What is vasculitis? 

Vasculitis is a rare disease that causes the immune system to mistakenly attack healthy blood vessels, leading to inflammation and swelling. This can make the vessel walls thicken and narrow, reducing the amount of blood and oxygen delivered to vital organs. In some cases, a blood vessel will weaken, forming a dangerous bulge or aneurysm. Any of the body’s blood vessels can be affected, including arteries, veins, and capillaries.

Penn Medicine is a national leader in autoimmune disease care and treating vasculitis and related disorders.

Types of vasculitis 

All types of vasculitis cause inflammation of the blood vessels, but the symptoms and treatments can vary widely depending on which blood vessels and organs are affected. Some types of vasculitis can affect blood vessels of any size, while others are limited to just one part of the body, like the skin or brain.

Symptoms of vasculitis 

Vasculitis symptoms can vary based on the type and which organs are affected. Some people have only mild signs, while others may develop more serious problems. A vasculitis rash, which often appears as red or purple spots on the skin, is a common clue that blood vessels are inflamed. Other common signs include:

  • Fever
  • Fatigue
  • Weight loss
  • Muscle or joint pain
  • Headaches
  • Numbness, tingling, or weakness
  • Shortness of breath or coughing up blood (if the lungs are affected)
  • Stomach pain (if the digestive tract is involved)
  • Vision problems (if the eyes are involved)

What causes vasculitis? 

The exact cause of vasculitis isn’t always known. In some cases, it may be triggered by an autoimmune disorder like lupus, rheumatoid arthritis, or scleroderma. It can also happen after certain infections, such as hepatitis B or hepatitis C, or as a reaction to some medications. In rare cases, blood cancers or inherited genetic traits may play a role.

Diagnosing vasculitis

Diagnosing vasculitis can be tricky because its symptoms often look like those of other diseases. Doctors use blood and urine tests, imaging, and exams to look for signs of inflammation, check how organs are working, and rule out other possible causes. Taking a small sample of affected tissue (biopsy) is often the most reliable way to confirm the diagnosis.

Kidney biopsy
Kidney biopsy
Temporal artery biopsy
Temporal artery biopsy
Angiogram
Angiogram
Skin biopsy
Skin biopsy

How to treat vasculitis

Treatment for vasculitis depends on the type, how serious it is, and which organs are affected. Most people are treated with medications that lower inflammation and calm the immune system, such as corticosteroids and other immunosuppressive drugs. Supportive care is also important, including physical therapy, pain relief, and regular checkups, to help manage symptoms and improve quality of life. In more serious cases, doctors may use stronger treatments to control the disease and protect organ function.

Plasmapheresis
Plasmapheresis

Working across specialties to treat vasculitis 

Penn Medicine is recognized nationally for excellence in treating complex vascular and autoimmune diseases. You’ll benefit from our team-based approach, where experts in rheumatology, radiology, pulmonology, ophthalmology, and other fields collaborate to devise a comprehensive care plan that’s right for you.

We offer:

  • Advanced lab tests, imaging, and other specialized diagnostic tools and therapies
  • Coordinated specialty care to address the wide-ranging impacts of this challenging condition
  • A strong focus on research and clinical trials to bring you new and better treatments

Related specialties

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