2012 Revised International Chapel Hill Consensus Conference Nomenclature of Vasculitides

2012 Revised International Chapel Hill Consensus Conference Nomenclature of Vasculitides
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DOI:
10.1002/art.37715
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发表时间:
2013-01-01
影响因子:
--
通讯作者:
Watts, R. A.
Watts, R. A.
中科院分区:
其他
文献类型:
--
作者:
Jennette, J. C.;Falk, R. J.;Watts, R. A.

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血管炎的命名和分类几十年来一直是困难和有争议的。这对于血管炎的研究以及血管炎患者的临床护理都是有问题的。第一届(1994年)关于系统性血管炎命名的国际查佩尔山共识会议(CHCC)为最常见的血管炎形式提出了名称和定义。从那时起,我们对血管炎的理解和医学术语的变化有了实质性的进展。此外,CHCC 1994没有对一些相对常见的血管炎形式提出命名,如继发于其他疾病的血管炎。为解决这些问题,2012年举行了第二次国际查佩尔山共识会议。目的是适当改变名称和定义,并增加CHCC 1994中未包括的血管炎的重要类别。本概述总结了2012年CHCC,并指出了与1994年CHCC相比的变化。值得注意的变化包括引入新术语,如肉芽肿病伴多血管炎、嗜酸性肉芽肿病伴多血管炎和免疫球蛋白A血管炎,并纳入可变血管血管炎和继发性血管炎的类别。
The nomenclature and classification of vasculitis has been difficult and controversial for many decades. This is problematic both for research on vasculitis as well as clinical care of patients with vasculitis. The first (1994) International Chapel Hill Consensus Conference on the Nomenclature of Systemic Vasculitides (CHCC) proposed names and definitions for the most common forms of vasculitis. Since then, there have been substantial advances in our understanding of vasculitis and changes in medical terminology. In addition, CHCC 1994 did not propose a nomenclature for some relatively common forms of vasculitis, such as vasculitis secondary to other diseases. To address these issues, a second International Chapel Hill Consensus Conference was held in 2012. The goals were to change names and definitions as appropriate, and add important categories of vasculitis not included in CHCC 1994. This overview summarizes the 2012 CHCC and points out the changes compared to the 1994 CHCC. Notable changes include the introduction of new terms such as granulomatosis with polyangiitis, eosinophilic granulomatosis with polyangiitis and immunoglobulin A vasculitis and the inclusion of categories for variable vessel vasculitis and secondary forms of vasculitis.