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Postgraduate Medical Journal 2007;83:87-94; doi:10.1136/pgmj.2006.046078
Copyright © 2007 The Fellowship of Postgraduate Medicine

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REVIEW

Cryoglobulinaemic vasculitis: classification and clinical and therapeutic aspects

Gerald S Braun 1, Sophia Horster 3, Katrin S Wagner 4, Stephan Ihrler 5, Holger Schmid 2

1 Division of Nephrology and Immunology, RWTH University, Aachen, Germany
2 Medical Policlinic, Ludwig-Maximilians-University, Munich, Germany
3 Department of Dermatology, Ludwig-Maximilians-University, Munich, Germany
4 Renal Unit, Department of Medicine II, Klinikum Rechts der Isar, Technical University, Munich, Germany
5 Department of Pathology, Ludwig-Maximilians-University, Munich, Germany

Correspondence to:
Correspondence to:
Dr Holger Schmid
Medizinische Poliklinik, Ludwig-Maximilians-Universität München, Pettenkoferstr 8a, 80336 Munich, Germany; holger.schmid{at}lrz.uni-muenchen.de

Cryoglobulinaemia may cause cutaneous vasculitis and glomerulonephritis, potentially leading to end stage renal failure. An important proportion of cryoglobulinaemias are secondary to hepatitis C virus infection. Emerging antiviral treatment options offer a chance for causal therapy of these cases of cryoglobulinaemia. This review summarises the classification and clinical and therapeutic aspects of cryoglobulinaemic vasculitis and glomerulonephritis.


Abbreviations: ANCA, antineutrophil cytoplasmic antibody; HBV, hepatitis B virus; HCV, hepatitis C virus; MPGN, membranoproliferative glomerulonephritis




eLetters:

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Current antiviral strategies in HCV related cryoglobulinaemic vasculitis
Francesco Iannuzzella
Postgrad Med J Online, 26 Jun 2007 [Full text]



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