large and medium vessel vasculitis Flashcards
what are the large vessel vasculitis’?
GCA
takayasu’s
what are the medium vessel vasculitis’?
kawasaki’s
polyarteritis nodosa
what is GCA?
narrowing of temporal artery
who does GCA usually affect?
elderly females
how do patients with GCA present?
sudden onset blindness
jaw claudication
bad headache
what is the management of GCA?
corticosteroids
what is takayasu’s?
granulomatous thickening of aortic arch
who does takayasu’s usually affect?
young asian women
how do patients with takayasu’s present?
weak pulse
difference in BP between arms
what is the management of takayasu’s?
corticosteroids
what is kawasaki’s?
autoimmune attack of medium vessels (systemic)
who does kawasaki’s usually affect?
asian children
how do patients with kawasaki’s present?
strawberry tongue
rash
conjunctivitis
red soles
coronary arteritis > MI
what is the management of kawasaki’s?
IV immunoglobulin + aspirin
what is polyarteritis nodosa?
immune complex mediated vasculitis?
who does polyarteritis nodosa typically affect?
patients with Hepatitis B
how does polyarteritis nodosa typically present?
nerve damage
skin nodules
renal failure
what is the management of polyarteritis nodosa?
corticosteroids
cyclophosphamide