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 Inflammation of blood vessel and its
complication.
Large vessel
Takayasu
Giant cell
arthritis
Medium
vessel
Polyarteritis
nodosa
kawasaki
Small vessel
Anca
associated
Immune
complex
 Pulseless disease, young female
arteritis, or Harbitiz-Raedu syndrome
 F>>M ;<40years
 Takayasu’s disease is a chronic vasculitis
mainly involving the aorta and its main
branches such as the brachiocephalic,
carotid, subclavian, vertebral and renal
arteries as well as the coronary and
pulmonary arteries.
 : The early symptoms are non-specific.
 These include fever, myalgia, arthralgia
,weightloss,anorexia.
 tenderness of carotid artery
 subclavian, vertebral and renal
 arteries as well as the coronary and
pulmonary arteries
 This form of systemic connective tissue
disease occurs in the elderly, in the sixth and
seventh decades.
 It is characterized by panarteritis with giant
cell infiltration, predominantly affecting the
cranial vessels.
 The etiology is not established.
 Both sexes are equally affected
 Onset is with severe,unilateral or bilateral
headache in the temporal or less commonly in
the occipital regions( visual loss), associated with
vomiting.
 Diagnostic feature is the palpably thickened,
tender and non pulsatile temporal arteries.
 Loss of vision due to occlusion of the ophthalmic
 artery is a dreaded complication.
 Rarely patients present as facial neuralgia with
jaw claudication on chewing, deafness, necrosis
of the tongue, or an associated widespread
necrotizing arteritis of small vessels which
presents as peripheral neuropathy.
 ESR often exceeds 100 mm
 Temporal artery biopsy
 Arterial doppler
 Characterised by severe pain and stiffness in
the neck, back, shoulder, upper arms and
thighs, particularly worse in the morning
 Polyarteritis nodosa (PAN) is characterized by
the formation of multiple nodules along
blood vessels, mainly affecting the smaller
arteries, arterioles, and adjacent veins.
Capillaries are spared.
 Pathologically the lesion consists of
polymorphonuclear infiltration, necrosis and
aneurysmal dilatation of the arterial wall
 Idiopathic
 Hepatitis B
 Though all ages may be affected, adults
suffer more frequently.
 Males predominate.
 The onset is variable.
 The onset is with general symptoms like
fever, muscle pains, arthralgia, rash and
anorexia.
 Skin manifestation
 Inflammatory nodules ranging in size from 5-
10 mm may be palpable over the superficial
arteries.
 These nodules are tender.
 Livido reticularis
 Rheumatoid Arthritis is a chronic
inflammatory autoimmune disease that
involves the joints and may cause systemic
manifestations.
Rheumatology
Rheumatology
Rheumatology

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Rheumatology

  • 1.
  • 2.  Inflammation of blood vessel and its complication.
  • 4.  Pulseless disease, young female arteritis, or Harbitiz-Raedu syndrome  F>>M ;<40years  Takayasu’s disease is a chronic vasculitis mainly involving the aorta and its main branches such as the brachiocephalic, carotid, subclavian, vertebral and renal arteries as well as the coronary and pulmonary arteries.
  • 5.  : The early symptoms are non-specific.  These include fever, myalgia, arthralgia ,weightloss,anorexia.  tenderness of carotid artery  subclavian, vertebral and renal  arteries as well as the coronary and pulmonary arteries
  • 6.  This form of systemic connective tissue disease occurs in the elderly, in the sixth and seventh decades.  It is characterized by panarteritis with giant cell infiltration, predominantly affecting the cranial vessels.  The etiology is not established.
  • 7.  Both sexes are equally affected  Onset is with severe,unilateral or bilateral headache in the temporal or less commonly in the occipital regions( visual loss), associated with vomiting.  Diagnostic feature is the palpably thickened, tender and non pulsatile temporal arteries.  Loss of vision due to occlusion of the ophthalmic  artery is a dreaded complication.  Rarely patients present as facial neuralgia with jaw claudication on chewing, deafness, necrosis of the tongue, or an associated widespread necrotizing arteritis of small vessels which presents as peripheral neuropathy.
  • 8.  ESR often exceeds 100 mm  Temporal artery biopsy  Arterial doppler
  • 9.
  • 10.  Characterised by severe pain and stiffness in the neck, back, shoulder, upper arms and thighs, particularly worse in the morning
  • 11.  Polyarteritis nodosa (PAN) is characterized by the formation of multiple nodules along blood vessels, mainly affecting the smaller arteries, arterioles, and adjacent veins. Capillaries are spared.  Pathologically the lesion consists of polymorphonuclear infiltration, necrosis and aneurysmal dilatation of the arterial wall
  • 13.  Though all ages may be affected, adults suffer more frequently.  Males predominate.  The onset is variable.  The onset is with general symptoms like fever, muscle pains, arthralgia, rash and anorexia.
  • 14.  Skin manifestation  Inflammatory nodules ranging in size from 5- 10 mm may be palpable over the superficial arteries.  These nodules are tender.  Livido reticularis
  • 15.
  • 16.  Rheumatoid Arthritis is a chronic inflammatory autoimmune disease that involves the joints and may cause systemic manifestations.