Are there certain subsets of ANCA vasculitis patients for whom you would consider life long maintenance therapy?
Answer from: at Academic Institution
Overall the field is moving towards longer, and sometimes indefinite maintenance therapy. This is because multiple studies have demonstrated that relapse risk increases when maintenance therapy is stopped. I consider indefinite maintenance therapy for the following patients:
1. Frequent relapsers -...
The question of whether to provide “lifelong” therapy for some patients with ANCA-associated vasculitis (AAV) addresses what I call a “happy problem” because it arises as a result of both the much higher rate of survival now for patients with AAV compared to only 20 years ago...