Vasculitis is inflammation of vessel walls. It has many causes,although they result in only a few histologic patterns of vascularinflammation. Vessels of any type in any organ can be affected,a fact that results in a wide variety of signs and symptoms.These protean clinical manifestations, combined with the etiologicnonspecificity of the histologic lesions, complicate the diagnosisof specific forms of vasculitis. This is problematic becausedifferent vasculitides with indistinguishable clinical presentationshave very different prognoses and treatments. For example, apatient with purpura, nephritis, and abdominal pain caused byHenochSchönlein purpura usually has a good prognosis. . . [Full Text of this Article]
Historical Background
Discovery and Categorization of Necrotizing Arteritis
Historical Description of the Manifestations of Venulitis and Capillaritis
Antineutrophil Cytoplasmic Autoantibodies
Diagnosis and Treatment of Small-Vessel Vasculitis
General Signs and Symptoms of Small-Vessel Vasculitis
Diagnostic Strategy
Cutaneous Leukocytoclastic Angiitis
HenochSchönlein Purpura
Cryoglobulinemic Vasculitis
Anca-Associated Small-Vessel Vasculitis
Recommendations
Source Information
From the Departments of Pathology and Laboratory Medicine (J.C.J.) and Medicine (R.J.F.), University of North Carolina at Chapel Hill, Chapel Hill.
Address reprint requests to Dr. Jennette at CB#7525, Department of Pathology and Laboratory Medicine, University of North Carolina, Chapel Hill, NC 27599-7525.
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