Presentation
Didona Unusual clinical presentations of vasculitis : What some clinical aspects can .... [docpile.net]
Among them, CV was present in 44/61 (72,1%; 14 also with pSS), and pSS in 17/61 (27,9%; and 14/17 had CV). [rheuma-schweiz.ch]
Rose’s original investigations on the autoimmune basis of thyroid disease in 1956 opened the present era of research on autoimmunity. He has since investigated many areas of autoimmunity and related issues in clinical and basic immunology. Dr. [books.google.de]
"— Presentation transcript: 1 2 Bronchiolitis Obliterans with Organizing Pneu- monia (BOOP). [slideplayer.com]
Hematological
- Hemophilia A
Deafness Sensorineural C0018784 ATRIAL SEPTAL DEFECT C0018817 HEAT EXHAUSTION C0018839 HEAT STROKE C0018843 SUBDURAL HEMATOMA C0018946 HEMOBILIA C0018994 HEMOCHROMATOSIS C0018995 Hemoglobin Ss C0019035 RENAL THROMBOTIC THROMBOCYTOPENIC PURPURA C0019061 HEMOPHILIA [medical-language-international.com]
Girl - 46 chromosomes, Father - 45 chromosomes, Mother - 46 chromosomes, Risk -100% (only chromosome 21 that father has is the fused one with 2 copies) A girl with normal parents has hemophilia B (an X-linked recessive disorder). [quizlet.com]
Entire Body System
- Rapidly Progressive Glomerulonephritis
Published on Apr 19, 2017 RAPIDLY PROGRESSIVE GLOMERULONEPHRITIS(RPGN) RAPIDLY PROGRESSIVE GLOMERULONEPHRITIS(RPGN) 1. (RPGN) * Dr Manjunath Anvekar KVG Medical college. [slideshare.net]
Keywords Systemic Lupus Erythematosus Glomerular Basement Membrane Rapidly Progressive Glomerulonephritis Immunoglobulin Deposit Immune Complex Glomerulonephritis These keywords were added by machine and not by the authors. [link.springer.com]
- Pallor
[…] staining indicates the presence of anti-dsDNA antibodies Diagnostic Criteria for SLE ANA, butterfly rash, migratory arthralgia, proteinuria, hematuria, casts, Raynaud's phenomenon, thrombocytopenia, circulating immune complexes, pleuritis, pericarditis Pallor [quizlet.com]
- Limb Pain
Clodoveo Ferri abstract Background Phantom limb pain [PLP] may complicate limb amputation. [personale.unimore.it]
- Rigor
STAPHYLOCOCCUS AUREUS MENINGITIS C0393435 LUPUS CEREBRITIS C0393968 Hepatitis C Acute C0400914 Hepatitis E Acute C0400916 Diarrhea Chronic C0401151 Seizure(s) Somatosensory C0422850 Headache Throbbing C0423618 Suicidal Thought(s) C0424000 Hyperkinesia C0424295 Rigor [medical-language-international.com]
- Short Stature
CLINICAL FINDINGS: short stature, disproportionate shortening of proximal limb segments, large head, spinal stenosis, NORMAL intelligence Wolf-Hirschhorn (4p-) Syndrome Dominant mutation: HAPLOINSUFFICIENCY. [quizlet.com]
Respiratoric
- Pneumonia
C0032290 PNEUMOCOCCAL PNEUMONIA C0032300 MYCOPLASMA PNEUMONIA C0032302 PNEUMOCYSTIS PNEUMONIA C0032305 STAPHYLOCOCCAL PNEUMONIA C0032308 PNEUMOTHORAX C0032326 RELAPSING POLYCHONDRITIS C0032453 POLYCYTHEMIA VERA C0032463 POLYMYALGIA RHEUMATICA C0032533 [medical-language-international.com]
The most frequent were lower respiratory tract infections (pneumonia and bronchitis), followed by cutaneous infections. [personale.unimore.it]
Cardiovascular
- Acrocyanosis
Interruption of blood flow to other tissues in type I disease can cause cutaneous manifestations of purpura, blue discoloration of the arms or legs (acrocyanosis), necrosis, ulcers, and livedo reticularis ; spontaneous nose bleeds, joint pain, membranoproliferative [en.wikipedia.org]
Liver, Gall & Pancreas
- Hepatosplenomegaly
Hepatosplenomegaly was found in one patient, a young child, 4 months after the illness. In the other cases nothing suggestive of liver disease has been observed after the results of liver function tests became normal within some weeks or months. [annals.org]
GI: autoimmune hepatitis (jaundice), mesenteric vasculitis bowel infarction, hepatosplenomegaly SLE – ... low-grade fever, anorexia • Vasculitis : palmar erythema, digital hemorrhagic infarction ... uveitis, seronegative polyarthritis, retinal vasculitis [docpile.net]
Musculoskeletal
- Arthralgia
Cryoglobulinemic vasculitis is characterized by the classical triad of purpura, weakness and arthralgia, frequent multiple organ involvement, and with infrequent late lymphatic and hepatic malignancies. [davidsyounger.com]
