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Hypocomplementemic Vasculitis
Hypocomplementaem Urt Vasculit

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WIKIDATA, Public Domain

Presentation

[…] rheovirus-III infection, presents with interstitial keratitis and hearing loss. 3) Schnitzler syndrome – presents with urticaria and monoclonal IgM gammopathy along with lymphadenopathy, arthralgia and fever, 4) AHA-syndrome – poorly understood entity [omicsonline.org]

Renal disease, when present, is usually mild to moderate, and obstructive lung disease, which may be severe, occurs in some patients. [mitchmedical.us]

[…] uncommon in children. [2] A full-term 9-month-old male infant, born normally to non-consanguineous parents, presented with a three-day history of fever and skin rash. [ijdvl.com]

Case presentation A 30-year-old Korean man presented with hypocomplementemic urticarial vasculitis syndrome. [jmedicalcasereports.biomedcentral.com]

Entire Body System

  • Inflammation

    Additionally, medical experts believe that in early stages of inflammation the body also sends eosinophils at the site of inflammation. [ic.steadyhealth.com]

    The minor criteria are: [7] [3] Inflammation in the small veins of the dermis (diagnosed by biopsy ) Joint pain or arthritis Mild kidney inflammation ( glomerulonephritis ) Eye inflammation (in the uvea or episclera ) Recurrent abdominal pain The presence [rarediseases.info.nih.gov]

    Urticarial Vasculitis is a form of cutaneous vasculitis characterised by inflammation of the small blood vessels. Urticarial Vasculitis can be classified into three subtypes. All are defined by a measure of the "complement" levels in the blood. [vasculitis.org.uk]

    Urticarial Vasculitis Anti-C1q or urticarial vasculitis is a form of cutaneous vasculitis characterised by inflammation of the small blood vessels. Urticarial Vasculitis can be classified into three subtypes. [vasculitis.eu]

  • Swelling

    The inhibition of C1-inhibitor leads to over-activation of the complement pathway and one protein that builds up controls angioedema (vessel – swelling), resulting in excess water building up under the skin (the weal appearance). [en.wikipedia.org]

    There was scleral erythema, urticaria on the torso, palpable purpura on the legs, and swelling and tenderness of the hand joints. A diagnostic procedure was performed. Funding and Disclosures This case was presented at the Rheumatology Grand Rounds. [nejm.org]

    Figure 2 Swelling of the proximal interphalangeal joints with swan neck and flexion deformities of both hands. Figure 3 Findings of kidney biopsy. (A) The mesangium was expanded due to increased matrix without hypercellularity. [jmedicalcasereports.biomedcentral.com]

    […] will suffer from systemic problems such as: episcleritis or uveitis (bloodshot or inflamed eyes) (found in 30 per cent of patients); mild glomerulonephritis (kidney disease); pleuritis (inflammation of the membrane surrounding the lungs); angioedema (swelling [vasculitis.org.uk]

  • Disability

    […] a disability attorney who is familiar with the disability application and appeal process. [disabilitybenefitscenter.org]

    I recently had a social security disability claim that was becoming quite a pain in the neck. The staff over at Fred Fleming Attorney at Law made my life and the process so much easier. [callfred.com]

    For example, nearly one third of patients with granulomatosis with polyangiitis (GPA or Wegener’s granulomatosis) will develop permanent disability alongside their vasculitis over a period of five years. [healthcare.utah.edu]

Immune System

  • Splenomegaly

    On examination he was febrile (39.10C) and he had cervical and supraclavicular lymphadenopathy, splenomegaly and residual hyperpigmented cutaneous lesions. [jpgmonline.com]

    Reduced tendon reflexes 0001315 Restrictive ventilatory defect Stiff lung or chest wall causing decreased lung volume 0002091 Seizures Seizure 0001250 Sensorineural hearing impairment 0000407 Sensory neuropathy Damage to nerves that sense feeling 0000763 Splenomegaly [rarediseases.info.nih.gov]

Cardiovascular

  • Thrombosis

    Llach F (1985) Hypercoagulability, renal vein thrombosis, and other thrombotic complications of nephrotic syndrome. Kidney Int 28:429–439 CrossRef PubMed Google Scholar 30. [link.springer.com]

    The second stage (days 12 to 25) is characterized by thrombosis with inflammation of the coronary arteries. [bobbybukamd.com]

Musculoskeletal

  • Arthritis

    AdultOnset Stills Disease 455 24 Periodic Syndromes 460 25 Less Common Arthropathies A Hematologic and Malignant Disorders 470 25 Less Common Arthropathies B Rheumatic Disease and Endocrinopathies 479 25 Less Common Arthropathies C Hyperlipoproteinemia and Arthritis [books.google.com]

