Vasculitis steroid treatment

Rheumatologists are usually the specialists with the most overall knowledge about vasculitis. Thus, they direct the care of patients, particularly those with chronic or severe disease. Patients with vasculitis often benefit from seeing experts in the organ systems that are or might become affected. Doctors that patients may need to see include a dermatologist (skin doctor), neurologist (expert in nervous system diseases), ophthalmologist (eye doctor), otorhinolaryngologist (ear, nose and throat doctor), nephrologist (kidney doctor) or pulmonologist (lung doctor).

Some people with severe vasculitis or vasculitis that does not respond well to steroid-type drugs will need to be treated with cytotoxic drugs or rituximab. Cytotoxic drugs kill the cells that cause inflammation in the blood vessels. The most frequently used are azathioprine (Imuran®), cyclophosphamide (Cytoxan®) and mycophenolate mofetil (Cellcept). Cytotoxic medications are usually used in combination with prednisone and are often effective in treating vasculitis. A biologic drug called rituximab (Rituxan®) that depletes B cells (which make autoantibodies such as ANCA) may be a good choice for treatment, often instead of cytotoxic drugs.

Renal (kidney) involvement is common, occurring in 30-70 % of patients. Kidney disease is usually noted after the onset of systemic symptoms. More marked findings may also occur including nephrotic syndrome, a situation characterized by abnormal excretion of proteins and lipids in urine, swelling (edema), low level of albumin in blood and hyperlipidemia. High blood pressure (hypertension) and acute kidney failure may also be seen. Worsening of the kidney symptoms and biopsy-confirmed worsening of the kidney lesions may be observed in patients with repeated attacks of rash or hematuria (blood in the urine).

HSP is a condition that usually resolves spontaneously, but may still lead to serious complications. While many cases may require steroid intervention, other cases can enter a “watch and wait” period. During this period, parents have the option to be proactive about their child’s condition using safe and effective natural therapies. The safest way to obtain the nutrients mentioned in these studies is to eat a diet loaded with dark colored fruits and vegetables. In
addition, a good quality multivitamin and omega-3 supplement may also help reduce inflammation for HSP.

Vasculitis steroid treatment

vasculitis steroid treatment

HSP is a condition that usually resolves spontaneously, but may still lead to serious complications. While many cases may require steroid intervention, other cases can enter a “watch and wait” period. During this period, parents have the option to be proactive about their child’s condition using safe and effective natural therapies. The safest way to obtain the nutrients mentioned in these studies is to eat a diet loaded with dark colored fruits and vegetables. In
addition, a good quality multivitamin and omega-3 supplement may also help reduce inflammation for HSP.

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