Clinical diagnoses included the purpura-weakness-arthralgias syndrome, posthepatitis cirrhosis, congestive heart failure and mitral stenosis. [karger.com]
[…] staining ... actinic dermatitis Vitiligo Alopecia areata Necrotizing vasculitis Recurrent apthous ulcer CD4+ cell ... disorder HIV-related vasculitis Clinical features: palpable purpura digital necrotic ulcers swelling ... of hands & feet arthralgia [docpile.net]
While arthralgias are one of the most frequent symptoms, clear signs of sinovitis are quite rare. [ojrd.biomedcentral.com]
*The onset of disease may be associated with arthralgias, fever, myalgias, and abdominal pain. [slideshare.net]
- Osteoporosis
METAPLASIA C0027013 NARCOLEPSY C0027404 NEPHROTIC SYNDROME C0027726 Nightmares C0028084 Nocturia C0028734 OBESITY C0028754 OBSESSIVE-COMPULSIVE NEUROSIS C0028768 PSITTACOSIS C0029291 OSTEITIS DEFORMANS C0029401 OSTEOARTHRITIS C0029408 OSTEOMALACIA C0029442 OSTEOPOROSIS [medical-language-international.com]
Two thousand, one hundred and five (63.4%) had a median of one comorbity (IQR 0, 2], the most frequent being hypertension (701), thyroid diseases (281), diabetes mellitus (207), cardiopathy (189), and osteoporosis (145). [personale.unimore.it]
Skin
- Purpura
B or C infection with vasculitis and/or cryoimmunoglobulinemia Multisystemi diseases ... ’s disease Henoch-Schonlein purpura Necrotizing vasculitis (including Wegener’s gransulomatosis) Cryoimmunoglobinemia ... [docpile.net]
The diagnosis is suggested by clinical evidence of purpura, circulating mixed cryoglobulinemia and low C4 levels, and pathologically evident leukocytoclastic vasculitis in skin biopsy lesions. [davidsyounger.com]
Pelzig A. : Essential cryoglobulinemia with purpura — Arch. Dermatol. Syph. (Chic.) 67, 429, 1953. Google Scholar 18. Steinhardt M. J., Fisher G. S. : Cold urticaria and purpura as allergic aspects of cryoglobulinemia — J. Allergy 24, 335, 1953. [link.springer.com]
Circulating mixed cryoglobulins, low C4 levels and orthostatic skin purpura are the hallmarks of the disease. [orpha.net]
SLE, Henoch-scholein purpura, rheumatoid arthritis. Crescents complicating pre-existing nephritis, e.g. [powershow.com]
- Skin Lesion
Barr and Dan- ielsson showed that despite negative culture and gram stain of the skin lesion in disseminated gonorrhea, posi- tive immunofluorescent findings for the organism were detected in the same lesion (2). [documents.tips]
Leukocytoclastic vasculitis involving medium- and, more often, small-sized blood vessels is the typical pathological finding, easily detectable by means of skin biopsy of recent vasculitic lesions. [orpha.net]
One or more skin lesions including palpable purpura, ulcers, digital gangrene, and areas of necrosis occur in 69-89% of these mixed disease cases (see attached photograph); less common findings include painful peripheral neuropathy (often manifesting [en.wikipedia.org]
Skin lesions represent the most frequent manifestations of the MC [ 6 – 10, 14, 24, 25 ]. [ojrd.biomedcentral.com]
- Petechiae
She admitted to our hospital because of myalgia in bilateral gastrocnemius and petechiae in both lower extremities in addition to the complaints described above. [ci.nii.ac.jp]
A granulomatouse inflammatory process with necrotizing vasculitis Primarily affects the upper and ... ) in 15%-50%, dermatologic findings ( necrotic ulceration, vesicles or petechiae) Laboratory ... inflammation with multinucleated giant [docpile.net]
Sign Positive C0240823 Pulse Pressure Narrow C0240840 Scalp Hyperesthesia C0240936 Ceruloplasmin Serum Decreased C0240997 Muscle(s) Weakness Shoulder Girdle C0241035 Shoulder Pain Left C0241039 Shoulder Pain Right C0241040 Skin Bullae C0241054 Skin Petechiae [medical-language-international.com]
Orthostatic purpura is generally intermittent, the dimension and diffusion of purpuric lesions largely varied, from sporadic isolated petechias to severe vasculitic lesions, often complicated by torpid ulcers of the legs and malleolar areas (Fig. 2 ). [ojrd.biomedcentral.com]
- Palpable Purpura
