Table 1.
Final EULAR/PRINTO/PRES childhood GPA criteria.
Criteria | Description | Sensitivity (%) | Specificity (%) |
---|---|---|---|
A PATIENT IS SAID TO HAVE GPA WHEN THREE OF THE FOLLOWING SIX CRITERIA ARE PRESENT: | |||
Histopathology | Granulomatous inflammation within the wall of an artery or in the perivascular or extravascular area | 54 | 99.6 |
Upper airway involvement | Chronic purulent or bloody nasal discharge or recurrent epistaxis/crusts/ granulomata Nasal septum perforation or saddle nose deformity Chronic or recurrent sinus inflammation | 83 | 99 |
Laryngo-tracheo-bronchial involvement | Subglottic, tracheal, or bronchial stenosis | 22 | 99.8 |
Pulmonary involvement | Chest x-ray or CT showing the presence of nodules, cavities or fixed infiltrates | 78 | 92 |
ANCA | ANCA positivity by immunofluorescence or by ELISA (MPO/p or PR3/c ANCA) | 93 | 90 |
Renal | Proteinuria >0.3 g/24 h or >30 mmol/mg of urine albumin/creatinine ratio on a spot morning sample Hematuria or red blood cell casts: >5 red blood cells/high power field or red blood cells casts in the urinary sediment or ≥2+ on dipstick Necrotizing pauci-immune glomerulonephritis |
93.2 | 99.2 |