Vasculitis Flashcards
1
Q
Systemic Sx
A
Fever
Malaise
Weight loss
Arthralgia / myalgia
2
Q
Skin Sx
A
Purpura
Ulcers
Lived reticularis - pink / blue mottling
Nail bed infarct
3
Q
Eye Sx
A
Scleritis
Episcleritis
Visual loss
4
Q
ENT Sx
A
Epistaxis Sinusiitis Nasal crusting Stridor Deaf
5
Q
Cardiac Sx
A
Angina
MI
HF
Pericarditis
6
Q
Resp Sx
A
Haemoptysis
Dyspnoea
Pulmonary haemorrhage
Fibrosis
7
Q
GI Sx
A
Pain
Perforation
Malabsorption
8
Q
Renal Sx
A
Hypertension Haematuria Proteinuria Renal casts Failure GN ANCA +ve
9
Q
Neuro Sx
A
Stroke Seizure Chorea Psychosis Confusion Impaired cognition Altered mood CN palsy
10
Q
GUI Sx
A
Orchitis
11
Q
Small vessel vasculitis
A
HSP - see paeds
Granulomatis polyangiitis / macroscopic
Microscopic polyangitiis
Eosinophilic (Churg Strauss)
12
Q
Medium vessel vasculitis
A
Polyarteritis nodosa
Kawasaki - see pads
13
Q
Large vessel
A
GCA - see ophthalmology
Takayasu - see cardio
14
Q
Variable vessel
A
Bechet’s
15
Q
How does granulomatous vessel present and what Ab
A
C-ANCA +Ve with Ab against proteinase 3 Necrotising granulomatous URTI - epistaxis / sinusitis / deaf / pharyngitis = common Nasal deformity common Very rare without nasal Sx LRTI - cough / SOB / haemoptysis GN common - Focal necrotising with crescents Other features - Scleritis - Pericarditis - Fever - Weight loss - Rash Higher risk of AKI if colonised with staph
