Dear Eric, One question. Why is the hematuria in small vessel vasculitis without casts? Thank you for the great video
@StrongMed10 жыл бұрын
That's a great question! That chart is something I had been taught during a rheum lecture as a medicine resident. The RBC with and without casts distinction was something that I always wondered about and meant to investigate, but never did. Having just looked into it, it doesn't seem to be true at all! I generally double check (or triple check) everything that goes into these videos, but I wanted to publish this one ASAP to keep it timely with Harold Ramis' death from vasculitis, and this one point fell through the cracks. (The rest of that chart looks good.) My sincere apologies, and thanks for pointing this out! I've added an annotation to correct this mistake.
@maiguelmoreno90274 жыл бұрын
Kudos for the Video clip! Excuse me for butting in, I am interested in your opinion. Have you ever tried - Taparton Casting Hives Takeover (should be on google have a look)? It is a good exclusive guide for Getting Rid of Hives minus the headache. Ive heard some super things about it and my mate at last got astronomical results with it.
@marceloalfonso71304 жыл бұрын
Lovely Video clip! Excuse me for the intrusion, I would appreciate your initial thoughts. Have you heard the talk about - Ganrayden Peerless Gratification (do a google search)? It is a smashing one of a kind product for eradicating your urticaria without the headache. Ive heard some interesting things about it and my friend got cool success with it.
@nikolamarkovic44204 жыл бұрын
Lovely video content! Excuse me for chiming in, I would love your thoughts. Have you heard the talk about - Ganrayden Peerless Gratification (erm, check it on google should be there)? It is a good one off product for eradicating your urticaria without the normal expense. Ive heard some incredible things about it and my m8 at last got amazing success with it.
@marioperez64664 жыл бұрын
Cheers for the Video! Sorry for the intrusion, I would appreciate your initial thoughts. Have you considered - Ganrayden Peerless Gratification (do a search on google)? It is an awesome exclusive guide for eradicating your urticaria minus the normal expense. Ive heard some unbelievable things about it and my coo-worker after many years got amazing results with it.
@magedabuldahab74814 жыл бұрын
You can remember the vasculitis mimics by: ABCDEFG A amylidosis, biopsy by congo red and detect light chain B beurgers. Smoking as hell C calciphylaxis. Renal failure D DIC. Critical and bleeding PT&aPTT E endocarditis echo& blood culture in drug abuser or one having abnormal valve F fat emboli classically dislodging cholesterol after an angoigraphy G Goodpasture, one of the highest mortality ever in medicine, I don't know what to do with
@iamautumndaye5 жыл бұрын
Thank you. I was blessed with Lupus vasculitis after gallbladder surgery a year ago in my stomach. It’s been rough.
@megayobee2 жыл бұрын
How coping now?
@oneofthem1070 Жыл бұрын
Thank you Doctor. A layperson here who has done an enormous amount of reading to figure out what’s wrong with me. Saw my doctor, a dermatologist, a urologist and my cardiologist. I was at a loss but my cardiologist suggested vasculitis and referred me to a Rheumatologist. Finally. My appt is still six months away but I feel better knowing what I’m looking at. Thank you!
@StrongMed Жыл бұрын
A 6 month wait to see a rheumatologist?!? Ugh, I'm sorry to hear to that.
@oneofthem1070 Жыл бұрын
Me too. Actually first appt was May 2024 but there was a cancellation in December. Six months. I hope I will be ok.
@DB-pm2vy Жыл бұрын
@@oneofthem1070Go to A&E if it gets worse and GP can’t help you.
@venomx409310 ай бұрын
@@oneofthem1070 Pay attention to any kidney issues. If you develop any kidney issues, I would seek help.
@lukasx543 Жыл бұрын
Dr Strong, u make the best summaries I´ve seen in youtube so far.
@DrSanjayNatarajan9 жыл бұрын
Dr. Eric Im a medical student from India and I find your lectures very helpful. Thankyou. I shared it with my friends. Kindly do a lecture on Cerebrovascular accident, Hemiplegia, Paraplegia.
@StrongMed9 жыл бұрын
Sanjay Natarajan Thanks for your message, and for the suggestions. I'm starting to try to time videos to when students at my own institution are learning about specific topics. Therefore, I'll be covering neurology in the winter. Will be sure to post on strokes and their various complications.
