Vasculitis and CTD Flashcards
3 large vessel vasculitis types
Giant cell
Polymyalgia rheumatica
Takayasu arteritis
2 medium vessel vasculitis types
polyarteritis nodosa
kawasaki disease
3 small vessel vasculitis types
EGWP
GWP
Microscopic polyangitis
4 general symptoms of vasculitis
Fatigue
Anorexia
Weight loss
Fever
2 neurological conditions causes by vasculitis
neuropathy
stroke
which small vessel vasculitis is associated with c-ANCA?
granulomatosis with polyangiitis.
c-ANCA AB target what?
PR3 in cytoplasm
which small vessel vasculitis associated with p-ANCA?
Eosinophilic granulomatosis with polyangiitis and microscopic polyangitis
3 characteristics of EGWP
Asthma
Eosinophilia
Multiorgan involvement
Treatment of small vessel vasculitis to lead to remission
IV cyclophosphamide/ rituximab and glucocorticoid
what should be added if vital organ / life threatening?
plasma exchange
maintenance therapy for small vessel vasculitis?
Methotrexate / azathioprine / rituximab
& taper GC
4 things
to check before starting high dose steroid
gastro protection
bone protection
screen for diabetes
monitor BP / weight
3 characteristics of anti-phospholipid syndrome
Recurrent vascular thrombosis
Fetal loss
Thrombocytopenia
APS can be secondary to?
SLE
2 main AB in APS?
Lupus anticoagulant
Anticardiolipin
3 drugs that can induce SLE?
Minocycline, oral contraceptive and hydralazine
SLE - autoantibody production against..?
nuclear material
SLE type of arthritis..?
non erosive
4 dermatological features of SLE
photosensitivity
butterfly rash
hair loss
mucosal ulceration
Non infective endocarditis in SLE
Libman-sacks endocarditis
3 CV manifestations of SLE
Pericarditis
Myocarditis
Raynaud phenomenon
3 pulmonary manifestations of SLE
Pleurisy
Pleural effusions
Pneumonitis
Commonest cause of lupus related death
Glomerulonephritis
4 haematological manifestations of SLE
lymphopenia
neutropenia
anaemia
antiphosphalipid syndrome
Main serological test for SLE
ANA
SLE and sjrogens syndrome AB
Anti Ro and La
treatment of mild SLE
NSAIDS / hydroxychloroquinine
treatment of moderate SLE
corticosteroids / azathiprine / methotrexate
treatment of severe SLE
Corticosteroids + cyclphosphamide / tacrolimus
which AB can cross the placenta in pregancy?
Anti Ro and La
First line for Raynaud’s syndrome
Nifedipine
Libman-sacks is ?
endocarditis in the mitral valve - non infective in those with SLE