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Wegener's Granulomatosis: Sensitivity and Specificity

Introduction: An excellent summary article is available:

Wegener's Granulomatosis: Current Trends in Diagnosis and Management

PMID: 17483685

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Tags: Autoimmune Ear Nose and Throat Vasculitis Tag this Diagnosis.

Prevalence

Population / CalculatorPrevalence Comments / Study / Link
Sweden pediatric population 0% Study found incidence of WG in children and young adults in Sweden to be less than 1 in 2 million per year.

PMID 10752759

Stegmayr BG, Gothefors L, Malmer B, Müller Wiefel DE, Nilsson K, Sundelin B.

Wegener granulomatosis in children and young adults. A case study of ten

patients. Pediatr Nephrol. 2000 Mar;14(3):208-13. PubMed PMID: 10752759.

More, Edit...

The sensitivity and specificity of findings for Wegener's Granulomatosis are listed below. See the left navigation bar to change the display.

Pre-Test Probability (Prevalence): %. Post-Test Probability (Predictive Value): %. Switch to display mode.
**Note that calculating probabilities from more than one finding is inherently inaccurate because findings are not independent. (For example, using two positive findings that share a common pathogenesis is likely to overestimate the true probability.)
Sensitive and Specific Findings
FindingResult SensitivitySpecificity
[ + ] c-ANCA + 0 - 91%99%
[ + ] ACR Criteria + 0 - 88%92%
Specific Findings
FindingResult SensitivitySpecificity
[ + ] c-ANCA + 0 - 63%100%
[ + ] c-ANCA and anti-PR3 + 0 - 73%99%
[ + ] c-ANCA + 0 - 64%95%
[ + ] anti-MPO + 0 - 24%91%
[ + ] anti-PR3 + 0 - 66%87%
Poorly Diagnostic Findings
FindingResult SensitivitySpecificity
[ + ] p-ANCA + 0 - 21%81%
Findings With Unspecified Accuracy
FindingResult SensitivitySpecificity
[ + ] Sensorineural hearing loss (SNHL) No accuracy specified.
[ + ] Leukopenia No accuracy specified.
[ + ] Erythematous painful pinna No accuracy specified.