@richasharma77796 жыл бұрын
Sanjay Natarajan Hi Sanjay, I have been diagnosed with vasculitis with the symptoms like palpable purpura, red hives on the skin, constant pain in throat, frequent cough cold, headache, muscles and joints pain, constipation, etc. Could you please suggest the treatment approach? I am not sure about which doc should I see. I went to a derma and he prescribed me azythromycin (three days a week) and dapsone for a month. But after a month i am getting it again. Please help. Suggest me where should I go for the treatment? I will be really thankful.
@Hithere-rx2rm10 ай бұрын
@@richasharma7779hi there !!just wanna if you are fully recovered? I am also diagnosed with vasculitis and having the symptoms
@tahmeedhussain23055 жыл бұрын
Excellent overview of the vast topics in just 14 minutes!
@lilychu89124 жыл бұрын
Thanks for the video! Training pre-Internet, I did not have these resources to learn/ review medicine. Thank you also for the systematic breakdown of different symptoms by vessel size and what to look out for.
@emanyaqoub76263 жыл бұрын
Thank you , very professional presentation.
@Knuxsega9 жыл бұрын
Professionally presented and very thorough presentation. Thank you!!
@daniloserra63984 жыл бұрын
Great video content! Sorry for butting in, I am interested in your initial thoughts. Have you tried - Ganrayden Peerless Gratification (do a search on google)? It is a good exclusive product for eradicating your urticaria minus the normal expense. Ive heard some interesting things about it and my work colleague at very last got great success with it.
@drmaiyahmed82199 жыл бұрын
thank you sir its very helpful , we need more rheumatological lectures . thanks alot
@imtiazkhan96659 жыл бұрын
sir,thank you so much with no bound for your videos.please do add more rheumatology videos
@sunving4 жыл бұрын
Thank you very much. A good overview. You are a good teacher, instructor !
@Discovery_and_Change3 жыл бұрын
I started getting itchy 5 days ago around the stomach. Next day I had red marks that I thought were animal bed bug bites. Next days got more itchy and spots spread and looked more red. Headaches started coming in to play too. Finally saw a doctor today and he said he thinks small blood vessel vasculitis. Prescribed me prednisone. Today was first day I took the pills. 4 more days to go.
@StrongMed3 жыл бұрын
I can't give specific, individualized medical advice here. But no form of vasculitis is cured with 5 days of prednisone.
@Discovery_and_Change3 жыл бұрын
@@StrongMed I may have purpura, then, and not vasculitis.
@elchinn872 жыл бұрын
@@StrongMed urticarial vasculitis may respond and resolve to steroids rapidly.
@elchinn872 жыл бұрын
How are you doing now, though one year later, did you develop any such problems later?
@Discovery_and_Change2 жыл бұрын
@@elchinn87 I haven't been to the doctor since then, so I don't know if any other problems developed internally, but from the outside there are no other problems.
@piyushsonone74 ай бұрын
Very knowledgeable presentation in essay way thanks 🙏
@sunving4 жыл бұрын
Thank you very much Dr Strong.
@looneytunes98129 жыл бұрын
I have Behcets syndrome/vasculitis. And a great set of Docs at hospital. Great explaining in video.
@kallekantola63369 жыл бұрын
I'm surprised to see erythema nodosum listed as a common clinical feature in vasculitis. I'm a med student in Finland and our guidelines on erythema nodosum make no mention of vasculitis as an etiological factor. I made a quick search on the topic and found a paper explicitly stating that erythema nodosum is not associated with vasculitis (Schwartz et a; American family physician 2007, 75:695-700. PubMed ID 17375516). I didn't find any articles supporting an association between the two. Could you clarify?
