Classification of systemic vasculitis: evolution from eponyms to modern criteria
- Authors: Bulanov N.M.1, Novikov P.I.1, Litvinova M.A.1, Moiseev S.V.1
-
Affiliations:
- Sechenov First Moscow State Medical University (Sechenov University)
- Issue: Vol 94, No 5 (2022)
- Pages: 704-708
- Section: History of medicine
- URL: https://journals.rcsi.science/0040-3660/article/view/108804
- DOI: https://doi.org/10.26442/00403660.2022.05.201503
- ID: 108804
Cite item
Full Text
Abstract
Systemic vasculitis is a manifold group of systemic autoimmune diseases characterized by the inflammation of the blood vessels. The first clinical cases of systemic vasculitis were described in the Middle Ages, and most of the currently recognised nosological forms were reported in the first half of the 20th century. The first attempt to create a united classification of vasculitis was performed by P. Zeek in 1952. In the following decades accumulation of the data on the etiology and pathogenesis of different vasculitis guided researchers from different countries in their attempts to improve classification. The main principles of classification were the size of the affected blood vessels, disease etiology and pathogenesis. In 1990 American College of Rheumatology (ACR) published classification criteria for seven forms of the systemic vasculitis, that gave a significant contribution to the conduction of large-scale studies in this field. However, the first international nomenclature of vasculitis was developed only in 1994 during the Consensus Conference in Chapel Hill. Revised and augmented version of this nomenclature was created in 2012 and is still valid. An important step in the development of the classification of vasculitis was a joint project of ACR and EULAR aimed to develop new diagnostic and classification criteria for vasculitis (DCVAS). The first result of this project are the new classification criteria for granulomatosis with polyangiitis, microscopic polyangiitis and eosinophilic granulomatosis with polyangiitis published in 2022. In general, the evolution of the classification of vasculitis occurs under the influence of the progress in the understanding of their etiology and pathogenesis.
Full Text
##article.viewOnOriginalSite##About the authors
Nikolay M. Bulanov
Sechenov First Moscow State Medical University (Sechenov University)
Author for correspondence.
Email: nmbulanov@gmail.com
ORCID iD: 0000-0002-3989-2590
доц. каф. внутренних, профессиональных болезней и ревматологии
Russian Federation, MoscowPavel I. Novikov
Sechenov First Moscow State Medical University (Sechenov University)
Email: nmbulanov@gmail.com
ORCID iD: 0000-0003-0148-5655
зав. ревматологическим отд-нием Клиники ревматологии, нефрологии и профпатологии им. Е.М. Тареева Университетской клинической больницы №3
Russian Federation, MoscowMariia A. Litvinova
Sechenov First Moscow State Medical University (Sechenov University)
Email: nmbulanov@gmail.com
ORCID iD: 0000-0002-3136-2755
аспирант каф. внутренних, профессиональных болезней и ревматологии
Russian Federation, MoscowSergey V. Moiseev
Sechenov First Moscow State Medical University (Sechenov University)
Email: nmbulanov@gmail.com
ORCID iD: 0000-0002-7232-4640
зав. каф. внутренних, профессиональных болезней и ревматологии, дир. Клиники ревматологии, нефрологии и профпатологии им. Е.М. Тареева Университетской клинической больницы №3
Russian Federation, MoscowReferences
- Семенкова Е.Н. Системные некротизирующие васкулиты. М.: Русский врач, 2001 [Semenkova EN. Sistemnye nekrotiziruiushchie vaskulity. Moscow: Russkii vrach, 2001 (in Russian)].
- Васкулиты и васкулопатии. Под ред. Е.Л. Насонова, А.А. Баранова, Н.П. Шилкиной. Ярославль: Верхняя Волга, 1999 [Vaskulity i vaskulopatii. Pod red. EL Nasonova, AA Baranova, NP Shilkinoi. Yaroslavl: Verkhniaia Volga, 1999 (in Russian)].
- Inflammatory diseases of blood vessels. Eds. GS Hoffman, CM Weyand, CA Langford, JJ Goronzy. 2nd ed. Wiley-Blackwell, 2012.
- Navon Elkan P, Pierce S, Segel R, et al. Mutant Adenosine Deaminase 2 in a Polyarteritis Nodosa Vasculopathy. New Engl J Med. 2014;370(10):921-31. doi: 10.1056/nejmoa1307362
- Тареев Е.М. К клинике узелкового периартериита. Русская клиника. 1926;28:157-68 [Tareev EM. About the clinical aspects of nodular periarteritis. Russkaya klinika. 1926;28:157-68 (in Russian)].
- Тареев Е.М. Коллагенозы. М.: Медицина, 1965 [Tareev EM. Kollagenozy. Moscow: Meditsina, 1965 (in Russian)].
