Dear Eric, One question. Why is the hematuria in small vessel vasculitis without casts? Thank you for the great video

@StrongMed

10 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.

@maiguelmoreno9027

4 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.

@marceloalfonso7130

3 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.

@nikolamarkovic4420

3 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.

@marioperez6466

3 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.

Excellent overview of the vast topics in just 14 minutes!

Dr Strong, u make the best summaries I´ve seen in youtube so far.

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.

Thank you. I was blessed with Lupus vasculitis after gallbladder surgery a year ago in my stomach. It’s been rough.

@megayobee

Жыл бұрын

How coping now?

Thank you very much. A good overview. You are a good teacher, instructor !

thank you sir its very helpful , we need more rheumatological lectures . thanks alot

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

Thank you , very professional presentation.

Professionally presented and very thorough presentation. Thank you!!

@daniloserra6398

3 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.

sir,thank you so much with no bound for your videos.please do add more rheumatology videos

Thank you very much Dr Strong.

Thank you so much.was much needed.

Great Video as always Dr Strong, I wonder if Meningococcemia and Rickettsiosis shouldn't also be grouped in the Vasculitides mimics

This is great! Thank you very much!

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

10 ай бұрын

@@oneofthem1070Go to A&E if it gets worse and GP can’t help you.

@venomx4093

8 ай бұрын

​@@oneofthem1070 Pay attention to any kidney issues. If you develop any kidney issues, I would seek help.

Excellent presentation

Thanks for that informative video I hope to complete rheumatology course 🙏🙏💛

@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.

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.

@StrongMed

9 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.

@richasharma7779

6 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-rx2rm

7 ай бұрын

@@richasharma7779hi there !!just wanna if you are fully recovered? I am also diagnosed with vasculitis and having the symptoms

I have Behcets syndrome/vasculitis. And a great set of Docs at hospital. Great explaining in video.

Great videos.

Very knowledgeable presentation in essay way thanks 🙏

Thank you for the lecture. Would you please do a lecture on ITP or platelet disorder?

Thank you Doctor Strong

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

@kiddwiseman492

5 жыл бұрын

O

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

Is there any studies that have focused on what is best to eat when you have this disease.

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.

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?

Thank you for this presentation and correct spellig of Behçet.

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?

@StrongMed

9 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.

@kallekantola6336

9 жыл бұрын

Thank you for the thorough response - and more generally for your time and effort in creating these excellent videos.

amazing thank you!

@maxiway1661

3 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.

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

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.

@StrongMed

3 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_Change

3 жыл бұрын

@@StrongMed I may have purpura, then, and not vasculitis.

@elchinn87

2 жыл бұрын

@@StrongMed urticarial vasculitis may respond and resolve to steroids rapidly.

@elchinn87

2 жыл бұрын

How are you doing now, though one year later, did you develop any such problems later?

@Discovery_and_Change

2 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.

also if possible .... organ involvement in systemic diseases .... like cardiac or renal involvement in different systemic disease .... ufff medicine is really vast ...

Would have appreciated more photos.

It is interesting that you begin the lessons with a piece of music by J.S. Bach !

I had ASO TITRE 400 AND GOT VASCULITIS FROM PAST 1 YEAR PALPABLE PURPURA IS THE ONLY SIDE EFFECT I AM HAVING

Wha kind of critria to put vasculitis mild, moderate,severe related to your treatmnt in ur last mention in this video

@StrongMed

6 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).

Can you develop atherosclerosis from vasculitis?

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?

@StrongMed

4 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-vp9jr

4 жыл бұрын

Strong Medicine ah ok well thank you anyways❤️

11:50 vasculitis mimics, highest yield for clinical practice not exams

Thanks

thanks a lot doc

me amputaron la pierna por tener vasculitis pero después de la amputación la enfermedad desapareció

This is what the late Harold Ramis was dealing with before he passed

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?

@megayobee

Жыл бұрын

How are you coping and treating your vasculitis?

@Nathalie7774

Жыл бұрын

You need blood tests.

@venomx4093

8 ай бұрын

Depending on the type, yes it can be life threatening.

I am suffering from this disease man please help,suffering from 20 years

Which specialist treats cutaneous vasculitis?

@trishenthfonseka9732

6 жыл бұрын

Rheumatologist

@Delhi111

4 жыл бұрын

In India any quack can do

my son had a systemic vasculitis

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

@megayobee

Жыл бұрын

Does steroids help?

@MarifilMathersinScotland

4 ай бұрын

@@megayobeeSteroids is not helping. It's just maintenance. Once you stop, rashes appeared again after few weeks.

what type of Dr would one go to for vasculitis?

@StrongMed

8 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.

@Delhi111

4 жыл бұрын

Quack

my reports have shown c-ANCA positive,can it be cure plz reply and my kidneys are affected.

@StrongMed

8 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.

@venomx4093

8 ай бұрын

It can go into remission, but not cured.

I think I have Polyarteritis Nodosa

What about urticarial vasculitis, I never see any videos on this type.

@StrongMed

5 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 KZread hoping to find a good, reliable video on urticarial vasculitis to share with you, but unfortunately came up empty.

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

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

hello :)) i'd like to ask, is it advisable to a person with vasculitis to have a Gluta Drip?? thank you so much!

@StrongMed

5 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/

can high thyroid antibodies cause vasculitis?

@StrongMed

3 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

Small vessel vasculitis causes glomerulonephritis commonly and they tend to have RBC casts.

@StrongMed

6 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.

@drdilipsmms

6 жыл бұрын

Dear Dr. Eric Strong, Thanks for the reply. I am your big time follower and please continue the good work.

@piyalidas8281

4 жыл бұрын

Sir... My biopsy report shows cutenous small vessels vasculities... Is that related to cancer??

Can one fly while having vasculites pls help

@StrongMed

Күн 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.

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

@StrongMed

4 ай бұрын

I'm sorry, but I can't give specific, individualized medical advice here.

@dr.Daniyalmustansar

4 ай бұрын

@@StrongMedi need whatsapp

@rozioross1430

2 ай бұрын

Még mindig vannak purputáid?

8:08 PAN spares the LUNGS tho keep in mind guys

6:17 'Obama pain' - good one Mr AI - lol!!!

I'd rather die than take Cyclophosphamide. Bladder cancer vs Vasculitis?

Is cutenous small vessels vasculities means cancer??

@StrongMed

4 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).

@piyalidas8281

4 жыл бұрын

@@StrongMed thank you sir... I'm little bit worry just bcz of biopsy.... Is that curable??

@aashugupta6996

4 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.

@piyalidas8281

4 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

@aashugupta6996

4 жыл бұрын

Sorry My 4 year daughter suffering for vasculitis for one month

God forbid.... No I wouldn't have that

السلام شكون يشرح لي ملخص الفديو من فضلكم

Cuable h sir

😭😭😭😭😭

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.

@venomx4093

8 ай бұрын

I'm the common person and I clearly understand the video.

@cameroncook3863

8 ай бұрын

@@venomx4093 lol of course you do Simon

Thank you Doctor Strong