@StrongMed9 жыл бұрын
Thanks for the comment. As noted in another comment below, I was attempting to publish this video ASAP after Harold Ramis' death, and didn't double check everything as thoroughly as I normally do (which I now know to do for future celebrity deaths...) However, erythema nodosum has been described in vasculitis, just not as commonly as the video implies, and not specifically in medium vessel vasculitis as the chart incorrect indicates. First, it's seen in ~1/3 of cases of Behcet's disease (dozens of papers, here is just one: Chajek T, Fainaru M. Behcet's disease. Report of 41 cases and a review of the literature. Medicine (Baltimore). 1975 May;54(3):179-96. PMID: 1095889). It has also been uncommonly reported in granulomatosis with polyangiitis (Barksdale SK, et al. Cutaneous pathology in Wegener's granulomatosis. A clinicopathologic study of 75 biopsies in 46 patients. Am J Surg Pathol. 1995 Feb;19(2):161-72. PMID: 7832276). And has been reported in Takayasu's arteritis (Frances C, et al. Cutaneous manifestations of Takayasu arteritis. A retrospective study of 80 cases.Dermatologica. 1990;181(4):266-72. PMID: 1981565). An interesting case report of recurrent erythema nodosum being ultimately attributed to an initial presentation of Takayasu is here: Gupta M, et al Recurrent erythema nodosum: a red flag sign of hidden systemic vasculitis. BMJ Case Rep. 2013 Apr 9;2013. PMID: 23576669). Regarding the article you've cited, I can only speculate about the contradiction. First, the authors may not consider Behcet's disease to be a vasculitis. Although there is some clinically irrelevant disagreement as to the categorization of the disease as either a primary vasculitis, or as a disease associated with a secondary vasculitis, it doesn't show up at all on some classic lists of the vasculitides that you may come across in general med textbooks and review books. Another potential source of confusion, and this is with the caveat that I am far removed from being a dermatopathologist, but the authors of the Am Fam Phys paper seem to consider the presence of vasculitis on a skin biopsy as an exclusion criteria for diagnosing EN. Interestingly, some of the aforementioned papers refer to the skin lesions seen in some of these vasculitis patients as "erythema nodosum-like" or the patients having been given "a clinical diagnosis of erythema nodosum". This suggests some distinction between EN diagnosed on clinical grounds, from EN diagnosed from biopsy. But adding to the confusion, some papers that I've just been skimming about the pathology of EN suggest disagreement on whether vasculitis on biopsy even excludes EN. The bottom line, legit EN appears quite common in Behcet's disease, and EN-like lesions (i.e. clinically indistinguishable from "true EN" on biopsy) are occasionally reported in Takayasu's and granulomatosis with polyangiits. In retrospect, I should not have listed EN as "a clinical feature commonly seen in vasculitis". I'm adding an annotation to clarify for future viewers.
@kallekantola63369 жыл бұрын
Thank you for the thorough response - and more generally for your time and effort in creating these excellent videos.
@ABC-fv7ow4 жыл бұрын
Excellent presentation
@zenaidatandoc33916 күн бұрын
I was diagnosed of vasculitis last year ,no management or treatment was done. I Develop heart attack Takasubo syndrome or broken heart syndrome accompanied of severe headache.
@Mazzawak3 жыл бұрын
Great Video as always Dr Strong, I wonder if Meningococcemia and Rickettsiosis shouldn't also be grouped in the Vasculitides mimics
@mollymed0910 жыл бұрын
Thank you so much.was much needed.
@JennBubel10 жыл бұрын
This is great! Thank you very much!
@pallavbhattacharyya200010 жыл бұрын
sir....can you please make a concise wholesome video on the various aspects and types of pneumonia, throwing light on crisp points of pathology and pathogenesis of the same, and how one can differentiate it from pneumonitis. It would be a very nice package to learn pneumonia.
@juliang81628 жыл бұрын
Hi Sir, thank you so much for your videos, they have helped tremendously. I have a question - when you mentioned polyneuropathy as a symptom of small vessel vasculitis, do you mean mononeuritis multiplex? I understand polyneuropathy to be distinct from mononeuritis multiplex in that the former affects contiguous peripheral nerves unlike the latter. Would be great if you could clarify that! Thank you very much:D
@kiddwiseman4925 жыл бұрын
O
@dr.abbasfadel15442 жыл бұрын
Thanks for that informative video I hope to complete rheumatology course 🙏🙏💛
@sanjaysarkar58667 жыл бұрын
also if possible .... organ involvement in systemic diseases .... like cardiac or renal involvement in different systemic disease .... ufff medicine is really vast ...
@annasutton80783 жыл бұрын
Is there any studies that have focused on what is best to eat when you have this disease.