    Arthritis Rheum 2013;65:1-11 Disclosure: C. Sjöwall, None; T. Mandl, None; A. Mohammad, None. To cite this abstract in AMA style: Sjöwall C, Mandl T, Mohammad A. [acrabstracts.org]

    Glomerulonephritis, arthritis, obstructive pulmonary disease, and ocular inflammation are common in HUV. [omicsonline.org]

    McDuffie FC, Sams WM Jr, Maldonado JE, et al.: Hypocomplementemia with cutaneous vasculitis and arthritis: possible immune complex syndrome. Mayo Clin Proc 1973, 48: 340–348. PubMed Google Scholar 5. [link.springer.com]

    View Article PubMed Google Scholar McDuffie FC, Sams WM, Maldonado JE, Andreini PH, Conn DL, Samayoa EA: Hypocomplementemia with cutaneous vasculitis and arthritis. Possible immune complex syndrome. Mayo Clin Proc. 1973, 48: 340-348. [jmedicalcasereports.biomedcentral.com]

  • Arthralgia

    Patients with this condition are likely to have systemic involvement, including angioedema, arthralgias, pulmonary disease, abdominal or chest pain, fever, renal disease, and episcleritis. [diseaseinfosearch.org]

    licensee BioMed Central Ltd. 2014 Received: 6 May 2014 Accepted: 28 August 2014 Published: 22 October 2014 Abstract Introduction Hypocomplementemic urticarial vasculitis syndrome is a rare disorder characterized by chronic urticarial vasculitis, arthralgia [jmedicalcasereports.biomedcentral.com]

    Overview A rare condition characterized by the presence of recurring urticarial vasculitis, arthralgia or arthritis and hypocomplementemia. [checkorphan.org]

    AHA-syndrome was ruled out based on the absence of arthritis/ arthralgia, Cogan’s syndrome due to the absence of keratitis (despite hearing loss). [omicsonline.org]

    In the pre-pulseless phase patients may experience fever, fatigue, weight loss, headache, myalgia, arthralgia, and exertional dyspnea. [bobbybukamd.com]

Skin

  • Urticaria

    From Wikidata Jump to navigation Jump to search No description defined Chronic urticaria as a manifestation of venulitis Hypocomplementemic urticarial vasculitis syndrome Hypocomplementemic vasculitis Unusual lupus-like syndrome Mac Duffie syndrome Anti-C1q [wikidata.org]

    […] common diagnosis in patients with hives –Often related to food or drug allergies, bites, or stings –25% of patients with one episode will progress to chronic urticaria * Chronic urticaria –Idiopathic in 50% of cases –Chronic idiopathic urticaria spontaneously [checkorphan.org]

    Associations Hepatitis-B virus, Sjögren syndrome, systemic lupus erythematosus, myeloma, IgM gammopathy, pregnancy, cancer, solar urticaria, cold urticaria, and drugs (e.g., diltiazem). [medical-dictionary.thefreedictionary.com]

    The KI challenges in the two sensitive patients precipitated urticaria, angioedema, polymyalgias, conjunctivitis, and coryza. [annals.org]

    Urticaria and arthralgias as manifestations of necrotizing angiitis (vasculitis). J Invest Dermatol 1974;63:485-90. [ PUBMED ] 2. Soter NA. Cutaneous necrotizing vasculitis. [ijdvl.com]

  • Angioedema

    […] common to all types of these disorders, and discusses the uses and limitations of existing and emerging treatment regimens for urticaria and angioedema, including a معاينة هذا الكتاب » [books.google.com]

    Symptoms - Hypocomplementemic urticarial vasculitis * Hives * Breathing difficulty * Chronic urticarial vasculitis * Chronic hypocomplementemia * Joint pain Causes - Hypocomplementemic urticarial vasculitis * Idiopathic urticaria without angioedema –Most [checkorphan.org]

    ICD9 Code: idiopathic urticaria 708.1; Angioedema 995.1; Hereditary angioedema 277.6 ICD10 Code: idiopathic urticaria L50.1; Angioedema T78.3; Hereditary angioedema (C1 esterase inhibitor deficiency) D84.1 Definition: Urticaria are well-demarcated, evanescent [rheumaknowledgy.com]

    Negative Negative SM/RNP antibody Negative Negative Rheumatoid factor, IU/mL 6 Cyclic citrullinated peptide antibody, U C3 complement, mg/dL 50 90-180 C4 complement, mg/dL 3 16-47 CH50, U/mL 31-66 Antineutrophil cytoplasmic antibody Negative Negative Angioedema [jaoa.org]

    We report a patient who developed recurrent urticaria and angioedema at age 2 years, severe hypocomplementemic glomerulonephritis at 11 years, and end-stage renal disease at 14 years. [ncbi.nlm.nih.gov]

