Microscopic Polyangiitis: Classification

Activity stages of ANCA-associated vasculitides (AAV).

Activity stage Definition
Localized stage Upper and/or lower respiratory tract without systemic manifestation, without B symptoms, not organ-threatening1
Early systemic stage All organ involvement possible, not life-threatening or organ-threatening2
Generalization stage Renal involvement (kidney involvement) or other organ-threatening manifestation, creatinine < 500 µmol/l (5.6 mg/dl)3
Severe, vital-threatening generalization stage. Renal involvement or other organ failure, creatinine > 500 µmol/l (5.6 mg/dl)3
Refractory stage Progressive disease, refractory to standard therapy.

Legend

  • 1ANCA often negative
  • 2ANCA negative or positive
  • 3ANCA almost always positive

B symptomatology

  • Unexplained, persistent or recurrent fever (> 38 °C).
  • Night sweats (wet hair, soaked sleepwear).
  • Unwanted weight loss (> 10% percent of body weight within 6 months).