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Prevalence of myeloperoxidase-anti-neutrophil cytoplasmic antibody (MPO-ANCA) in patients with interstitial pneumonia

  • Akira Shiraki
  • , Morihide Ando
  • , Joe Shindoh
  • , Takashi Abe
  • , Keiko Wakahara
  • , Yasushi Makino
  • , Toshiaki Asano
  • , Harunori Nakashima
  • , Tetsunari Hase
  • , Kikuo Shigemitsu
  • , Michiaki Horiba
  • , Kaoru Shimokata

Research output: Contribution to journalArticlepeer-review

Abstract

Myeloperoxidase-anti-neutrophil cytoplasmic antibody (MPO-ANCA) is an autoantibody that is frequently found in patients with vasculitides. We encountered some MPO-ANCA positive patients with interstitial pneumonia who lacked vasculitides, but its meaning remains unclear. We measured MPO-ANCA titers in 69 patients with interstitial pneumonia (IP) who did not have collagen vascular diseases and observed their outcome. MPO-ANCA was positive in 5 patients and its prevalence was 7.2%. Patients with MPO-ANCA positive showed higher positivity in rheumatoid factor (RF) than patients with MPO-ANCA negative. The sensitivity and specificity of a combination of anti-nuclear antibody-negative and RF-positive were 80.0% and 87.7%, respectively. Two patients were accompanied by microscopic polyangiitis and the 3-year survival rate was 40% in all patients with MPO-ANCA. Measurement of MPO-ANCA titers in patients with IPs is meaningful for determining therapeutic strategy.

Original languageEnglish
Pages (from-to)921-926
Number of pages6
JournalNihon Kokyuki Gakkai zasshi = the journal of the Japanese Respiratory Society
Volume45
Issue number12
Publication statusPublished - 12-2007
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • General Medicine

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