  • Chronic Urticaria

    From Wikidata Jump to navigation Jump to search No description defined Chronic urticaria as a manifestation of venulitis Hypocomplementemic urticarial vasculitis syndrome Hypocomplementemic vasculitis Unusual lupus-like syndrome Mac Duffie syndrome Anti-C1q [wikidata.org]

    […] common diagnosis in patients with hives –Often related to food or drug allergies, bites, or stings –25% of patients with one episode will progress to chronic urticaria * Chronic urticaria –Idiopathic in 50% of cases –Chronic idiopathic urticaria spontaneously [checkorphan.org]

    A clinical form of hypersensitivity vasculitis characterised by urticarial wheals and angioedema, which tend to persist longer than common chronic urticaria. [medical-dictionary.thefreedictionary.com]

    In addition to this autoimmune urticaria, physical causes of urticaria are also common, accounting for ~15% of cases of chronic urticaria. [rheumaknowledgy.com]

    The four sensitive patients were strikingly similar in that they exhibited hypocomplementemia and dermal vasculitis associated with chronic urticaria or systemic lupus erythematosus, suggesting that other patients with similar clinical features may be [annals.org]

  • Skin Disease

    Effectively diagnose and treat a wide range of skin conditions with the latest edition of the highly regarded Andrews’ Diseases of the Skin: Clinical Dermatology. The 12th edition of this classic reference, by esteemed authors William D. [books.google.com]

    Respiratory disease Bronchus disease Obstructive pulmonary disease Immunopathology Systemic disease Skin disease Lung disease Vascular disease Keyword (es) Asociación Enfisema Estudio caso Hombre Hipocomplementemia Pronóstico Urticaria Vasculitis Aparato [pascal-francis.inist.fr]

    Medscape Reference Books about skin diseases See the DermNet NZ bookstore. [dermnetnz.org]

    Advances in allergic skin diseases. J Allergy Clin Immunol 2003;111:S805–S812. PMID: 12618747 Bernstein JA, Lang DM, Khan DA, et a;/ The diagnosis and management of acute and chronic urticarial: 2014 update. J Allergy Clin Immunol 2014;133:1270-7. [rheumaknowledgy.com]

    These large arteries are not found in the skin although skin manifestations can be seen in these vasculitides. [bobbybukamd.com]

  • Pruritus

    This was accompanied by progressive clearance of cutaneous lesions and resolution of the pruritus; residual hypopigmentation persisted in the sites of previous scratching. [scielo.br]

    This hypothesis was confirmed by the response of cutaneous lesions and pruritus to the loss of activity of the hepatic disease. [ncbi.nlm.nih.gov]

    Genetic basis of cutaneous diseases Arne Kanig and Rudolf Happle Ichthyoses erythrokeratodermas and related disorders Keratodermas Kro Dariers disease and HaileyHailey disease Daniel Hohl Theodora Mauro and leanPhilippe Gorog Mosaicism and linear lesions Pruritus [books.google.com]

    Angioedema, which often occurs along with urticaria, represents a similar process that primarily affects deeper subcutaneous tissue and is not usually associated with pruritus. [rheumaknowledgy.com]

    Showing of 45 | 80%-99% of people have these symptoms Complement deficiency 0004431 Pruritus Itching Itchy skin Skin itching [ more ] 0000989 Skin rash 0000988 Small vessel vasculitis 0011944 30%-79% of people have these symptoms Abdominal pain Pain in [rarediseases.info.nih.gov]

Workup

A laboratory workup showed his levels of total protein to be 5.7g/dL, albumin 3.3g/dL, BUN 21mg/dL, creatinine 1.38mg/dL, D-dimer 3.5μg/mL (normal range, 0 to 1μg/mL), fibrinogen 481mg/dL (normal range, 200 to 400mg/dL), lactate dehydrogenase 751IU/L [jmedicalcasereports.biomedcentral.com]

Treatment

Treatments - Procedures Plasma exchange or plasmapheresis This treatment is sometimes used in patients with severe vasculitis where antibodies in the blood are thought to be important in causing the disease. [vasculitis.org.uk]

On the sixth day of treatment, due to the moderate increase of transaminases and widespread development of oesophagial candidiasis, the steroid treatment was terminated and mycostatin suspension was included in the treatment. [academic.oup.com]

If you have concerns with your treatment plan, speak up. Your doctor may be able to adjust your dosage or offer different treatment options. [vasculitisfoundation.org]

[…] common to all types of these disorders, and discusses the uses and limitations of existing and emerging treatment regimens for urticaria and angioedema, including a معاينة هذا الكتاب » [books.google.com]