- Семенкова ЕН. Системные васкулиты. М.: Медицина, 1988 [Semenkova EN. Sistemnye vaskulity. Moscow: Meditsina, 1988 (in Russian)].
- Насонова В.А. Геморрагический васкулит. Болезнь Шенлейна– Геноха. М.: Государственное издательство медицинской литературы, 1959 [Nasonova VA. Gemorragicheskii vaskulit. Bolezn' Shenleina–Genokha. Moscow: Gosudarstvennoe izdatel'stvo meditsinskoi literatury, 1959 (in Russian)].
- Zeek P. Periarteritis Nodosa: A Critical Review. Am J Clin Pathol. 1952;22(8):777-90.
- Alarcon-Segovia D, Brown AL. Classification and etiologic aspects of necrotizing angiitides: an analytic approach to a confused subject with a critical review of the evidence for hypersensitivity in polyarteritis nodosa. Mayo Clin Proc. 1964;39:205-22.
- Winkelmann R, Ditto W. Cutaneous and visceral syndromes of necrotizing or “allergic” angiitis. Medicine. 1964;43(1):59.
- deShazo R. The Spectrum of Systemic Vasculitis. Postgrad Med. 1975;58(4):78-82.
- Gilliam JN, Smiley JD. Cutaneous necrotizing vasculitis and related disorders. Ann Allergy. 1976;37(5):328-39.
- Fauci AS, Haynes B, Katz P. The spectrum of vasculitis: clinical, pathologic, immunologic and therapeutic considerations. Ann Intern Med. 1978;89(5 Pt. 1):660-76. doi: 10.7326/0003-4819-89-5-660
- Alarcón-Segovia D. Classification of the Necrotizing Vasculitides in Man. Clin Rheum Dis. 1980;6(2):223-31.
- McCluskey R, Fienberg R. Vasculitis in primary vasculitides, granulomatoses, and connective tissue diseases. Human Pathol. 1983;14(4):305-15.
- Churg J, Churg A. Idiopathic and secondary vasculitis: a review. Mod Pathol. 1989;2(2):144-60.
- Waldherr R, Eberlein-Gonska M, Noronha I. Histopathological differentiation of systemic necrotizing vasculitides. APMIS. 1990;98(S19):17-8.
- Lie JT. Classification and immunodiagnosis of vasculitis: a new solution or promises unfulfilled? J Rheumatol. 1988;15(5):728-32.
- Lie JT. Systemic and isolated vasculitis. A rational approach to classification and pathologic diagnosis. Pathol Annu. 1989;24(Pt. 1):25-114.
- Sundy J, Haynes B. Pathogenic mechanisms of vessel damage in vasculitis syndromes. Rheum Dis Clin North Am. 1995;21(4):861-81.
- Bloch D, Michel B, Hunder G, et al. The American College of Rheumatology 1990 criteria for the classification of vasculitis: Patients and methods. Arthritis Rheum. 2010;33(8):1068-73.
- Jennette J, Falk R, Andrassy K, et al. Nomenclature of Systemic Vasculitides. Arthritis Rheum. 1994;37(2):187-92.
- Jennette J, Falk R, Bacon P, et al. 2012 Revised International Chapel Hill Consensus Conference Nomenclature of Vasculitides. Arthritis Rheum. 2012;65(1):1-11. doi: 10.1002/art.37715
- Craven A, Robson J, Ponte C, et al. ACR/EULAR-endorsed study to develop Diagnostic and Classification Criteria for Vasculitis (DCVAS). Clin Exp Nephrol. 2013;17(5):619-21. doi: 10.1007/s10157-013-0854-0
- Diagnostic and Classification Criteria in Vasculitis. Available at: https://research.ndorms.ox.ac.uk/public/dcvas/dcvas-sites. Accessed: 20.02.2022.
- Robson J, Grayson P, Ponte C, et al. 2022 American College of Rheumatology/European Alliance of Associations for Rheumatology classification criteria for granulomatosis with polyangiitis. Ann Rheum Dis. 2022;81(3):315-20. doi: 10.1136/annrheumdis-2021-221795
- Suppiah R, Robson J, Grayson P, et al. 2022 American College of Rheumatology/European Alliance of Associations for Rheumatology classification criteria for microscopic polyangiitis. Ann Rheum Dis. 2022;81(3):321-6. doi: 10.1136/annrheumdis-2021-221796
- Grayson P, Ponte C, Suppiah R, et al. 2022 American College of Rheumatology/European Alliance of Associations for Rheumatology Classification Criteria for Eosinophilic Granulomatosis with Polyangiitis. Ann Rheum Dis. 2022;81(3):309-14. doi: 10.1136/annrheumdis-2021-221794
![](/img/style/loading.gif)