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Microscopic polyangiitis
Microscopic polyangiitis (MPA) is a systemic necrotizing vasculitis that mainly affects small blood vessels. It can invade small arteries, arterioles, capillaries, and venules in organs such as the kidneys, skin, and lungs. It often manifests as necrotizing glomerulonephritis and pulmonary capillaritis. In 1948, Davson et al. first proposed that there was a subtype of polyarteritis nodosa characterized by segmental necrotizing glomerulonephritis, which was called microscopic polyarteritis. Because it mainly affects small blood vessels including veins, it is now often called microscopic polyangiitis. The 1990 American College of Rheumatology classification criteria for vasculitis did not list MPA separately, so most microscopic polyangiitis in the past was classified as polyarteritis nodosa (PAN), and very few were classified as Wegeners granulomatosis (WG). It is generally believed that microscopic polyangiitis is an independent systemic necrotizing vasculitis with little or no immune complex deposition, and necrotizing glomerulonephritis and pulmonary capillaritis are common. The 1993 Chapel Hill Conference defined microscopic polyangiitis as a necrotizing vasculitis that mainly affects small blood vessels (such as capillaries, venules or arterioles) without immune complex deposition. The difference between PAN and MPA is that the former lacks vasculitis of small blood vessels, including arterioles, capillaries and venules. Given that MPA, WG and CSS (Churg-Strauss syndrome) have similar characteristics of ANCA positivity and lack of immune complex deposition, they are often collectively referred to as ANCA-associated vasculitis.
  • Site of disease:

    Blood vessels kidney lungs
  • Infectious :

    Not contagious
  • Frequent population:

    All groups
  • Related symptoms:

    Fever Anorexia Fatigue Joint pain Weight loss
  • Concurrent disease:

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Manufacturer:

Amgen, Inc

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