Vasculitis - symptoms, causes, methods of diagnosis, treatment, photos
- 07 Jul 16:45
- Disease Of The Skin
Vasculitis is a term that denotes a group of diseases that show inflammation of the walls of the vessels with their subsequent destruction. In most cases, the vasculitis affects several organs at once, as a result of this disease the blood supply and the supply oftissues are disturbed.
- 1 Forms of the disease
- 2 Causes of the disease
- 3 Clinical picture of
- 4 Methods of diagnosis
- 5 Treatment of
- 5.1 Treatment of folk remedies
- 6 Prevention and prognosis
- 7 Photo
Forms of the disease
Physicians distinguish primary and secondary vasculitis. In the first case, vasculitis develops as an independent disease, which is not accompanied by other ailments.
Secondary vasculitis is a consequence of some other pathology. Often the cause of secondary vasculitis is infection( sepsis, scarlet fever, meningitis, etc.) or skin disease( most often, psoriasis).Less commonly secondary vasculitis develops on the background of malignant tumor formation. This form of the disease, as a rule, passes after treatment of the disease, which caused inflammation of the vessels.
There are several systems of vasculitis classifications, depending on localization, severity of course and causes of development. Some types of vasculitis affect only the skin, without causing any special damage to the internal organs. Other types of disease affect the vessels of vital organs and endanger the life of the patient.
disease As a group of primary vasculitis included quite heterogeneous diseases, it is extremely difficult to identify the causes of this pathology development. In the majority of cases, the cause of vasculitis can not be identified.
To date, the dominant theory of the origin of vasculitis is the recognition of the infectious nature of the disease. A number of vasculitis forms have a pronounced temporary connection with various diseases caused by infectious agents. Moreover, the presence in the body of the cell of chronic infection - this is a possible cause of relapse of the disease or the emergence of secondary complications vasculitis.
In some cases, the cause of vascular inflammation is the allergic reaction of the body to the administration of various drugs. Today, about 150 different medicines have been detected, the use of which can provoke the appearance of vasculitis. More often, such a reaction is given by taking antibiotics, sulfanilamides, group B vitamins, iodine preparations, analgesics, X-ray contrast agents, tuberculostatics.
It is impossible to exclude and hereditary predisposition to the development of the vasculitis, as this disease is often observed in blood relatives.
Clinical picture of
Vasculitis is a disease characterized by clinical polymorphism, ie the symptoms and manifestations of the disease may vary significantly. Symptomatic pattern may vary depending on the location of the lesion area and the presence of concomitant diseases.
Complaints of patients with vasculitis are diverse. As a rule, the disease begins acutely with the emergence of signs of development of the inflammatory process.
Among the common symptoms of vasculitis is the following:
- Lowering the weight of the patient.
- Constant low-grade temperature.
Other vasculitis symptoms depend on which particular organs have been defeated.
With skin inflammation, a characteristic rash appears, apparently similar to small hemorrhages. As the disease progresses, muscle tissues, nerves, and joints may be involved in the inflammatory process.
If vasculitis affects the kidneys, patients develop nephritis, kidney infarction or other similar pathologies.
In the event that the main organ of the defeat are the joints, pain is observed, signs of arthritis appear, which occurs with damage, but without deformation of the joints.
When the vasculitis of the nervous system affects, patients experience sensory impairment. Some patients develop hypersensitivity, while in others it is completely absent.
Vasculitis can also affect coronary vessels, and this is the most dangerous form of the disease, which results in heart attacks and strokes.
In any case, vasculitis is a disease characterized by prolonged course, frequent relapses and labor-intensive treatment.
The basis of the success of vasculitis treatment is early diagnosis. The more likely a diagnosis will be established at a later stage of the disease, the more likely it is to develop complications and irreversible changes.
Diagnosis is based on the study of clinical manifestations of the disease, ie patient complaints and data obtained as a result of objective screening and review.
