From: Clinical phenotypes and prognoses of microscopic polyangiitis based on kidney biopsies
All | Renal impairment type | Pure type | Systemic inflammation type | Rapid progress type | P | |
---|---|---|---|---|---|---|
Clinical characteristics | ||||||
Number, n (%) | 90 (100) | 35 (39) | 20 (22) | 23 (26) | 12 (13) | |
Female, n (%) | 57 (63) | 25 (71) | 18 (90) | 7 (30) | 7 (58) | 0.0004* |
Age, median (25th–75th) | 63 (58–68) | 63 (58–69) | 59 (45–66) | 65 (61–67) | 63 (60–68) | 0.0933 |
Symptoms to diagnosis interval, months, median (25th–75th) | 2 (1–6) | 2 (1–12) | 5 (1–12) | 1 (1–3) | 3 (1–4) | 0.1194 |
Symptoms, n (%) | ||||||
Fever | 25 (28) | 1 (3) | 2 (10) | 20 (87) | 2 (17) | < 0.0001* |
Weight loss | 3 (3) | 2 (6) | 0 (0) | 0 (0) | 1 (8) | 0.3871 |
Rash | 1 (1) | 1 (3) | 0 (0) | 0 (0) | 0 (0) | 0.6619 |
Arthritis | 9 (10) | 3 (9) | 4 (20) | 2 (9) | 0 (0) | 0.2984 |
Myalgia | 4 (4) | 0 (0) | 1 (5) | 3 (13) | 0 (0) | 0.102 |
Renal impairment at the onset | 44 (49) | 28 (80) | 4 (20) | 5 (22) | 7 (58) | < 0.0001* |
Repaid progression | 30 (33) | 10 (29) | 2 (10) | 7 (30) | 11 (92) | < 0.0001* |
Dialysis at diagnosis | 12 (13) | 1 (3) | 0 (0) | 1 (4) | 10 (83) | < 0.0001* |
Cardiovascular symptoms | 6 (7) | 4 (11) | 0 (0) | 0 (0) | 2 (17) | 0.0989 |
Digestive symptoms | 1 (1) | 1 (3) | 0 (0) | 0 (0) | 0 (0) | 0.6619 |
Nervous symptoms | 4 (4) | 1 (3) | 0 (0) | 3 (13) | 0 (0) | 0.1271 |
ENT involvement | 5 (6) | 2 (6) | 0 (0) | 3 (13) | 0 (0) | 0.2268 |
Renal biopsy, n (%) | 90 (100) | |||||
Focal | 11 (12) | 3 (9) | 3 (15) | 5 (22) | 0 (0) | 0.2415 |
Mixed | 31 (34) | 7 (20) | 13 (65) | 11 (48) | 0 (0) | 0.0002* |
Crescent | 28 (31) | 17 (49) | 1 (5) | 3 (13) | 7 (58) | 0.0003* |
Sclerotic | 20 (22) | 8 (23) | 3 (15) | 4 (17) | 5 (42) | 0.3147 |
Pulmonary involvement, n (%) | 61 (67) | 24 (69) | 3 (15) | 23 (100) | 11 (92) | |
Bronchiectasis | 16 (18) | 4 (11) | 1 (5) | 9 (39) | 2 (17) | 0.0156* |
UIP or NSIP | 42 (47) | 19 (54) | 2 (10) | 14 (61) | 7 (58) | 0.0027* |
Alveolar hemorrhage | 2 (2) | 0 (0) | 0 (0) | 0 (0) | 2 (17) | 0.004* |
Laboratory results, median (25th–75th) | ||||||
MPO-ANCA titers | 5 (3–6) | 5 (2–6) | 4 (3–5) | 5 (4–7) | 4 (3–7) | 0.1734 |
BVAS | 16 (12–18) | 16 (14–16) | 12 (10–13) | 18 (16–19) | 16 (13–20) | < 0.0001* |
Cr, μM | 197 (121–349) | 243 (184–308) | 103 (82–163) | 127 (109–277) | 588 (490–966) | < 0.0001* |
eGFR | 25 (12–50) | 21 (15–26) | 54 (29–77) | 50 (16–61) | 7 (5–9) | < 0.0001* |
Albumin, g/L | 34 (30–36) | 33 (30–38) | 35 (33–38) | 29 (27–35) | 35 (29–36) | 0.0364* |
CRP, mg/L | 18 (5–45) | 21 (9–36) | 3 (1–18) | 102 (17–130) | 12 (4–35) | < 0.0001* |
24 h urine protein, g/L | 1.5 (0.8–2.7) | 1.5 (0.9–2.4) | 1.9 (0.8–3.2) | 1.0 (0.8–1.5) | 3.1 (2.6–3.5) | 0.0008* |