Systemic Vasculitides - small/variable vessels Flashcards

1
Q

Vasculitides are autoimmune diseases that involve?

A

Inflammation of blood vessels that leads to ischemia and organ dysfunction

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2
Q

Vasculitides are autoimmune diseases that involve?

A

Inflammation of blood vessels that leads to ischemia and organ dysfunction

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3
Q

What are 3 systemic vasculitides that affect SMALL blood vessels?

A
  1. IgA Vasculitis
  2. Goodpasture Syndrome
  3. Granulomatosis with Polyangiitis
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4
Q

What are 3 systemic vasculitides that affect SMALL vessels?

A
  1. IgA Vasculitis
  2. Goodpasture Syndrome
  3. Granulomatosis with Polyangiitis
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5
Q

IgA Vasculitis affects what age group?

A

Kids

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6
Q

What are the symptoms of IgA Vasculitis?

A

Palpable purpura
Arthritis
Abdominal pain and renal disease

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7
Q

What are the symptoms of IgA Vasculitis?

A

Palpable Purpura
Arthritis
Abdominal pain and renal disease

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8
Q

Symptoms of Goodpasture Syndrome?

A

Hematuria and Hemoptysis

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9
Q

Symptoms of Goodpasture Syndrome?

A

Hematuria and Hemoptysis

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10
Q

What is seen on biopsy with Goodpasture Syndrome?

A

Anti-basement membrane autoantibodies deposited

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11
Q

What is seen on biopsy with Goodpasture Syndrome?

A

Anti-basement membrane autoantibodies deposited

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12
Q

What is a treatment for Goodpasture Syndrome?

A

Plasmapheresis = remove antibodies

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13
Q

Granulomatosis with Polyangiitis affects males or females more often?

A

Males

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14
Q

General symptoms of Granulomatosis with Polyangiitis?

A
  • Granulomatous inflammation
  • Necrotizing vasculitis
  • Glomerulonephritis
  • Nasal and respiratory tract involvement
  • Venous thrombotic events
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15
Q

General symptoms of Granulomatosis with Polyangiitis?

A
  • Granulomatous inflammation
  • Necrotizing vasculitis
  • Glomerulonephritis
  • Nasal and respiratory tract involvement
  • Venous thrombotic events
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16
Q

Glomerulonephritis is seen with Granulomatosis with Polyangiitis. What will that present as?

17
Q

What are the nasal signs of Granulomatosis with Polyangiitis?

A

Saddle nose, bleeding, etc.

18
Q

What are the respiratory tract signs of Granulomatosis with Polyangiitis?

A

Cavitary lung lesions

19
Q

What will be (+) with Granulomatosis with Polyangiitis?

20
Q

What is seen on biopsy with Granulomatosis with Polyangiitis?

A

Granulomas

21
Q

What are 2 Systemic Vasculitides that affect VARIABLE sized blood vessels?

A
  1. Eosinophilic Granulomatosis with Polyangiitis

2. Behcet Syndrome

22
Q

What are 2 Systemic Vasculitides that affect VARIABLE sized blood vessels?

A
  1. Eosinophilic Granulomatosis with Polyangiitis

2. Behcet Syndrome

23
Q

Symptoms/sign of Eosinophilic Granulomatosis with Polyangiitis?

A

Asthma and Eosinophilia

24
Q

Symptoms/sign of Eosinophilic Granulomatosis with Polyangiitis?

A

Asthma and Eosinophilia

25
What will be (+) with Eosinophilic Granulomatosis with Polyangiitis?
(+) ANCA
26
What will be seen on biopsy with Eosinophilic Granulomatosis with Polyangiitis?
Granulomas and eosinophils
27
Behcet Syndrome small vessel triad?
1. Recurrent mouth ulcers 2. Genital ulcers 3. Eye inflammation
28
Behcet Syndrome small vessel triad?
1. Recurrent mouth ulcers 2. Genital ulcers 3. Eye inflammation
29
Behcet Syndrome causes what in large vessels?
Aneurysms
30
Behcet Syndrome causes what in large vessels?
Aneurysms
31
Behcet Syndrome causes what in veins?
DVT
32
What will arise at the site of sterile needle pricks with Behcet Syndrome?
Pustules
33
If pustules arise with Behcet Syndrome, what occurred at that site?
Sterile needle prick
34
What HLA is present with Behcet Syndrome?
HLA-B51
35
HLA-B51 is present with?
Behcet Syndrome
36
What is the treatment for all of these Systemic Vasculitides?
GLUCOCORTICOIDS