Vasculitis Flashcards
what are the constitutional symptoms of vasculitis?
weight loss and fever
what is sign of small vessel inflamm in kidneys?
active urinary sediment
what is sign of small vessel inflamm in lungs?
hemoptysis
what is sign of small vessel inflamm in skin?
petichiae purpura and hemorrhage
what are the three ANCA vasculitis?
GPA
eosinophilic granulomatosis with polyangitis
Micrscopic polyangitis
what systemic disease has vasculitis associated with it?
RA and SLE
what are the two non ANCA small vessel vasculitis?
IgA and ryoglobulinemic vasculitis
what is the medium vessel vasculitis?
polyarteritis nodosa
what are the two large vessel vasculitis
giant cell and takayasy
what are CNS signs of vasculitis?
stroke, wrist/foot drop
what is the target of c ANCA?
PR3
what vasculitis is c ANCA positive?
granulomatosis with polyangitis
what is pANCA target?
MPO
what vasculitis are associates with p ANCA?
microscopic polyangitis
what is another name for GPA?
wegeners
what is another name for eosinophilic granulomatosis with polyangitis?
churgg strauss
what does GPA effect?
upper and lower respiratory tract and kidneys
what is patho finding of GPA?
graulomatous inflammation of small vessels with extravascular granulomatous inflamaation and necrosis
what is GPA associated with?
cANCA
what is kidney finding in GPA?
pauci immune glomerulonephritis
what occurs in prodromal phase of EGPA?
rhinitis asthma and polyposis
what occurs in the secondary phase of EGPA?
eosinophilia develops
what can the eosinophilia cause in EGPA?
pulmonary pneumonia and gastroenteritis and myocarditis
what is the hallmark of EGPA?
asthma
does EGPA affect the kidneys?
nah not really
what is seen on histo in EGPA?
eosinophilic necrotizing granuloma
what ANCA is associated with EGPA?
p ANCA
is MPA granulomatous?
NO
what is most common vasculitis that causes a pulmonary renal syndrome?
MPA
what is MPA positive for?
pANCA
what two things does GPA have that MPA does not?
upper airway lesions and granulomas
what is rx of ANCA vasculitis?
high dose steroids
what is most common vasculitis in kids?
IgA vasculitis
what precedes IgA vasculitis?
usually URI
what are the three main signs of IgA vasculitis?
purpura
arthralgia
kidney disease
what is pathologic finding on histo for IgA vasculitis?
leukocytoclastic vasculitis with deposition of IgA in walls of blood vessels
type 1 cryoglobulin is what?
single monoclonal immunoglobulin
what is Ig type in type cryoglobulin?
usually IgM
type 2 cryoglobulin is what?
monoclonal Ig that acts against polyclonal Ig
type 3 cryoglobulin is what?
polyclonal Ig that acta against polyclonal Ig
what are cryoglobulinemic vasculitis often positive for?
rheumatoid factor
C4 is low in what vasculitis?
cryoglobulin
what is most common cause of cyroglobulinemic vasculitis?
hep C
what does cryoglobulinemic vasculitis always involve?
SKIN
what is mainstay of rx for cryoglobulinemic vascultiis?
steroid high dose
what do you do if organ threatening situation with cryoglobulinemic vasculitis?
plasma exchange
what is onset of polyarteritis nodosa?
insidious with onset of fever malaise weight loss
what is common early finding of polyarteritis nodosa that tips you of?
arthralgia and myalgia
what is PAN associated with in GI
mesenteric ischemia
does PAN affect the lung?
NO
what infection is PAN associated with sometimes?
HEp b
where does fibromyalgia rheumatica affect
hips and shoulders
what predates giant cell arteritis?
fibromyalgia rheumatica
what does takayasu arteritis affect?
aorta and its branches
what is rx for takayasu and giant cell arteritis?
high dose steroids
name the four drugs that are common causes of ANCA vasculitis
cocaine
minocycline
propythiouracil
hydralazine
what infection can lead to cryoglobulinemic vasculitis?
Hep C