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10 Cards in this Set

  • Front
  • Back
Patient older than 50

LARGE VESSEL (aorta/major artieries) granulomatous arteritis
Assc. with polymyalgia rheumatica

Typically the temporal artery


transmural inflammation with lymphocytes and giant cells
Disruption of the elastic lamina
Giant Cell Arteritis
Patient younger than 50

LARGE VESSEL (aorta/major artieries) granulomatous arteritis

transmural inflammation with lymphocytes and giant cells
Disruption of the elastic lamina
Takayasu Arteritis
Medium vessel necrotizing vasculitis WITHOUT glomerulonephritis or vasculitis in arterioles, capillaries, or venules


Segmental necrotizing inflammation with conspicuous poly and monocyte infiltrates. Fibrin present. Endpoint=sclerosis (>1 week)
Polyarteritis Nodosa
Child with mucocutaneous lymph node syndrome and vasculitis (strawberry tongue and cervical lyphadenopathy)

Medium vessel necrotizing vasculitis WITHOUT glomerulonephritis or vasculitis in arterioles, capillaries, or venules


Segmental necrotizing inflammation with conspicuous poly and monocyte infiltrates. Fibrin present. Endpoint=sclerosis (>1 week)
Kawasaki disease
Young patient with purpura, nephritis, and abdominal pain.

Small vessel vasculitis (necrotizing polyangitis) that involves the capillaries- glomerulonephritis and lung, venules, and some arteries

IF: granular deposits- IgA
Immune complex vasculitis:

Type:
1. Henoch-Schonlein purpura (abdominal pain,nephritis,purpura), IgA deposits
Young patient with palpable purpura in the extremities, renal and other findings like artitis/arthraligias

Small vessel vasculitis (necrotizing polyangitis) that involves the capillaries- glomerulonephritis and lung, venules, and some arteries

IF: granular deposits-cryoglobulin immune deposits
Immune complex vasculitis:

Cryoglobunlinemic vasculitis
Patient with palpable purpura in the extremities, renal and other findings like artitis/arthraligias

Small vessel vasculitis (necrotizing polyangitis) that involves the capillaries- glomerulonephritis and lung, venules, and some arteries

IF: linear glomerular staining
Anti-GBM antibodies/
Goodpasture's syndrome
Older patient with palpable purpura in the extremities, renal and other findings like artitis/arthraligias.
Patient also has asthma and eosinophilia

Small vessel vasculitis (necrotizing polyangitis) that involves the capillaries- glomerulonephritis and lung, venules, and some arteries

IF: little/no immunoglobulin staining

cANCA positive (mostly)
Pauci-immune (ANCA) disease

Type: Churg-Strauss Syndrome
Older patient with palpable purpura in the extremities, renal and other findings like artitis/arthraligias

Typically glomerulonephritis and respiratory tract affected
Patient also has granulomatous inflammation

Small vessel vasculitis Patient with palpable purpura in the extremities, renal and other findings like artitis/arthraligias

Small vessel vasculitis (necrotizing polyangitis) that involves the capillaries- glomerulonephritis and lung, venules, and some arteries

IF: little/no immunoglobulin staining

pANCA postive (mostly)
Pauci-immune (ANCA) disease

Type: Wegner's granulomatosis (or ANCA granulomatousis)
Older patient with palpable purpura in the extremities, renal and other findings like artitis/arthraligias

Typically glomerulonephritis and respiratory tract affected


Small vessel vasculitis Patient with palpable purpura in the extremities, renal and other findings like artitis/arthraligias

Small vessel vasculitis (necrotizing polyangitis) that involves the capillaries- glomerulonephritis and lung, venules, and some arteries

NO granulomatous inflammation seen on Bx

IF: little/no immunoglobulin staining

pANCA postive (mostly)

Most common cause of pulmonary-renal syndrome
Pauci-immune, ANCA vasculitis

Type: Microscopic poliangiitis