Systemic Vasculitides - small/variable vessels Flashcards
Vasculitides are autoimmune diseases that involve?
Inflammation of blood vessels that leads to ischemia and organ dysfunction
Vasculitides are autoimmune diseases that involve?
Inflammation of blood vessels that leads to ischemia and organ dysfunction
What are 3 systemic vasculitides that affect SMALL blood vessels?
- IgA Vasculitis
- Goodpasture Syndrome
- Granulomatosis with Polyangiitis
What are 3 systemic vasculitides that affect SMALL vessels?
- IgA Vasculitis
- Goodpasture Syndrome
- Granulomatosis with Polyangiitis
IgA Vasculitis affects what age group?
Kids
What are the symptoms of IgA Vasculitis?
Palpable purpura
Arthritis
Abdominal pain and renal disease
What are the symptoms of IgA Vasculitis?
Palpable Purpura
Arthritis
Abdominal pain and renal disease
Symptoms of Goodpasture Syndrome?
Hematuria and Hemoptysis
Symptoms of Goodpasture Syndrome?
Hematuria and Hemoptysis
What is seen on biopsy with Goodpasture Syndrome?
Anti-basement membrane autoantibodies deposited
What is seen on biopsy with Goodpasture Syndrome?
Anti-basement membrane autoantibodies deposited
What is a treatment for Goodpasture Syndrome?
Plasmapheresis = remove antibodies
Granulomatosis with Polyangiitis affects males or females more often?
Males
General symptoms of Granulomatosis with Polyangiitis?
- Granulomatous inflammation
- Necrotizing vasculitis
- Glomerulonephritis
- Nasal and respiratory tract involvement
- Venous thrombotic events
General symptoms of Granulomatosis with Polyangiitis?
- Granulomatous inflammation
- Necrotizing vasculitis
- Glomerulonephritis
- Nasal and respiratory tract involvement
- Venous thrombotic events
Glomerulonephritis is seen with Granulomatosis with Polyangiitis. What will that present as?
Hematuria
What are the nasal signs of Granulomatosis with Polyangiitis?
Saddle nose, bleeding, etc.
What are the respiratory tract signs of Granulomatosis with Polyangiitis?
Cavitary lung lesions
What will be (+) with Granulomatosis with Polyangiitis?
(+) ANCA
What is seen on biopsy with Granulomatosis with Polyangiitis?
Granulomas
What are 2 Systemic Vasculitides that affect VARIABLE sized blood vessels?
- Eosinophilic Granulomatosis with Polyangiitis
2. Behcet Syndrome
What are 2 Systemic Vasculitides that affect VARIABLE sized blood vessels?
- Eosinophilic Granulomatosis with Polyangiitis
2. Behcet Syndrome
Symptoms/sign of Eosinophilic Granulomatosis with Polyangiitis?
Asthma and Eosinophilia
Symptoms/sign of Eosinophilic Granulomatosis with Polyangiitis?
Asthma and Eosinophilia
What will be (+) with Eosinophilic Granulomatosis with Polyangiitis?
(+) ANCA
What will be seen on biopsy with Eosinophilic Granulomatosis with Polyangiitis?
Granulomas and eosinophils
Behcet Syndrome small vessel triad?
- Recurrent mouth ulcers
- Genital ulcers
- Eye inflammation
Behcet Syndrome small vessel triad?
- Recurrent mouth ulcers
- Genital ulcers
- Eye inflammation
Behcet Syndrome causes what in large vessels?
Aneurysms
Behcet Syndrome causes what in large vessels?
Aneurysms
Behcet Syndrome causes what in veins?
DVT
What will arise at the site of sterile needle pricks with Behcet Syndrome?
Pustules
If pustules arise with Behcet Syndrome, what occurred at that site?
Sterile needle prick
What HLA is present with Behcet Syndrome?
HLA-B51
HLA-B51 is present with?
Behcet Syndrome
What is the treatment for all of these Systemic Vasculitides?
GLUCOCORTICOIDS