Vasculitis: inflammation of the blood vessels — diagnosis and treatment in Chisinau
Vasculitis is a group of diseases in which the immune system inflames the walls of the blood vessels. Depending on which vessels are affected, there may be skin rashes, joint pain, fever, or involvement of the kidneys, lungs or nerves. These diseases are rare, but a timely diagnosis protects the organs.
Vasculitis symptoms
Symptoms depend on which vessels are affected. Fever, fatigue, weight loss and joint and muscle pain are common. Red-purple spots that do not fade when pressed may appear on the skin, especially on the lower legs.
Other signs: blood in the urine, coughing up blood, sinusitis that will not clear up, numbness or weakness in a hand or foot, and a new headache with vision problems in older people.
- red-purple spots on the lower legs that do not fade when pressed
- unexplained fever and fatigue
- blood or foam in the urine
- numbness or weakness in a limb
Diagnosing vasculitis
The rheumatologist uses inflammation tests, antibodies (ANCA and others), kidney function and urinalysis and, when needed, imaging (Doppler ultrasound, CT, MRI) and a biopsy of the affected area.
Because vasculitis can affect many organs, diagnosis and treatment are often carried out as a team with a nephrologist, pulmonologist or ophthalmologist.
Vasculitis treatment
In the active phase, corticosteroids are used and, depending on the type and severity, immunosuppressants or biologic therapies. The goal is to stop the inflammation quickly to protect the organs.
This is followed by maintenance treatment at lower doses, with regular check-ups and tests to detect any relapse early.
Long-term follow-up
Blood and urine tests at the intervals set by your doctor are essential, even when you feel well. Recommended vaccinations and infection prevention are important during immunosuppressive treatment.
Tell your doctor immediately if fever, rashes, blood in the urine or other symptoms you had at the onset come back.
When to see a rheumatologist
- you have red-purple spots on your legs that do not fade when pressed
- you have fever and weight loss with no obvious cause
- you have blood in your urine or swollen legs
- you are over 50 and have a new headache with pain when chewing (urgent!)
- you have sinusitis, are coughing up blood or have unexplained numbness
How Laromed Clinic helps
The rheumatologist listens, examines you, reviews the tests you already have and explains in plain words what is happening and what comes next.
- consultation at the clinic in Chisinau or online by video
- joint ultrasound and intra-articular injections
- a written treatment plan and long-term follow-up
- coordination with physiotherapy and other specialties
FAQ: vasculitis
Is vasculitis contagious?
No. These are autoimmune diseases; they are not passed from one person to another.
Can vasculitis be cured?
Many types of vasculitis go into complete remission with treatment. Some can come back, which is why long-term follow-up is important.
Why are so many tests needed?
Because vasculitis can affect important organs (kidneys, lungs) without causing symptoms at first. Tests detect the problem early.
Medically reviewed: Dr. Larisa Rotaru, rheumatologist, MD PhD. The information on this page is general and does not replace a medical consultation.
