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Vasculitis - Springer Nature

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Last Updated: 27 August 2022

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Vasculitis flare after COVID-19: report of two cases in patients with preexistent controlled IgA vasculitis and review of the literature

We review two patients with previously administered IgA vasculitis who experienced a renal and cutaneous flare of vasculitis after mild COVID-19, one of them with new-onset ANCA vasculitis. We also provide a broader literature review and conclude that COVID-19 may be responsible for the onset of vaping in vainculitis and may cause flares of previous autoimmune disorders.

Source link: https://doi.org/10.1007/s00296-022-05153-w


Rapidly progressive glomerulonephritis in a patient with angioimmunoblastic T-cell lymphoma: a rare autopsy case showing IgA vasculitis and cylinder-like deposits

Angioimmunoblastic T-cell lymphoma, a hematological malignancy, arises from follicular helper T cells. In patients with advanced stages, the lymph nodes are the primary site of AITL, but extranodal presentation is common. We present a rare case of a patient with AITL presenting with rapidly progressive glomerulonephritis. The patient underwent computed tomography, which revealed systemic lymph node swelling. Livedo was discovered on the foot in the lower limbs with purpura on the foot. Based on lymph node biopsy, the patient was diagnosed with AITL. IgA, IgG, and complement component 3c-predominant granular staining pattern was revealed by immunofluorescence in the capillary and mesangial regions.

Source link: https://doi.org/10.1007/s00795-022-00325-w


Anti-tubercular therapy alone for treatment of isolated tubercular retinal vasculitis

Objective: To determine the time and resolution of perivascular infiltrates tubercular retinal vasculitis among anti-tubercular therapy alone and in combination with systemic corticosteroids, see figure. Methods: Methods Observational retrospective cohort study in a tertiary eye center in eastern India was published. Patients with TRV were treated with anti-tubercular therapy alone, or in combination with systemic corticosteroids were included in the study. In patients with bilateral disease, a linear mixed effects model was used to adjust for intereye correlations. For the treatment of TRV related problems, there was a secondary outcome measure that was not relevant. Health And Conditions 59 patients were included in this study. TRV had a complete diagnosis in all patients. The mean difference in time to resolution between the two groups was not statistically significant when accounting for intereye correlation. Conclusions: in TRV without further inflammatory signs, ATT alone may be sufficient for the resolution of perivascular infiltrates.

Source link: https://doi.org/10.1038/s41433-021-01727-3


Hypertrophic pachymeningitis in ANCA-associated vasculitis: a cross-sectional and multi-institutional study in Japan (J-CANVAS)

AAV : Methods We analyzed the medical records of 663 Asian patients with AAV, including 558 patients with newly diagnosed AAV and 105 with relapsed AAV. AAV, HP patients were identified in 30 percent, with 20 with newly diagnosed AAV and ten with relapsed AAV among those with relapsed AAV. In half of HP patients, Granulomatosis with polyangiitis was present in 50%. In patients with HP who had to do HP in total AAV and newly diagnosed AAV, a higher risk of GPA was much higher than in those without HP in total AAV and newly diagnosed AAV. AAV's serum proteinase 3 -ANCA positivity was significantly higher in patients with HP than in those without HP. Conclusions GPA was predominant in patients with HP. In addition, patients with HP in newly diagnosed AAV had significantly greater PR3-ANCA positivity than those without HP. HP may be attributed to ear and eye manifestations.

Source link: https://doi.org/10.1186/s13075-022-02898-4


Correct approach in urticarial vasculitis made early diagnosis of lupus nephritis possible: a case report

Urticarial vasculitis is a clinicopathologic disease distinguished by recurrent episodes of urticarial lesions that persist > 24 hours and display the histopathologic signs of leukocytoclastic vasculitis. Presentation of a Case We present the case of a 61-year-old Caucasian woman with a skin eruption that involved erythematous plaques on the trunk and limbs that lasted more than 24 hours but was asymptomatic. According to Farr's technique, there was also a positive antinuclear factor with elevated U1 small nuclear ribonucleoprotein and double-stranded DNA. With full-blown positivity of immunoglobulin A, immunoglobulin G, and C1q, leading to lupus nephritis class III-A, Kidney's biopsy revealed focal crescent and focal mesangial type of glomerular injury with a complete loss of glomerular damage. Conclusions Clinicopathologic confirmation of urticarial vasculitis with appropriate testing for extracutaneous disease can lead to early diagnosis of serious organ involvement and thus patient prognosis.