COPD and cardiac valvular defects may require specific treatment. [secure.ssa.gov]

Prognosis

Although HUV is uncommon in childhood, the prognosis is worse for those affected at younger ages because of more frequent, severe renal involvement. [3] The prognosis can also be influenced by other underlying disorders that HUV is associated with. [5 [rarediseases.info.nih.gov]

Urticarial vasculitis carries a good prognosis, with most occurrences resolving in months to years. [emedicine.medscape.com]

For information on plasma exchange: Plasma exchange or plasmapheresis Prognosis The overall prognosis in Urticarial Vasculitis depends on the severity of the disease and the amount of damage that has been done to organs, especially the lungs. [vasculitis.org.uk]

ICD-9: 279.4 PROGRESSION The prognosis of HUVS depends on the organ system involved. Lung disease results in significant morbidity and mortality, and is made worse by smoking. [secure.ssa.gov]

Diagnosis - Hypocomplementemic urticarial vasculitis Home medical testing related to Hypocomplementemic urticarial vasculitis: * Home Allergy Tests o Home Mold Tests o Home Food Intolerance Tests o Home Radon Tests o Home Lung Function Tests Prognosis [checkorphan.org]

Etiology

Other etiologies include drug reactions and parasitic infections. [10] Etiology The etiology of urticarial vasculitis has not been elucidated. Associated conditions are listed in History. [emedicine.medscape.com]

31628 Abstract Hypocomplementemic urticarial vasculitis syndrome is an immune complex-mediated disease of unknown etiology. Theclinical course is characterized by urticaria, conjunctivitis, jointpain, and hypocomplementemia. [platform.almanhal.com]

* Comprehensive current coverage of basic models of etiology and pathogenesis * Complete catalog of autoantibodies produced * Includes an outstanding review of imaging techniques for the diagnosis of lupus and its complications for each organ system [books.google.com]

Small vessel cutaneous vasculitis: etiology, pathogenesis, classification and diagnostic criteria - Part I. An Bras Dermatol. 2007;82:387-406. [ Links ] 6. Spicknall KE, Zirwas MJ, English JC 3rd. [scielo.br]

Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis Discipline Sarcoidosis. Granulomatosis of undetermined origin. Connective tissue diseases. [pascal-francis.inist.fr]

Epidemiology

The objective of this study was to describe the clinical characteristics and epidemiology of HUV in two geographically areas of Sweden during a 16-year period. [acrabstracts.org]

Sarcoidosis 514 28 Storage and Deposition Diseases 523 29 The Amyloidoses 533 30 Neoplasms of the Joint 543 31 Heritable Disorders of Connective Tissue 549 32 Bone and Joint Dysplasias 559 33 Osteonecrosis 565 34 Pagets Disease of Bone 573 35 Osteoporosis A Epidemiology [books.google.com]

Epidemiology Frequency The exact frequency of urticarial vasculitis is not known in the United States or worldwide. [emedicine.medscape.com]

Pathophysiology

Stone Springer Science & Business Media, ٠٣‏/١٠‏/٢٠٠٩ - 493 من الصفحات Important strides have been made in understanding the pathophysiologic basis of many inflammatory conditions in recent years, but rheumatology remains a discipline in which diagnosis [books.google.com]

The hypocomplementemic form more often is associated with systemic symptoms and has been linked to connective-tissue disease (ie, systemic lupus erythematosus [SLE], relapsing polychondritis). [3, 4, 5, 6, 7] Pathophysiology The pathophysiology of urticarial [emedicine.medscape.com]

When it comes to pathophysiology of the disease this type of vasculitis is relatively similar to other types of vasculitis that are in the nature leukocytoclastic and affect small blood vessels. [ic.steadyhealth.com]

The membrane attack complex of complement alters the membrane integrity of cultured endothelial cells: a possible pathophysiology for immune complex vasculitis.. Acta Derm Venereol 76 :, 13– – 16. [Google Scholar] Kimura M.. ( 1980 ; ). [jmmcr.microbiologyresearch.org]

Prevention

[…] or rubbed skin area * Hereditary or acquired deficiency of complement factor C1 –Generally appears as episodic angioedema in the absence of urticaria –Only in the absence of urticaria should hereditary or acquired complement deficiency be considered Prevention [checkorphan.org]

It may also involve giving drugs to thin the blood and prevent it clotting in the machine. [vasculitis.org.uk]

Shaw A (2011) Models of preventable disease: contrast-induced nephropathy and cardiac surgery associated acute kidney injury. Contrib Nephrol 174:156–162 CrossRef PubMed Google Scholar 47. [link.springer.com]

In one study by Ronkainen et al, prednisone did not prevent renal disease from occurring although it led to faster resolution of disease once it occurred. [bobbybukamd.com]

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