PMID- 26611553 OWN - NLM STAT- MEDLINE DCOM- 20160912 LR - 20151127 IS - 1558-3163 (Electronic) IS - 0889-857X (Linking) VI - 42 IP - 1 DP - 2016 Feb TI - Corticosteroids in Antineutrophil Cytoplasmic Antibody-Associated Vasculitis. PG - 91-101, viii LID - S0889-857X(15)00074-5 [pii] LID - 10.1016/j.rdc.2015.08.010 [doi] AB - Glucocorticoids (GCs) have been the cornerstone of antineutrophil cytoplasmic antibody-associated vasculitis (AAV) therapy since their advent in the 1950s. There is considerable variation in their use, both with respect to dose and duration. Given considerable treatment-related morbidity and mortality, refining the role of GCs is becoming increasingly important. This article discusses the current role of GCs in various phases of AAV treatment, including remission induction, maintenance therapy, treatment of relapses, and the use of local GCs. It discusses current controversies relating to GC use as well as research efforts that seek to reduce GC toxicity in AAV. CI - Copyright (c) 2016 Elsevier Inc. All rights reserved. FAU - Keller, Sarah F AU - Keller SF AD - Department of Medicine, Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114, USA. FAU - Miloslavsky, Eli M AU - Miloslavsky EM AD - Division of Rheumatology, Department of Medicine, Yawkey Center for Outpatient Care, Massachusetts General Hospital, Harvard Medical School, Suite 2C, Boston, MA 02114, USA. Electronic address: emiloslavsky@mgh.harvard.edu. LA - eng PT - Journal Article PT - Review DEP - 20151024 PL - United States TA - Rheum Dis Clin North Am JT - Rheumatic diseases clinics of North America JID - 8708093 RN - 0 (Adrenal Cortex Hormones) RN - 0 (Glucocorticoids) SB - IM MH - Administration, Intravenous MH - Administration, Oral MH - Adrenal Cortex Hormones/therapeutic use MH - Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis/drug therapy MH - Glucocorticoids/*therapeutic use MH - Granulomatosis with Polyangiitis/*drug therapy MH - Humans MH - Maintenance Chemotherapy MH - Microscopic Polyangiitis/*drug therapy MH - Remission Induction MH - Severity of Illness Index OTO - NOTNLM OT - ANCA-associated vasculitis OT - Glucocorticoids OT - Granulomatosis with polyangiitis OT - Microscopic polyangiitis EDAT- 2015/11/28 06:00 MHDA- 2016/09/13 06:00 CRDT- 2015/11/28 06:00 PHST- 2015/11/28 06:00 [entrez] PHST- 2015/11/28 06:00 [pubmed] PHST- 2016/09/13 06:00 [medline] AID - S0889-857X(15)00074-5 [pii] AID - 10.1016/j.rdc.2015.08.010 [doi] PST - ppublish SO - Rheum Dis Clin North Am. 2016 Feb;42(1):91-101, viii. doi: 10.1016/j.rdc.2015.08.010. Epub 2015 Oct 24.