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Localized Clinical Features that Suggest Different Types of Vasculitis
The below table lists features suggestive of different types of vasculitis. These features occur either before, during, or after the constitutional features and are also relatively nonspecific, with considerable overlap.
Localized Clinical Features that Suggest Different Types of Vasculitis
| Symptoms | Diagnosis |
|---|---|
| Jaw claudication; visual loss; palpable, thickened, tender temporal artery; or diminished temporal artery pulsation | GCA |
| Absent radial pulses, difficulty obtaining a blood pressure in one arm | Takayasu arteritis or large artery involvement in GCA |
| Sinus involvement, otitis media, scleritis | GPA (Wegener) or EGPA (Churg–Strauss syndrome) |
| Hypertension, renal vascular involvement | Polyarteritis nodosa or Takayasu arteritis |
| Asthma | EGPA (Churg–Strauss syndrome) |
| Testicular tenderness | Polyarteritis nodosa |
| Pulmonary–renal syndromes (hemoptysis and glomerulonephritis) | GPA (Wegener) and microscopic polyangiitis SLE and Goodpasture syndrome |
| Palpable purpura | Cutaneous vasculitis associated with diseases causing small-vessel vasculitis |
GCA, Giant cell arteritis; GPA, granulomatosis with polyangiitis; EGPA, eosinophilic granulomatosis with polyangiitis; SLE, systemic lupus erythematosus.
