Medicine · Rheumatology (SLE, RA, Vasculitis, Crystal Arthropathies, Scleroderma)

Regarding the Chapel Hill Consensus Classification of vasculitides, ANCA-associated vasculitis (AAV) includes which three conditions?

  • A Polyarteritis nodosa, GPA, and Takayasu arteritis
  • B Granulomatosis with polyangiitis (GPA), Eosinophilic GPA (EGPA), and Microscopic polyangiitis (MPA)
  • C GPA, MPA, and IgA vasculitis
  • D Cryoglobulinaemic vasculitis, EGPA, and GPA
Correct answer: B. Granulomatosis with polyangiitis (GPA), Eosinophilic GPA (EGPA), and Microscopic polyangiitis (MPA)

Explanation

Per the 2012 Revised International Chapel Hill Consensus Conference Nomenclature, ANCA-associated small vessel vasculitides comprise Granulomatosis with polyangiitis (formerly Wegener's), Eosinophilic GPA (formerly Churg-Strauss), and Microscopic polyangiitis. GPA is typically associated with PR3-ANCA (c-ANCA), MPA with MPO-ANCA (p-ANCA), and EGPA with MPO-ANCA (though it can be ANCA-negative). Polyarteritis nodosa is a medium-vessel vasculitis that is ANCA-negative.

Reference: Harrison's Principles of Internal Medicine, 21st ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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