Vasculitis physical examination

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Vasculitis

Overview

Classification

Large-sized vessel vasculitis
Takayasu's Arteritis
Temporal Arteritis
Medium-sized vessel vasculitis
Kawasaki's Disease
Polyarteritis Nodosa
Small-sized vessel vasculitis
Churg-Strauss Syndrome
Cutaneous leukocytoclastic vasculitis
Essential cryoglobulinemic vasculitis
Henoch-Schonlein Purpura
Microscopic polyangiitis
Wegener's Granulomatosis
Variable-sized vessel vasculitis
Sjogren syndrome
Cogan syndrome
Single organ vasculitis
Primary central nervous system angiitis

Causes

Differential Diagnosis

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: M.Umer Tariq [2] Jesus Rosario Hernandez, M.D. [3] Kiran Singh, M.D. [4]

Overview

Physical Examination

Vitals

Temperature

  • Elevated body temperature may be present (fever)

Pulse

Rate
Strength

Blood Pressure

Skin

  • Palpable purpura - if patients have this in isolation, it is most likely due to cutaneous leukocytoclastic vasculitis. If the purpura is in combination with systemic organ involvement, it is most likely to be Henoch-Schonlein purpura or microscopic polyarteritis.
  • Livedo reticularis - Polyarteritis nodosa
  • Erythema of palms/soles, edema of hands/feet, periungual desquamation, polymorphous rash - Kawasaki disease
  • Palpable purpura, maculopapular rash - Hypersensitivity vasculitis

(Images courtesy of Charlie Goldberg, M.D., UCSD School of Medicine and VA Medical Center, San Diego, CA)

Skin:Leucocytolastic vasculitis; legs
Leucocytoclastic vasculitis; pustular type
Vasculitis: In this instance, the vasculitic skin lesions were secondary to Haemophilus endocarditis.
Vasculitis: In this instance, the vasculitic skin lesions were secondary to Haemophilus endocarditis.


Vasculitis: In this instance, idiopathic with palpable purpura.
Vasculitis: Palpable Purpura: Secondary to idiopathic leukocytoplastic vasculitis.
Vasculitis: In this instance, idiopathic.
Vasculitis: In this instance, idiopathic with palpable purpura.



Images of vasculitis after Streptococcal throat infection

Streptococcal vasculitis
Streptococcal vasculitis


Eye

Head


Heart

Auscultation

Extremities

  • Claudication

Gallery

Lower extremity

Neurologic


References



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