Vasculitis Flashcards
Name the Non-infectious Vasculitis’
Giant cell arteritis Takayasu Arteritis Polyarteritis Nodosa Kawasaki Disease Microscopic Polyangitis Wegener Granulomatosis Churg-Strauss syndrome Thromboangiitis Obliterans
Discuss Giant Cell Arteritis
- Affects large vessels
- Granulomatous inflammation
- ‘Patchy’ nodular intimal thickening w/ stenosis
How is Giant Cell arteritis diagnosed?
Biopsy
Discuss Takayasu Arteritis
- Affects Large vessels and Granulomatous inflammation
- Mostly Pulmonary Arteries
- Patient is younger than 50
Discuss Polyarteritis Nodosa
- Affects small to medium arteries
- No association with ANCA
- Transmural inflammation
- Lesions of different ages
Which vasculitis is associated with Hep B?
Polyartertiis Nodosa
Discuss Kawasaki Disease
- Acute febrile illness
- Autoantibodies to endothelial cells and smooth muscle
- Transmural inflammation
Symptoms of Kawasaki Disease
- Conjunctival and oral edema
2. Edema of hands and feet
Symptoms of Giant cell arteritis
Facial pain, ocular symptoms
Discuss Microscopic Polyangitis
- Small vessels (Capillaries)
- Fragmented neutrophils
- NO granulomatous inflammation
- All lesions are same age
What is associated with Microscopic Polyangitis?
MPO-ANCA
How do you treat Giant cell arteritis
Steriods
Discuss Wegner Granulomatosis
Granulomas of lung or upper airway
Vasculitis (small-medium vessels)
Glomerulonephritis
What is associated with Wegner Granulomatosis?
PR3-ANCA; Can be used as a marker for activity as well as diagnosis
Discuss Churg-Strauss Syndrome
Small vessel necrotizing vasculitis