Identifying relevant determinants of in-hospital time to diagnosis for ANCA-associated vasculitis patients.
Ebru DirikgilSander W TasCornelis A VerburghDarius SoonawalaA Elisabeth HakHilde H F RemmeltsDaphne IJpelaarGozewijn D LavermanAbraham RutgersJacob M van LaarHein J Bernelot MoensPeter M J VerhoevenTon J RabelinkWillem Jan W BosY K Onno TengPublished in: Rheumatology advances in practice (2022)
In The Netherlands, AAV is diagnosed and managed predominantly by internal medicine specialists. Diagnostic delay was associated with non-generalized disease and ENT involvement at presentation. Additionally, ENT biopsies had a low diagnostic yield, in contrast to kidney and lung biopsies. Awareness of this should lead to more frequent consideration of AAV and early referral for a multidisciplinary approach when AAV is suspected.