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Topics:
Rheumatology
•
Vasculitis
How would you approach a 64 yo M with bilateral optic perineuritis/neuritis on MRI, steroid-responsive bilateral jaw pain, normal ESR/CRP, negative temporal artery biopsy and elevated IgG4?
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Would you consider re-dosing rituximab in a patient with ANCA vasculitis (early glomerulonephritis, pulmonary nodules, sinus symptoms) who experiences a flare of the disease and return of CD19 cells 3 months after initial rituximab administration?
Do you always pursue biopsy confirmation before diagnosing IgA vasculitis?
When do you obtain nerve biopsy to evaluate for vasculitic neuropathy in patients with distal symmetric polyneuropathies?
What options are available for patients who require high dose steroids while taking strong CYP4A4 inducers?
How do you approach worsening memory loss in patients with GCA?