@art-e-fact12015 жыл бұрын
Thanks a lot Sir for sharing your knowledge in such a comprehensive way As I have special interest in rheumatology I am eagerly waiting for your next video on rheumatology....it will be very helpful 🙂 Thanks a lot again
@sumankalagara94 ай бұрын
I had ASO TITRE 400 AND GOT VASCULITIS FROM PAST 1 YEAR PALPABLE PURPURA IS THE ONLY SIDE EFFECT I AM HAVING
@IRANI8448 Жыл бұрын
It is interesting that you begin the lessons with a piece of music by J.S. Bach !
@sunving3 жыл бұрын
Thank you Doctor Strong
@magedabuldahab74814 жыл бұрын
11:50 vasculitis mimics, highest yield for clinical practice not exams
@kyozenntelan858 Жыл бұрын
my son had a systemic vasculitis
@spidyniks7 жыл бұрын
I had a vitreous hamerrage in right eye, I was treated for 2 years and now Im fine. But how can I keep myself health and get rid of vasculitis? I dono what is root cause all test were done?? Im hardly 30 and this causes a lot of anxiety, I dont drink smoke anything. Will this also cause problems if we plan for babies?
@ksle201110 жыл бұрын
Thank you for the lecture. Would you please do a lecture on ITP or platelet disorder?
@st0tes50203 жыл бұрын
Great videos.
@chisco7210 жыл бұрын
me amputaron la pierna por tener vasculitis pero después de la amputación la enfermedad desapareció
@fungusamongus48304 жыл бұрын
Can you please explain to me what the difference in appearance of a"hot water bottle/heating pad rash " is compared to livedo reticularis? I have it on front of my thighs bad While I do have pots and persistent low blood pressure my whole life (ever sense I was a teen my normal BP is about 80/40 nothing brings it up we've tried salt now considering vasopressin ) Either way I HAVE used a heating pad while I sleep on my legs and this rash look is in every way like the livedo as pictured BUT it also looks in every way like a hot wattwe bottle rash Even my dr is stumped I should as I haven't used a hot pad on legs in few weeks and it's still there Along with worsening BP symptoms FYI I'm a 30 year old female of normal weight never been over weight never had hypertension it's always hypo and we don't know why
@DraGnFly0072 жыл бұрын
Would have appreciated more photos.
@jobethllavan63345 жыл бұрын
Hello good day to you doctor strong, unfortunately i got vasculitis just last april 2019 and then unfourtunately it came last week of july, is vasculitis life threatening? What to do if there are blisters on my skin due to vasculitis? Is it treatable? Please help me with my condition?
@megayobee2 жыл бұрын
How are you coping and treating your vasculitis?
@Nathalie7774 Жыл бұрын
You need blood tests.
@venomx409310 ай бұрын
Depending on the type, yes it can be life threatening.
@gamaltaher9714 Жыл бұрын
Thanks
@OscarHernandez-bv3pr2 жыл бұрын
Can you develop atherosclerosis from vasculitis?
@superbesli801610 жыл бұрын
Thank you for this presentation and correct spellig of Behçet.
@StrongMed10 жыл бұрын
@K. NgL, I've had a overdue request for coagulation disorders for a while (including ITP). A series on that will be coming once the chest X-ray series is done.
@mnewby822 жыл бұрын
This is what the late Harold Ramis was dealing with before he passed
@ramykhalil45938 жыл бұрын
amazing thank you!
@maxiway16614 жыл бұрын
Thanks for the video content! Excuse me for the intrusion, I would appreciate your opinion. Have you ever tried - Ganrayden Peerless Gratification (do a search on google)? It is an awesome one of a kind guide for eradicating your urticaria without the hard work. Ive heard some amazing things about it and my mate got excellent success with it.
@DC-ms3xw7 жыл бұрын
Wha kind of critria to put vasculitis mild, moderate,severe related to your treatmnt in ur last mention in this video
@StrongMed7 жыл бұрын
It's very subjective. if specific criteria exist for grading the severity of a specific form of vasculitis in regards to treatment, I think most doctors wouldn't adhere to it too strictly, and would instead use their "clinical experience" (i.e. use their gut).
@silentgirltears7825 жыл бұрын
What about urticarial vasculitis, I never see any videos on this type.
