Check whether added everything (+ whatever she added)D
Add from Crash and all
can hear bruit but no pulse over extremtiies
temperal arteritis (most common), but other artieries of carotid
optic arteritis and blindness
> small lumen, lymphocitis infiltration
MEDIUM vessel
can present with coronary ischemia
prophylactic treatment
coronary, rena, mesenteric angiography
we do not biopsy renal because renal aneurysm
Wegener was a nazi
orbital pseudotumor formation
biopsy of lung, kidney, nasal mucosa
saddle nose deformity ⇒ what other causes?
strawberry gums
wrist drop, foot drop also a feature of other vasculitis
nerve biopsy - vasa vervosa eosinophil infiltration
RENO-pulmonary symdromes = the three above vasculitis
ULNAR Mononeuropathy - dorsal guttering
crescentic glomerulities
RASH involving legs and buttocks
chronic urticarial lesions with pain or burning sensation
if both kidneys and lungs affected then goodpasture syndrome
pulmonary haemorrhages
tips of fingers, toes, ear lobes etc
associated with cold weather
cryoglobulins at 4 degrees celsius
SPEP associated with multiple myeloma
RF but not proper RA
cryoglobulin precipitate at four degrees in plasma na dblood picture etc
anemia due to bleeding ot chronic disease
HEP B = Poyarteritis nodusa
Hep C = cryoglobinuria
nasal biopsy in wegener;s
nerve - sural?
2d echo in kawasaki
treat the secondary cause either mimics or actual cause
pre-steroid era so many deaths
steroid sparing for long terms, disease modifying drugs by preference of nephrologist
ANCA associate - plasma exhange, IV immunglobic for kawasaki for coronary involvemenr
biologics in the pipeline
