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Cardiology
Vasculitidies
25
Bartending
12th Grade
05/14/2012

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Cards

Term
Focal necrotizing vasculitis
Necrotizing GRANULOMAS in the upper lung airway
necrotizing glomerulonephritis
Definition
Wegener's granulomatosis

c-ANCA is a strong marker
Tx: Cyclophosphamide, steroids
Term
Granulomatous vasculitis with eosinophilia. Most commonly asthma, sinusitis and peripheral neuropathy (foot drop)
Definition
Churg Strauss Syndrome

p-ANCA
Term
Port-wine stain on face
Ipsilateral leptomeningeal angiomatosis (intracerebral AVM)
Seizures, early onset glaucoma
Definition
Sturge Weber Disease

affects small vessels
Term
Most common form of childhood systemic vasculitis. Usually follows URIs and has IgA immune complexes
Definition
Henoch-Schonlein Pupura
Term
Thrombosing vasculitis of small and medial peripheral arteries and veins. Seen in heavy smokers
Definition
Buerger Disease

Tx: Stop smoking
Term
Acute self-limiting vasculitis seen in infants/children. Seen with asian ethnicity.
Definition
Kawasaki Disease

Tx: IVIg, aspirin (the only time you can give aspirin to a kid)
Term
Immune complex mediated vasculitis with fibrinoid necrosis
Associated with Hepatitis B
Definition
Polyarteritis Nodosa

Typically involves renal and visceral vessel, not pulmonary arteries

Tx: Steroids, cyclophosphamide
Term
"Pulseless disease"
Granulomatous thickening of aortic arch and/or proximal great vessels
Increased ESR
Definition
Takayasu Arteritis

Primarily affects Asian females

Tx: Prednisone
Term
Most common vasculitis affecting branches of carotid arteries. Usually affects elderly females
Definition
Temporal Arteritis aka Giant Cell arteritis

Leads to irreversible blindness if left untreated
Term
Symptoms of hemoptysis, hematuria, and perforation of the nasal septum. Can also have chronic sinusitis, otitis media, mastoiditis, cough, dyspnea
Definition
Wegener's granulomatosis

c-ANCA
Tx: Cyclophosphamide, steroids
Term
Skin rash on buttocks and legs (PALPABLE PURPURA)
Arthralgia
Intestinal hemorrhage and pain
Definition
Henoch-Schonlein Pupura
Term
Known as thromboangiitis obliterans
Intermittent claudication, superficial nodular phlebitis
May lead to gangrene and autoamputation of digits/limbs
Definition
Buerger's disease

Commonly presents in heavy smokers and 40 year old men
Term
Fever, conjunctivitis, strawberry tongue, lymphadenitis, desquamative skin rash.
Risk for developing CORONARY ANEURYSM
Definition
Kawasaki Disease

Usually presents with fever persisting longer than 7 days
Term
Fever, arthritis, neat sweats, myalgia, skin nodules, ocular distubances, weak pulses in upper extremity
Weak muscles in upper extremities
Definition
Takayasu Arteritis

Tx: Prednisone
Term
Headaches
Jaw claudication
Impaired vision
Definition
Temporal arteritis (giant cell arteritis)

Leads to irreversible blindness if left untreated

Tx: High dose steroids
Term
Benign capillary hemangioma of infancy. Initially grows with child, then spontaneously regresses
Definition
Strawberry Hemangioma
Term
Benign capillary hemangioma of elderly. Does not regress. Increases with age
Definition
Cherry Hemangioma
Term
Polypoid capillary hemangioma that can ulcerate and bleed. Assocated with trauma and pregnancy
Definition
Pyogenic granuloma
Term
Cavernous lymphangioma of neck. Assocated with Turner's syndrome
Definition
Cystic Hygroma
Term
Benign, painful red-blue tumor under fingernails
Definition
Glomus tumor
Term
Benign capillary skin papules found in AIDS patients. Caused by bartonella helenslae infections.
Frequently mistaken for Kaposi Sarcoma
Definition
Bacillary angiomatosis
Term
Highly lethal malignancy of the liver. Associated with vinyl chloride, arsenic and ThO2 (thorotrast)
Definition
Angiosarcoma
Term
Lymphatic malignancy associated with persistant lymphedema
Common in woman post-mastectomy
Definition
Lymphoangiosarcoma
Term
Endothelial malignanc of skin associated with HHV-8 and HIV
Definition
Kaposi sarcoma

Frequently mistaken for bacillary angiomatosis
Term
Cavernous hemangiomas in skin, mucosa, organs; bilateral renal cell carcinoma, hemangioblastoma in retina, brain stem, cerebellum; pheochromocytomas
Definition
Von Hippel Lindau

Autosomal dominant, mutated tumor suppressor VHL on chromosome 3
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