Vasculitides

Question 1

granulomatous inflammation

Answer 1

temporal arterities
takayasu’s arteritis
Wegner’s
Churg Strauss

Question 2

histology of takayasu’s arteritis

Answer 2

granulomatous thickening of aortic arch

Question 3

epidemiology of takayasu

Answer 3

asian females under 40

Question 4

presentation takayasu

Answer 4

weak upper extremity pulses, fever, night sweats, arthritis, myalgias, ocular disturbances

Question 5

medium vessel vasculitides

Answer 5

polyarteritis nodosa
kawasaki
buerger’s disease

Question 6

polyarteritis nodosa associated with

Answer 6

hepatitis B

Question 7

presentation polyarteritis nodosa

Answer 7

fever, weight loss
abdominal pain, melena
hypertension, neuro
renal damage

Question 8

histology polyarteritis nodosa

Answer 8

transmural inflammation of arterial wall with fibrinoid necrosis. Beads on a spring. lesions of different ages

Question 9

treatment for kawasaki

Answer 9

IV IG

aspirin

Question 10

heavy smoker with claudication of fingers and toes, superficial nodular phlebitis and raynaud’s

Answer 10

berger’s disease

Question 11

p-ANCA positive

Answer 11

microscopic polyangiitis

Churg strauss

Question 12

presentation of microscopic polyangiitis

Answer 12

lung, kidneys, and skin
palpable purpura
pauci-immune GN

Question 13

histology of wegener’s

Answer 13

necrotizing granulomas

Question 14

presentation of churg strauss

Answer 14

asthma, sinusitis
wrist/foot drop
palpable purpura

Question 15

labs churg strauss

Answer 15

pANCA and elevated IgE

Question 16

how do you tell churg strauss from microscopic polyangiitis?

Answer 16

Churg strauss has granulomas and eosinophils

Question 17

Henoch Schonlein purpura associated with

Answer 17

IgA complex deposition

Question 18

pauci immune GN

Answer 18

churg strauss

microscopic polyangiitis