Source link: https://doi.org/10.1186/s13256-022-03477-6


Serum glycated albumin as a predictive biomarker for renal involvement of antineutrophil cytoplasmic antibody-associated vasculitis in non-diabetic patients

Methods The medical records of 118 immunosuppressive drug-navigation AAV patients were retrospectively reviewed, and 76 patients with both GA and glycated haemoglobin results were included in this analysis, but not DM were included. AAV patients' median age was 61 years, and 31 percent of them were male. Patients with end-stage renal disease in AAV patients had significantly higher GA than those without ESRD. AAV patients with GA2265 14. 25% were at a much higher risk of ESRD formation than those without when the cut-off of GA at diagnosis for ESRD was set at GA u2265 14. 25% were significantly higher risk of ESRD development than those without. In addition, AAV patients with GA u2265 14. 25% had significantly lower cumulative ESRD-free survival rates than those without. Conclusion in AAV patients, GA at diagnosis can represent the cross-sectional BVAS assigned to renal manifestations of AAV and predict ESRD development during follow-up better than HbA1c or GA/HbA1c.

Source link: https://doi.org/10.1186/s12882-022-02913-5


Combined modality PET/MR for the detection of severe large vessel vasculitis

All patients with LVV who underwent PET/MR at our hospital between January 2015 and January 2021 were identified with a retrospective analysis. When positive PET or positive MR results were considered a good scan, LVV patients with severe disease exhibited a greater number of positive scans than those with positive scans in non-severe patients.

Source link: https://doi.org/10.1186/s41824-022-00136-3


A case of ANCA-associated vasculitis in a 16-year-old female following SARS-COV-2 infection and a systematic review of the literature

History Antineutrophil cytoplasmic antibody-associated vasculitis (Vasculitis) is a rare cause of vaping in children. Both pediatric and adult patients with COVID-19 virus infection, SARS-CoV-2, the virus that causes COVID-19 infection, appears to cause autoimmunity and new-onset autoimmune disease. We present a case of new-onset AAV in an adolescent patient with COVID-19 infection, as well as reviewing the literature on AAV following COVID-19 infection. Following COVID-19 infection, a systematic review of the literature revealed six cases of new-onset AAV in adults following COVID-19 infection. Pediatric and adult patients with AAV post COVID-19 infection have few, if any, comorbidities, and demonstrate significant radiographic and symptomatic improvement after therapy. Following a recent COVID-19-induced autoimmunity in children, there is increasing evidence of COVID-19-induced autoimmunity in children, and our case illustrates the importance of considering AAV in a child following a recent COVID-19 outbreak because prompt treatment could improve clinical outcomes.

Source link: https://doi.org/10.1186/s12969-022-00727-1


Comparative analysis of complement C3 and C4 serum levels for outcome prediction in ANCA-associated renal vasculitis

C4 low scores did not correlate with early demand of kidney replacement therapy or death as opposed to poor outcome forecast by low amounts of complement C3 or worse. In the subgroup that did not experience KRT or death, non-superiority to forecast poor results by low C3 and/or C4 as compared to C3 alone in the total cohort was due to 4/24 patients with isolated C4 lowering in the subgroup that did not experience KRT or death. Conclusion Although low amounts of complement C3 were superior in predicting poor results in ANCA-associated renal vasculitis, a small minority of poor outcomes with poor results had isolated C4 reductions that were not represented by serum C3 results, a few exceptions had low values that were not represented by serum C3 measurements. Hence, extensive knowledge of specific complement systems contributing to kidney injury could be of use in establishing new programs aimed at ANCA-associated renal vasculitis.

Source link: https://doi.org/10.1007/s40620-022-01414-w


Towards better indications for kidney biopsy in adult IgA vasculitis: a clinical-laboratory and pathology correlation study

Background Indications for kidney biopsy in adult IgA vasculitis are still debated, and there are very few studies on this topic. According to the prognostic u201cPillebout classification, the study included 294 adult patients with IgAV who had undergone kidney biopsy, according to the prognostic u201d classification. Results The patients were mainly males with a mean age of 52 years. The median serum creatinine was 96 m/L, with C-reactive protein 28 mg/L. Patients were 86% with hematuria and median proteinuria was 1. 8 g/day. Only albuminemia was associated with extracapillary growth in multivariate analysis, and only age was related to stage 3'u20134. Conclusions Our report found that there is no clear correlation between renal pathology and clinical-laboratory results. Given the new evidence, it seems that it is relevant to order a kidney biopsy in the presence of significant and persistent proteinuria or unexplained kidney function decline.

Source link: https://doi.org/10.1007/s40620-022-01389-8

* Please keep in mind that all text is summarized by machine, we do not bear any responsibility, and you should always check original source before taking any actions

* Please keep in mind that all text is summarized by machine, we do not bear any responsibility, and you should always check original source before taking any actions