@StrongMed5 жыл бұрын
Very sorry about the omission. For my videos that are intended to provide a broad overview of a general category of diseases to medical trainees, I need to balance thoroughness with "digestability" (i.e. is it a compact enough amount of information for students to click on, watch, and remember) - which I know doesn't help if you're a patient looking for info on a rare disease. Urticarial vasculitis is a immune-complex associated small vessel vasculitis (same category as cryoglobulinemic vasculitis) categorized by urticaria (which unlike most other causes of urticaria, can be painful in additional to itchy) and often (though not always) low complement levels (complement is a collection of proteins used by the immune system). In addition to the urticaria, joint pain/arthritis is a particularly common manifestation. Patients can also have ocular complications, recurrent abdominal pain, nausea/vomiting, cough, and shortness of breath (among other symptoms). I just did a search here on KZbin hoping to find a good, reliable video on urticarial vasculitis to share with you, but unfortunately came up empty.
@Julia-vp9jr4 жыл бұрын
Hi I’m 15 years old and I’ve had the livedo reticularis pattern on my legs, arms, and sometimes on my stomach(not as noticeable) and I’ve had it for about 5 years. It makes me very self conscious and I haven’t worn shorts in forever! Do u know if there’s anything I can do about this?
@StrongMed4 жыл бұрын
I'm sorry to hear that. To the best of my knowledge, there is no specific treatment for idiopathic livdeo reticularis ("idiopathic" means cases in which the cause is unknown and it's not associated with another disease).
@Julia-vp9jr4 жыл бұрын
Strong Medicine ah ok well thank you anyways❤️
@jyaptras8 жыл бұрын
Which specialist treats cutaneous vasculitis?
@trishenthfonseka97326 жыл бұрын
Rheumatologist
@Delhi1115 жыл бұрын
In India any quack can do
@abodywaleed82923 жыл бұрын
Just to mention that we give steroids only when the cause is immune mediated , but if the cause was infection , so the steroid will make it worse . So steroid should be avoided when the cause is infection
@sanjaysarkar58667 жыл бұрын
i m a MD medicine from india and ur videos are extremely helpful.... can u cover sle , RA, Overlaps, spondyloarthropathies...and other rheumatology topics u find relevant
@khairoonnisatayob10552 ай бұрын
Can one fly while having vasculites pls help
@StrongMed2 ай бұрын
I can't offer specific, individualized medical advice here. I recommend consulting your own physician who knows the details of your personal medical history.
@drdilipsmms6 жыл бұрын
Small vessel vasculitis causes glomerulonephritis commonly and they tend to have RBC casts.
@StrongMed6 жыл бұрын
Yes! Thanks for the comment. I have an embedded annotation pointing out this error, but unfortunately, annotations don't work on mobile, and other viewers may have them turned off. Just pinned a similar prior comment to increase the chance that viewers see it.
@drdilipsmms6 жыл бұрын
Dear Dr. Eric Strong, Thanks for the reply. I am your big time follower and please continue the good work.
@piyalidas82814 жыл бұрын
Sir... My biopsy report shows cutenous small vessels vasculities... Is that related to cancer??
@venomx409310 ай бұрын
I'd rather die than take Cyclophosphamide. Bladder cancer vs Vasculitis?
@dr.Daniyalmustansar7 ай бұрын
i have hsp. purpura everything is normal platelets normal ANA report normal IGa IGm report normal only i have cholesterol and fatty liver may age 25 you how can i treat my nonthrombocytopenic pupura
@StrongMed7 ай бұрын
I'm sorry, but I can't give specific, individualized medical advice here.
@dr.Daniyalmustansar7 ай бұрын
@@StrongMedi need whatsapp
@rozioross14305 ай бұрын
Még mindig vannak purputáid?
@abdelrahmaneid947510 жыл бұрын
thanks a lot doc
@ruthanncooter62562 жыл бұрын
I have that! I’ve had a “rash” since August 1 2021. I went to the doctor they wouldn’t come in my room. I was miserable. I’ve dealt with it since on my own. Getting steroids is like buying crack. I’m still miserable. No insurance No help
@megayobee2 жыл бұрын
Does steroids help?
@MarifilMathersinScotland7 ай бұрын
@@megayobeeSteroids is not helping. It's just maintenance. Once you stop, rashes appeared again after few weeks.