[…] presentation ... • RF high • + palpable purpura (leukocytoclastic vasculitis ) • Dx: biopsy • Bx: basement membrane ... + Wegners: - Respiratory track and kidneys - Necrotizing vasculitis - Sinusitis, 70% - Renal, 80%, RPGN ... or MPO Churg Strauss Cryoglobulinemic [docpile.net]
One or more skin lesions including palpable purpura, ulcers, digital gangrene, and areas of necrosis occur in 69-89% of these mixed disease cases (see attached photograph); less common findings include painful peripheral neuropathy (often manifesting [en.wikipedia.org]
Usually, LAC-diet and/or low dosage of steroids (6-methyl-prednisolone 2–4 mg/day) may be sufficient to improve mild manifestations (arthralgias, sporadic purpura, etc .) of the MC (Fig. 8, 9, 10 ); patients with mild-moderate symptoms, such as palpable [ojrd.biomedcentral.com]
- Urticaria
HSP – Henoch-Schonlein purpura Hypersensitivity vasculitis associated with hemorrhagic urticaria and ... IgM) macroglobulinemia. • Myxedema hypothyroidism • Necrotizing vasculitis (lungs) and necrotizing glomerulonephritis Wegener’s and ... [docpile.net]
: Cold urticaria and purpura as allergic aspects of cryoglobulinemia — J. Allergy 24, 335, 1953. PubMed CrossRef Google Scholar 19. Wager O., Räsänen J. A. : Mixed cryoimmunoglobulinemia in relation to autoimmune aberrations. [link.springer.com]
Face, Head & Neck
- Epistaxis
Cryoglobulins cause tissue damage by three mechanisms; they can: a) increase blood viscosity thereby reducing blood flow to tissues to cause the hyperviscosity syndrome (i.e., headache, confusion, blurry or loss of vision, hearing loss, and epistaxis [en.wikipedia.org]
Neurologic
- Paresthesia
The common symptoms are paresthesias with painful and/or burning sensations in the lower limbs, often with nocturnal exacerbation. [ojrd.biomedcentral.com]
[…] absence of associated HCV infection; namely, complete/partial remission of pre-treatment active manifestations was observed in 74% of skin purpuric lesions, up to 87% of non-healing vasculitic leg ulcers, and 44% of the peripheral neuropathy, mainly paresthesias [personale.unimore.it]
- Polyneuropathy
Sjögren's syndrome (SS) may be complicated by some neurological manifestations, generally sensory polyneuropathy. Furthermore, involvement of cranial nerves was described as rare complications of SS. Methods. [personale.unimore.it]
Treatment
545 Dialysis ultrafiltration and hemofiltration 555 Use of drugs in uremia and dialysis 567 Donor and recipient selection in renal transplantation 587 Immunosuppression and treatment of rejection in renal transplantation 595 XIII 606 Renal tubular and [books.google.de]
Management and treatment The first-line treatment of MC should focus on eradication of HCV by antiviral treatment (peg-interferon plus ribavirin). [orpha.net]
Treatment of relapses should be similar to original treatment. 26 Treatment for pauci-immune crescentic GN should be Pulse methylprednisolone Followed by oral corticosteroids and cyclophosphamide for 6 to 12 months 27 Evidence-Based Treatment Recommendations [powershow.com]
The first-line treatment of MC should focus on eradication of HCV by combined interferon-ribavirin treatment. [ojrd.biomedcentral.com]
Treatment is directed toward eradicating hepatitis C viral infection employing combination PEGylated- interferon-alpha and ribavirin treatment, immunomodulatory and immunosuppressant medications as warranted by the level of clinical severity. [davidsyounger.com]
Prognosis
Prognosis The overall prognosis is poorer in patients with renal disease, liver failure, lymphoproliferative disease and malignancies. The documents contained in this web site are presented for information purposes only. [orpha.net]
Important Points: The prognosis of RPGN depends upon Number of crescents. Important Points: i. Crescents are produced by Proliferation of the parietal epithelial cells of Bowman 's capsule, Infiltration of monocytes and macrophages. ii. [gradestack.com]
The prognosis is poor in patients with renal disease, liver failure, and malignancy. [davidsyounger.com]