An important diagnostic factor is the age and gender of the patient. So, a hemorrhagic vasculitis, mostly found in children or young people. Such a form of vasculitis as non-specific aortoarteritis affects mainly girls up to 30 years of age, and those who are oblivious to thromboangiitis of Buerger suffer, mainly men.
Skin syndrome with vasculitis is one of the earliest symptoms, it manifests itself in about half of all patients. Rashes are diverse. This may be both skin purpura( small hemorrhages), and the appearance of nodules, spots, petechiae. Rarely observed mesh levido - rash in the form of a marble pattern. In the cases of disease, skin rashes can be transformed into trophic ulcers with negligible discharge and poorly expressed pain syndrome.
In half of patients with vasculitis, muscle pain is observed. If the pain syndrome is severe, then this symptom may be the first sign of peripheral nerves.
A typical feature of vasculitis can be called joint damage - knee, shoulder, ankle, etc.
. Kidney damage - this is quite common and a prognostically adverse symptom of vasculitis, which is noted in about one third of all patients. Clinical signs of kidney damage in this disease are a sign far.went through the process. Also, patients may have different manifestations from the organs of the gastrointestinal tract, respiratory organs and cardiovascular system.
There are no specific laboratory tests for vasculitis. However, blood tests with this disease are mandatory, as their results can be judged on the degree of activity of the process.
Probably, it will be necessary to appoint a histological examination of the biopsy taken from the skin, where the changes are most pronounced.
To diagnose certain types of vasculitis, there are their own methods and criteria, the assessment of which allows for proper diagnosis. Ultrasound and X-ray examination are used to assess the degree of involvement in the process of internal organs.
Almost all types of vasculitis are characterized by chronic and progressive flow. Stable remission with this disease is achieved only by persistent treatment.
As one of the main directions of treatment, immunosuppression is combined with the administration of anti-inflammatory drugs. To this end, the patient is prescribed glucocorticosteroids and cytostatics.
Most often, with a vasculitis, Prednisolone is prescribed, since this drug is able to quickly remove inflammation and swelling of the vascular walls. After the stiffening of the inflammatory process, taking prednisolone should be continued in the maintenance dose. This prevents further vascular damage and progression of the disease.
Helps to improve the condition of patients with vasculitis and the use of cytostatic drugs. Most often, with this disease prescribed cyclophosphamide.
For successful treatment it is recommended and concomitant therapy - the use of vasodilators and antithrombotic agents.
At present, for the treatment of vasculitis increasingly used extracorporeal hemocorrection - the complex use of plasmonophorees with blood urode and hemogeny.
Treatment of folk remedies
In addition to the methods of medicine officially, you can take the tools recommended by folk healers.
Healing infusion with vasculitis. It is necessary to take four tablespoons of each of the following herbs - grass spores, nettle leaves, Japanese sophora fruit, grass, and flowers elderberry. All is well mixed. Take a spoon of the mixture every morning and brew a glass of boiling water. After hourly infusion and stratification, the infusion should be divided into three parts and taken for a day.
Ointment can be prepared for treatment of skin manifestations of vasculitis. Rub into a rubbing glass of fresh birch buds and mix with half a kilo of mashed potato fat or nutria. The resulting composition is folded into clay crockery and tamped at a temperature of 120 degrees oven for 3 hours. Then turn off the heating and let the contents cool down. Repeat catch in the oven according to the scheme described above for 7 days. On the last day, heat the ointment and let it cool down. Use a composition to lubricate skin rash with vasculitis.
Prophylaxis and prognosis
Prevention of vasculitis is the timely rehabilitation of foci of infection, the exclusion of unsystematic drug administration without the appointment of a physician. Also, excessive overcooling and overheating of the body should be avoided, and moderate tightening procedures, on the contrary, are very useful.
The prognosis for vasculitis depends on the type of disease and the degree of lesion. At an early diagnosis and appointment of adequate therapy significantly increases the likelihood of returning the patient to normal active life.