@LC-yv9ey4 жыл бұрын
I think I have Polyarteritis Nodosa
@jimmymediacasulla97186 жыл бұрын
hello :)) i'd like to ask, is it advisable to a person with vasculitis to have a Gluta Drip?? thank you so much!
@StrongMed6 жыл бұрын
First, this doesn't constitute individualized medical advice: But, having said that, the "Gluta Drip" is pseudoscientific nonsense. Here's a nice review: sciencebasedmedicine.org/are-skin-lightening-glutathione-injections-safe-and-effective/
@tracieamoore8 жыл бұрын
what type of Dr would one go to for vasculitis?
@StrongMed8 жыл бұрын
+tracieamoore Once the diagnosis has been confirmed, a rheumatologist is the only person typically qualified to help patients manage most forms of vasculitis over a long time (with a few exceptions). However, if the diagnosis is just suspected and the patient needs to undergo a work-up to confirm or refute it, either a good primary care doctor, hospitalist, or relevant medical specialist should be able to do so.
@Delhi1115 жыл бұрын
Quack
@mrkps19863 жыл бұрын
I am suffering from this disease man please help,suffering from 20 years
@D___A2 жыл бұрын
8:08 PAN spares the LUNGS tho keep in mind guys
@carmenbita81334 жыл бұрын
can high thyroid antibodies cause vasculitis?
@StrongMed4 жыл бұрын
To the best of my knowledge (and a quick literature search), no. But medications used to treat hyperthyroidism (which could be caused by thyroid antibodies) have been associated with a small vessel vasculitis: www.jrheum.org/content/45/5/686
@vastugrg34578 жыл бұрын
my reports have shown c-ANCA positive,can it be cure plz reply and my kidneys are affected.
@StrongMed8 жыл бұрын
+Vastu Grg I'm very sorry about your illness, but I can't give out individualized, specific medical advice. I advise you to speak with your doctor.
@venomx409310 ай бұрын
It can go into remission, but not cured.
@mariluvillafuerte72362 жыл бұрын
God forbid.... No I wouldn't have that
@maxdoubt76805 жыл бұрын
6:17 'Obama pain' - good one Mr AI - lol!!!
@skyprint82123 жыл бұрын
السلام شكون يشرح لي ملخص الفديو من فضلكم
@piyalidas82814 жыл бұрын
Is cutenous small vessels vasculities means cancer??
@StrongMed4 жыл бұрын
No, not usually. Only a small percentage of cutaneous small vessel vasculitis is caused by cancer. It's more commonly associated with infections or autoimmune disease, or is a medication side effect. About half of cases are idiopathic (i.e. no specific cause can be identified).
@piyalidas82814 жыл бұрын
@@StrongMed thank you sir... I'm little bit worry just bcz of biopsy.... Is that curable??
@aashugupta69964 жыл бұрын
Jab aap kise chij ke bare me nahe jante to kuch v mat lika kroo Aap ne likh diya vasculitis means cancer Vasculitis kya hai wo pahle jan lo. Aur cancer kya hai wo v jan lo dono alag alag chij hai.
@piyalidas82814 жыл бұрын
@@aashugupta6996.. I dont know about this.. My biopsy rprt shows vasculities.. Nd Google shows it caused by cancer... Simply I asked.... And its very common... I'm nt a dctr or mdcl studnt
@aashugupta69964 жыл бұрын
Sorry My 4 year daughter suffering for vasculitis for one month
@dr.dhananjayyadav6692 жыл бұрын
Cuable h sir
@user-en7ih2uo7f3 жыл бұрын
😭😭😭😭😭
@cameroncook3863 Жыл бұрын
This is usless to a common person.
@StrongMed Жыл бұрын
It's not meant for laypersons. The channel's tagline is "free, on-demand videos for medical trainees and professionals". ¯\_(ツ)_/¯
@oneofthem1070 Жыл бұрын
I disagree. I’m waiting for months to see a Rheumatologist. In the meantime, my cardiologist has suggested vasculitis. After seeing this video I’m sure I have vasculitis and it runs in my family, unfortunately. I’ve been reading for two months and this was a very succinct video. Very helpful. The more I learn, the less fearful I am. Having to wait six more months for the Rheumatologist! That is the worst part.
@venomx409310 ай бұрын
I'm the common person and I clearly understand the video.