Nonnephrotic proteinuria with progressive disease Evaluation or monitoring of collagen diseases, especially SLE Others Not Indicated In 2 No nn ep hr ot ic p ro te in ur ia ( 3. 5 g/ d ) be ca u se of go od prognosis and indications for therapy are rare [scribd.com]
Azathioprine, methotrexate, MMF, cyclosporin Future therapies Leflunomide Inhibitor of de novo pyrimidine synthesis Deoxyspergualin Tumor necrosis factor (TNF) blockade Antibodies against T cells 32 Predictive value of the effect of plasmapheresis on long-term prognosis [powershow.com]
Etiology
It does not denote a specific etiologic form of glomerulonephritis. Causes of RPGN 1. Primary (idiopathic) diffuse crescentic glomerulonephritis a. Type I: anti-GBM antibody disease without pulmonary hemorrhage b. [gradestack.com]
Shoenfeld received the EULAR prize in 2005, in Vienna, Austria: "The infectious etiology of anti-phospholipid syndrome". [books.google.de]
Etiology The etiopathogenesis of MC is not completely understood. Hepatitis C virus (HCV) infection has been suggested to play a causative role, with the contribution of genetic and/or environmental factors. [orpha.net]
Hemorrhage Recurrent hemoptysis, dyspnea, and hypoxemia diffuse alveolar opacities suspect alveolar hemorrhage Etiology: SLE; wegener’s granulomatosi ; behcet’s disease; allergic Chur-Strauss granulomatosis; Henoch-Schonlein purpura syndrome; Essential [slideplayer.com]
[…] process with necrotizing vasculitis Primarily affects the upper and ... ) in 15%-50%, dermatologic findings ( necrotic ulceration, vesicles or petechiae) Laboratory ... inflammation with multinucleated giant cells, vasculitis and microabscess formation Etiology [docpile.net]
Epidemiology
Summary Epidemiology It is considered to be a rare disorder, but its true prevalence remains unknown. The disease is more common in Southern Europe than in Northern Europe or Northern America. [orpha.net]
EPIDEMIOLOGY 1.Primary glomerulonephritis. *IgA nephropathy *Post-infectious glomerulonephritis *MPGN 2.Secondary glomerulonephritis(systemic). *SLE, *Cryoglobulinemia *IgA vasculitis(HSP). [slideshare.net]
It is considered to be a rare disorder, however, yet there are no adequate epidemiological studies regarding its overall prevalence. [ojrd.biomedcentral.com]
HCV AND TYPE 2 DIABETES The epidemiological link between HCV and type 2 diabetes mellitus (T2DM) is common and widely reported[ 235 - 238 ], and the infection with HCV increase the risk of T2DM development[ 239 ]. [wjgnet.com]
A causative role of hepatitis C virus (HCV) in over 4/5 patients has been definitely established on the basis of epidemiological, pathological, and laboratory studies. [personale.unimore.it]
Pathophysiology
Chapters 5-10 are more pathophysiologically oriented, and each contains an "appropriate mix" of basic and clinical information. [books.google.com]
DISCUSSION The data presented do not support the role of immune complexes in the pathophysiology of dissemi- nated gonococcal disease. [documents.tips]
PubMed Central PubMed Google Scholar Mondelli MU, Zorzoli I, Cerino A, Cividini A, Bissolati M, Segagni L, Perfetti V, Anesi E, Garini P, Merlini G: Clonality and specificity of cryoglobulins associated with HCV: pathophysiological implications. [ojrd.biomedcentral.com]
Research has shown an emerging role for chemokines and type 1 cytokines in the pathophysiology of this vasculitis. [personale.unimore.it]
Prevention
Discuss with your health care provider the options to prevent skin breakdown (for chronic edema) such as a pressure-reducing mattress, a lamb's wool pad, or a flotation ring. Maintain everyday activities. [au.answers.yahoo.com]
Use of GS would prevent the loss of valuable heparin-binding proteins from blood while removing EDA-FN. However, use of GS in EDA-FN removal therapy is not without limitations. [omicsonline.org]
It is possible that the gono- coccal organism is rapidly bound to the skin or syno- vium and may be altered, preventing any detection in the body fluids by current techniques. [documents.tips]
The early detection of SSc patients who are at high risk to develop digital ulcers could allowa preventive treatment of these complications with reduction of morbidity and social costs. [personale.unimore.it]