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The signs and symptoms of microscopic polyangiitis may resemble those of granulomatosis with polyangiitis (GPA) (another form of small-vessel vasculitis) but typically lacks the significant upper respiratory tract involvement (e.g., sinusitis) frequently seen in people affected by GPA. [citation needed]
Involvement of the ears, nose, and throat is more common in granulomatosis with polyangiitis than in the similar condition microscopic polyangiitis. [7] If the person has signs of kidney involvement or cutaneous vasculitis, a biopsy is obtained from the kidneys. Rarely, a thoracoscopic lung biopsy is required.
The most typical features of microscopic polyangiitis are renal manifestations and general symptoms; lung involvement is also frequently observed. [15] Immune complex small vessel vasculitis (SVV) is a vasculitis that primarily affects small vessels and has moderate to significant immunoglobulin and complement component deposits on the vessel ...
Leukocytoclastic vasculitis: Small vessels in skin Various immune complexes Probable [38] Lupus vasculitis: Small to medium vessels in multiple organs ANA, anti-dsDNA, anti-Smith, others Confirmed [39] Rheumatoid vasculitis: Small to medium vessels in skin, nerves, eyes, heart Rheumatoid factor, ACPA Probable [40] Microscopic polyangiitis (MPA)
Churg-Strauss syndrome is very similar to both granulomatosis with polyangiitis and microscopic polyangiitis. It too is caused by p-ANCA antibodies and it causes similar symptoms such as sinusitis, lung damage, and kidney damage, but it also causes gastrointestinal, skin, nerve, and heart damage like some medium-vessel vasculitis diseases.
Vasculitis is a group of disorders that destroy blood vessels by inflammation. [2] Both arteries and veins are affected. Lymphangitis (inflammation of lymphatic vessels) is sometimes considered a type of vasculitis. [3] Vasculitis is primarily caused by leukocyte migration and resultant damage.
Microscopic polyangiitis is the most common cause of pulmonary-renal syndrome. [ citation needed ] Other causes include systemic lupus erythematosus , eosinophilic granulomatosis with polyangiitis , microscopic polyangiitis , dermatomyositis , polymyositis , mixed connective tissue disease , poststreptococcal glomerulonephritis , rheumatoid ...
The additional cells are sometimes a clue to the cause of the granuloma. For example, granulomas with numerous eosinophils may be a clue to coccidioidomycosis or allergic bronchopulmonary fungal disease, and granulomas with numerous neutrophils suggest blastomycosis, granulomatosis with polyangiitis, aspiration pneumonia, or cat-scratch disease.