PMID- 31839271 OWN - NLM STAT- MEDLINE DCOM- 20201117 LR - 20201117 IS - 1768-3122 (Electronic) IS - 0248-8663 (Linking) VI - 41 IP - 1 DP - 2020 Jan TI - [ANCA and anti-MBG double-positive vasculitis: An update on the clinical and therapeutic specificities and comparison with the two eponymous vasculitis]. PG - 21-26 LID - S0248-8663(19)31114-2 [pii] LID - 10.1016/j.revmed.2019.10.334 [doi] AB - Double-positive vasculitis with anti-polynuclear cytoplasm (ANCA) and anti-glomerular basement membrane (GBM) antibodies is a rare entity of systemic vasculitis defined by the presence of ANCA and anti-GBM antibodies. The gradual accumulation of clinical and therapeutic data shows the usefulness of identifying and differentiating this entity from the two vasculitis respectively associated with the isolated presence of each of these two antibodies. Indeed, the double-positive ANCA and anti-GBM vasculitis appears to associate the characteristics of the demography and the extra-renal and pulmonary involvement of the ANCA-associated vasculitis on the one hand, and of the histological type and severe renal prognosis of the anti-MBG vasculitis on the other hand, with the renal involvement which is the only involvement consistently observed in double-positive vasculitis. The aim of this focus is to describe the epidemiological, clinico-biological, histological and prognostic characteristics of this entity, in light of recent literature and ongoing therapeutic changes in the two eponymous vasculitis. CI - Copyright (c) 2019 Societe Nationale Francaise de Medecine Interne (SNFMI). Published by Elsevier Masson SAS. All rights reserved. FAU - Philip, R AU - Philip R AD - Service de medecine interne et immunologie clinique, UNICAEN, Normandie Universite, CHU de Caen Normandie, 14000 Caen, France. FAU - Dumont, A AU - Dumont A AD - Service de medecine interne et immunologie clinique, UNICAEN, Normandie Universite, CHU de Caen Normandie, 14000 Caen, France. FAU - Le Mauff, B AU - Le Mauff B AD - Laboratoire d'Immunologie, UNICAEN, Normandie Universite, CHU de Caen Normandie, 14000 Caen, France. FAU - Martinet, M AU - Martinet M AD - Laboratoire d'Immunologie, UNICAEN, Normandie Universite, CHU de Caen Normandie, 14000 Caen, France. FAU - Martin Silva, N AU - Martin Silva N AD - Service de medecine interne et immunologie clinique, UNICAEN, Normandie Universite, CHU de Caen Normandie, 14000 Caen, France. FAU - de Boysson, H AU - de Boysson H AD - Service de medecine interne et immunologie clinique, UNICAEN, Normandie Universite, CHU de Caen Normandie, 14000 Caen, France. FAU - Lobbedez, T AU - Lobbedez T AD - Service de nephrologie, UNICAEN, Normandie Universite, CHU de Caen Normandie, 14000 Caen, France. FAU - Aouba, A AU - Aouba A AD - Service de medecine interne et immunologie clinique, UNICAEN, Normandie Universite, CHU de Caen Normandie, 14000 Caen, France. Electronic address: aouba-a@chu-caen.fr. FAU - Deshayes, S AU - Deshayes S AD - Service de medecine interne et immunologie clinique, UNICAEN, Normandie Universite, CHU de Caen Normandie, 14000 Caen, France. LA - fre PT - Journal Article PT - Review TT - Vascularites double-positives ANCA et anti-MBG : mise au point sur les specificites cliniques et therapeutiques et comparaison aux deux vascularites eponymes. DEP - 20191212 PL - France TA - Rev Med Interne JT - La Revue de medecine interne JID - 8101383 RN - 0 (Antibodies, Antineutrophil Cytoplasmic) RN - 0 (Autoantibodies) RN - 0 (Glucocorticoids) RN - 0 (Immunosuppressive Agents) RN - 0 (antiglomerular basement membrane antibody) SB - IM MH - Anti-Glomerular Basement Membrane Disease/*diagnosis/*therapy MH - Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis/*diagnosis/*therapy MH - Antibodies, Antineutrophil Cytoplasmic/*blood MH - Autoantibodies/*blood MH - Glucocorticoids/therapeutic use MH - Humans MH - Immunosuppressive Agents/therapeutic use MH - Plasma Exchange MH - Prognosis OTO - NOTNLM OT - ANCA-associated vasculitis OT - Anti-GBM vasculitis OT - Double-positive vasculitis OT - Goodpasture's syndrome OT - Syndrome de Goodpasture OT - Vascularites double-positives OT - Vascularites a ANCA OT - Vascularites a anticorps anti-MBG EDAT- 2019/12/17 06:00 MHDA- 2020/11/18 06:00 CRDT- 2019/12/17 06:00 PHST- 2019/03/09 00:00 [received] PHST- 2019/07/21 00:00 [revised] PHST- 2019/10/21 00:00 [accepted] PHST- 2019/12/17 06:00 [pubmed] PHST- 2020/11/18 06:00 [medline] PHST- 2019/12/17 06:00 [entrez] AID - S0248-8663(19)31114-2 [pii] AID - 10.1016/j.revmed.2019.10.334 [doi] PST - ppublish SO - Rev Med Interne. 2020 Jan;41(1):21-26. doi: 10.1016/j.revmed.2019.10.334. Epub 2019 Dec 12.