WorksheetsVasculitis
Total questions: 9
Worksheet time: 5mins
Affected vessel: Large
Location: Temporal branch of carotid artery
Clues: headache in temporal region, Visual disturbances (amaurosis) and jaw pains.
Labs: ⬆ ERS and ⬆ CRP
Giant cell
Takayasu
Kawasaki
Churg strauss
Affected vessel: Large
Location: Arteries from aortic arch (branch points)
Clues: Weak pulse, neurological symptoms, and difficulty to raise the arms.
Labs: ⬆ ERS
Pathology:
Giant cell
Takayasu
Polyarteritis nodosa
Kawasaki
Affected vessel: Medium
Location: Coronary arteries serving heart
Clues: Boy <4 y/o, fever at least for 5 days, conjuctivitis, polymorphic exanthem, fingertip desquamation, lymphadenopathy, and edema in palm and soles.
Labs: ⬆ ERS and ⬆ CRP
Kawasaki
Giant cell
PAN
Takayasu
Affected vessel: Medium
Location: Skin, GI tract and Kidney.
Clues: Associated with HBV and HBsAg complexes, Hypertension, Chronic renal failure, rash, ulcerations and nodules, and polyneuropathy.
Labs: ⬆ ERS and (-) ANCA
PAN
Kawasaki
Granulomatosis with polyangitis
Churg strauss
Affected vessel: Medium
Location: Blood clots in small arteries of fingers and toes.
Clues: Young male, Polyphenols antibodies, inflammation and thrombosis of superficial veins, intermittent claudication, ischemia, gangrene, and Raynaud phenomenom.
Buerger disease
Polyarteritis nodosa
Kawasaki
Behcet
Affected vessel: Small
Location: Nasopharynx, lugs, kidneys.
Clues: chronic sinusitis, saddle nose deformity, ulcers, cavitations, hemoptysis, ⬇ urine and ⬆ BP.
Diagnosis: (+) PR3-ANCA
Granulomatous with polyangiitis
Churg strauss
Behcet
Affected vessel: Small
Location: Lungs, skin ,and kidneys.
Clues: Kidney inflammation, weight loss, skin lesions, nerve damage, palpable purpura nodule, necrosis, hemoptysis, pauci-immune glomerunephritis.
Diagnosis: (+) MPO-ANCA/pANCA
Granulomatosis with polyangiitis
Microscopic polyangiitis
Churg-Strauss
Behcet's
Affected vessel: Small
Location: Lungs, CNS, heart, and kidneys.
Clues: Sinusitis, lung damage, asthma, eosinophilia, skin nodules, allergic rhinitis,
Diagnosis: (+) MPO-ANCA/pANCA and ⬆ IgE
Churg-strauss
Microscopic polyangiitis
Behcet's
Granulomatosis with polyangiitis
Affected vessel: All vessels
Associated with HLA-B51.
Clues: Oral aphthous ulcers, genital ulcers, uveitis, skin papules, vision loss, headaches, disorientation and stroke. Swollen joints.
Behcet's
Kawasaki
Takayisu
