Rheumatology Advance Access originally published online on March 29, 2005
Rheumatology 2005 44(5):573-576; doi:10.1093/rheumatology/keh609
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© The Author 2005. Published by Oxford University Press on behalf of the British Society for Rheumatology. All rights reserved. For Permissions, please email: journals.permissions@oupjournals.org
EDITORIAL |
Translational research in autoimmunity: aims of therapy in vasculitis
Aims of Therapy/Series Editor: Lorraine Harper
Department of Rheumatology, Ipswich Hospital NHS Trust and School of Medicine, Health Policy and Practice, University of East Anglia, Norwich, 1 Department of Rheumatology, Norfolk and Norwich University Hospital NHS Trust and School of Medicine, Health Policy and Practice, University of East Anglia, Norwich, 2 Renal Section, Imperial College London, Hammersmith Hospitals NHS Trust, London, 3 Division of Immunity and Infection, Medical School, University of Birmingham, Birmingham and 4 Renal Medicine, Addenbrooke's Hospital, Cambridge, UK
Correspondence to: R. Watts, Department of Rheumatology, Ipswich Hospital NHS Trust, Heath Road, Ipswich IP4 5PD, UK. E-mail: Richard.watts@ipswichhospital.nhs.uk
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Despite significant advances in treatment, the systemic vasculitides remain something of an enigma as the aetiology remains obscure. Five years ago a meeting VasculitisAims of Therapy was held in Cambridge to discuss the then state of the art in the management of vasculitis [1]. Since then there have been major advances in their treatment with the completion of the first wave of European Vasculitis Study Group (EUVAS) series of trials (NORAM, CYCAZREM and MEPEX) (see Table 1 for a summary). The results of these trials now provide a firm evidence base for the first line treatment of most patients presenting with systemic vasculitis. A major triumph has been the transformation of these diseases from conditions with an appalling prognosis to chronic relapsing and remitting diseases [2, 3].
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In the first wave of EUVAS studies, The NORAM trial compared methotrexate (MTX)