Healio Rheuminations

Don’t forget the toes: Managing patients with ANCA vasculitis


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Active or not active, that is the question. In this week's episode we interview Alexandra Villa-Forte, MD, MPH, a staff physician in the Center for Vasculitis Care and Research at Cleveland Clinic and a leading vasculitis expert, on a pragmatic approach to recognizing disease activity in patients with ANCA vasculitis.

  • ·       Intro 0:01
  • ·       Welcome Alexandra Villa-Forte, MD, MPH 0:10
  • ·       Dr. Brown sketches a potential patient that may be seen in practice 0:40
  • ·       How are you monitoring patients’ kidneys? 1:28
  • ·       How reliable are ‘no casts’ results in urinalysis tests? 4:15
  • ·       What is happening in the glomeruli? 5:23
  • ·       The importance of monitoring the urinalysis of patients with ANCA vasculitis 7:06
  • ·       Symptoms to watch for when tapering off medications 7:43
  • ·       Different scenarios with lung symptoms 9:35
  • ·       Evaluating patients with GPA; looking at the nose, ear and sinuses 12:20
  • ·       Neurologic symptoms in ANCA vasculitis 14:24
  • ·       Laboratory monitoring 15:52
  • ·       Should ANCA titers be a part of routine vasculitis monitoring? 17:05
  • ·       What is your approach using PJP prophylaxis in ANCA-associated vasculitis? 18:05
  • Thank you, Dr. Villa-Forte! 20:25

We’d love to hear from you! Send your comments/questions to Dr. Brown at [email protected]. Follow us on Twitter @HRheuminations @AdamJBrownMD @HealioRheum.

 

Disclosures: Brown reports no relevant financial disclosures. Healio was unable to confirm relevant financial disclosures for Villa-Forte at the time of publication.

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Healio RheuminationsBy Adam J. Brown, MD

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