Clinical Pearls and Myths in Vasculitis

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WG’s: MythAmong patients treated with corticosteroids alone, survivalis approximately 50% at 12 monthsAmong WG patients in the longitudinal NIH series whowere only treated with corticosteroids, approximately50% experienced some degree of clinical improvement butonly 4% (all of whom had mild disease) actually achievedremissionWG does not necessarily "burn out" in patients whosekidneys failHollander D, Manning R The use of alkylating agents in the treatment of Wegener‘sgranulomatosis. Ann Intern Med 67393-398, 1967
WG’s: MythTherapy with a cytotoxic agent in addition tocorticosteroids is important to treat or prevent seriousnonrenal disease in WG (e.g., alveolar hemorrhage)The second reason for aggressive (but judicious) treatmentin WG patients who require dialysis is that aggressivetherapy may lead to renal recoveryMekhailT, Hoffman G: Long-term outcome of Wegener’s granulomatosis in patients with renal diseaserequiring dialysis. J Rheumatol 27:1237-1240, 2000
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Polyarteritis Nodosa: Pearl•This
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Polyarteritis Nodosa: Myth•Approx
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Polyarteritis NodosaThe Negative Pr
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Polyarteritis Nodosa: MythEven amon
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Polyarteritis Nodosa: PearlMononeur
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Polyarteritis Nodosa: PearlBiopsy o
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Polyarteritis Nodosa:Pearl & MythAn
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Giant Cell ArteritisGiant Cell Arte
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Giant Cell Arteritis: PearlThe freq
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Giant Cell ArteritisCheck the Blood
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Giant Cell Arteritis: PearlMany GCA
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Giant Cell Arteritis: MythThis myth
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Giant Cell ArteritisThe Most Specif
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Giant Cell Arteritis: PearlWhen the
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Giant Cell Arteritis: PearlAppropri
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Giant Cell ArteritisNew Unexplained
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Giant Cell ArteritisA Rising Erythr
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Page 44 and 45: Giant Cell Arteritis: MythSome pati
Page 46 and 47: Giant Cell Arteritis: MythThis rati
Page 48 and 49: Giant Cell Arteritis: MythWhat does
Page 50 and 51: Giant Cell Arteritis: MythMRI is cu
Page 52 and 53: Giant Cell ArteritisA Temporal Arte
Page 54 and 55: Giant Cell Arteritis: MythMost of t
Page 56 and 57: Giant Cell ArteritisExcept for the
Page 58 and 59: Giant Cell Arteritis: MythIn one st
Page 60 and 61: Polymyalgia Rheumatica:MythMost pol
Page 62 and 63: Polymyalgia RheumaticaIf a Patient
Page 64 and 65: Polymyalgia Rheumatica:PearlReview
Page 66 and 67: Takayasu’s Arteritis: PearlJust a
Page 68 and 69: Takayasu’s Arteritis: PearlWidesp
Page 70 and 71: Takayasu’s Arteritis: MythFollowi
Page 72 and 73: Takayasu’s Arteritis: MythBecause
Page 74 and 75: Takayasu’s Arteritis: MythThis my
Page 76 and 77: Takayasu’s ArteritisTakayasu’s
Page 78 and 79: Takayasu’s ArteritisPregnancy Is
Page 80 and 81: Takayasu’s Arteritis: MythGranted
Page 82 and 83: Takayasu’s Arteritis: PearlCaroti
Page 84 and 85: Takayasu’s ArteritisPatients with
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Page 88 and 89: Wegener’s GranulomatosisWegener's
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Page 92 and 93: WG’s: PearlOnce the serum creatin
Page 96 and 97: WG’s: MythThis point has also bee
Page 98 and 99: Wegener’s GranulomatosisLaser The
Page 100 and 101: WG’s: MythAlthough laser surgery
Page 102 and 103: WG’s: MythThere is considerable e
Page 104 and 105: WG’s: MythWhatever the explanatio
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Clinical Pearls and Myths in Vasculitis

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