A Spotlight on Drug-Induced Vasculitis.

IF 5.7 2区 医学 Q1 RHEUMATOLOGY Current Rheumatology Reports Pub Date : 2022-11-01 Epub Date: 2022-09-21 DOI:10.1007/s11926-022-01088-0
Kinanah Yaseen, Alana Nevares, Hiromichi Tamaki
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引用次数: 7

Abstract

Purpose of review: Drug-induced vasculitis (DIV) is a rare form of vasculitis related to the use of various drugs. DIV primarily affects small to medium size vessels, but it can potentially involve vessels of any size. Differentiating between primary systemic vasculitis and DIV can be challenging; however, it is crucial, so that the offending agent can be discontinued promptly.

Recent findings: The clinical phenotype of DIV is protean and depends on the size of the affected vessels. It ranges from arthralgias, to an isolated cutaneous rash, to severe single or multi-organ involvement. While withdrawal of the offending drug is the most important step in management, a significant number of patients require immunosuppressive therapy for varying periods of time. DIV can affect any vascular bed size, leading to protean vasculitic syndromes. Increased awareness among general practitioners, specialty, and subspecialty physicians is crucial for early recognition, and withdrawal of drug for better outcomes.

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药物性血管炎研究进展
综述目的:药物性血管炎(DIV)是一种罕见的血管炎,与多种药物的使用有关。DIV主要影响中小型血管,但也可能涉及任何大小的血管。鉴别原发性系统性血管炎和DIV可能具有挑战性;然而,这是至关重要的,因此,违规剂可以立即停止。最近发现:DIV的临床表型是蛋白质的,取决于受影响血管的大小。它的范围从关节痛到孤立的皮肤皮疹,到严重的单个或多个器官受累。虽然停药是治疗中最重要的一步,但相当多的患者需要不同时期的免疫抑制治疗。DIV可影响任何血管床大小,导致变异性血管综合征。提高全科医生、专科医生和亚专科医生的认识对于早期识别和停药以获得更好的结果至关重要。
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来源期刊
CiteScore
11.20
自引率
0.00%
发文量
41
期刊介绍: This journal aims to review the most important, recently published research in the field of rheumatology. By providing clear, insightful, balanced contributions by international experts, the journal intends to serve all those involved in the care and prevention of rheumatologic conditions. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas such as the many forms of arthritis, osteoporosis and metabolic bone disease, and systemic lupus erythematosus. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also occasionally provided.
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