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10.1155/2018/3251517

http://scihub22266oqcxt.onion/10.1155/2018/3251517
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suck abstract from ncbi

pmid29854025
      Dis+Markers 2018 ; 2018 (?): 3251517
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  • Impact of Proteinase 3 versus Myeloperoxidase Positivity on Risk of End-Stage Renal Disease in ANCA-Associated Glomerulonephritis Stratified by Histological Classification: A Population-Based Cohort Study #MMPMID29854025
  • Solbakken V ; Fismen AS ; Bostad L ; Bjørneklett R
  • Dis Markers 2018[]; 2018 (?): 3251517 PMID29854025 show ga
  • BACKGROUND: End-stage renal disease (ESRD) risk in patients with antineutrophil cytoplasmic antibody- (ANCA-) associated glomerulonephritis (ANCA-GN) according to ANCA serotype and stratified by histological classification has not been previously investigated. METHODS: Patients from the Norwegian Kidney Biopsy Registry (NKBR) between 1991 and 2012 who had biopsy-verified pauci-immune glomerulonephritis and positive antineutrophil cytoplasmic antibody serology were included. Cases with ESRD during follow-up were identified in the Norwegian Renal Registry. ESRD-free survival with proteinase 3 (PR3) versus myeloperoxidase- (MPO-) ANCA positivity stratified into 4 histological classes was investigated. RESULTS: Three hundred fifty-eight patients, of whom 87 progressed to ESRD during follow-up, were included. Patients with PR3- as compared to MPO-ANCA were younger (58 versus 64 years, p = 0.001), had a higher percentage of males (62 versus 41%, p < 0.001), had a lower percentage with a sclerozing glomerulonephritis pattern (4 versus 16%, p < 0.001), and had a significantly higher cumulative ESRD-free survival (90 versus 80%, p = 0.007) at 1-year follow-up. No significant differences in cumulative ESRD-free survival with PR3- as compared to MPO-ANCA were observed by histological stratification. CONCLUSION: Advanced glomerular sclerosis is found more frequently in patients with MPO-ANCA, explaining the higher risk of ESRD. ANCA serotypes have no impact on prognosis of patients with similar histological findings.
  • |Adult [MESH]
  • |Aged [MESH]
  • |Antibodies, Antineutrophil Cytoplasmic/blood [MESH]
  • |Biomarkers/blood [MESH]
  • |Female [MESH]
  • |Glomerulonephritis/*blood/complications/pathology [MESH]
  • |Humans [MESH]
  • |Kidney Failure, Chronic/*blood/etiology/pathology [MESH]
  • |Male [MESH]
  • |Middle Aged [MESH]
  • |Myeloblastin/*blood [MESH]


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