Service de pneumologie et réanimation [CHU Tenon] ; Assistance publique - Hôpitaux de Paris (AP-HP) - CHU Tenon [APHP]</contributor>
<contributor>Theranoscan ; Université Pierre et Marie Curie - Paris 6 (UPMC)</contributor>
<contributor>Lipides - Nutrition - Cancer (U866) (LNC) ; Université de Bourgogne (UB) - Institut National de la Santé et de la Recherche Médicale (INSERM)</contributor>
<contributor>Service des maladies respiratoires [CHU de Dijon] ; Centre Hospitalier Universitaire de Dijon - Hôpital François Mitterrand (CHU Dijon)</contributor>
<contributor>Protéines de choc thermique : mort cellulaire, différenciation cellulaire et propriétés tumorigéniques (U866, Cancer, équipe 3) ; Lipides - Nutrition - Cancer (U866) (LNC) ; Université de Bourgogne (UB) - Institut National de la Santé et de la Recherche Médicale (INSERM) - Université de Bourgogne (UB) - Institut National de la Santé et de la Recherche Médicale (INSERM)</contributor>
<contributor>Université Claude Bernard Lyon 1 (UCBL)</contributor>
<contributor>Hôpital Louis-Pradel [Lyon] ; Université Claude Bernard Lyon 1 (UCBL) - Hospices Civils de Lyon - Hôpital Louis-Pradel</contributor>
<description>International audience</description>
<source>Autoimmunity Reviews</source>
<identifier>hal-01467544</identifier>
<identifier>https://hal-univ-rennes1.archives-ouvertes.fr/hal-01467544</identifier>
<source>https://hal-univ-rennes1.archives-ouvertes.fr/hal-01467544</source>
<source>Autoimmunity Reviews, 2017, 16 (1), pp.1--9. 〈10.1016/j.autrev.2016.09.018〉</source>
<identifier>DOI : 10.1016/j.autrev.2016.09.018</identifier>
<relation>info:eu-repo/semantics/altIdentifier/doi/10.1016/j.autrev.2016.09.018</relation>
<identifier>PUBMED : 27671089</identifier>
<relation>info:eu-repo/semantics/altIdentifier/pmid/27671089</relation>
<language>en</language>
<subject>[SDV.EE] Life Sciences [q-bio]/Ecology, environment</subject>
<type>info:eu-repo/semantics/article</type>
<type>Journal articles</type>
<description lang=en>Objective To guide nosology and classification of patients with eosinophilic granulomatosis with polyangiitis (EGPA) based on phenotype and presence or absence of ANCA. Methods Organ manifestations and ANCA status were retrospectively analyzed based on the presence or not of predefined definite vasculitis features or surrogates of vasculitis in patients asthma, eosinophilia, and at least one systemic organ manifestation attributable to systemic disease. Results The study population included 157 patients (mean age 49.4 ± 14.1), with a follow-up of 7.4 ± 6.4 years. Patients with ANCA (31%) more frequently had weight loss, myalgias, arthralgias, biopsy-proven vasculitis, glomerulonephritis on biopsy, hematuria, leukocytoclastic capillaritis and/or eosinophilic infiltration of arterial wall on biopsy, and other renal disease. A total of 41% of patients had definite vasculitis manifestations (37%) or strong surrogates of vasculitis (4%), of whom only 53% had ANCA. Mononeuritis multiplex was associated with systemic vasculitis (p = 0.005) and with the presence of ANCA (p < 0.001). Overall, 59% of patients had polyangiitis as defined by definite vasculitis, strong surrogate of vasculitis, mononeuritis multiplex, and/or ANCA with at least one systemic manifestation other than ENT or respiratory. Patients with polyangiitis had more systemic manifestations including arthralgias (p = 0.02) and renal disease (p = 0.024), had higher peripheral eosinophilia (p = 0.027), and a trend towards less myocarditis (p = 0.057). Using predefined criteria of vasculitis and surrogates of vasculitis, ANCA alone were found to be insufficient to categorise patients with vasculitis features. Conclusion We suggest a revised nomenclature and definition for EGPA and a new proposed entity referred to as hypereosinophilic asthma with systemic (non vasculitic) manifestations. © 2016 Elsevier B.V.</description>
<date>2017</date>
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