Vasculitis en Lyme

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Vasculitis

https://www.amc.nl/web/Het-AMC/Afdeling ... oening.htm

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Central nervous system vasculitis and stroke

http://www.prohealth.com/lyme/library/s ... ibid=30287

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Central nervous system vasculitis and stroke or transient ischemic attack (TIA)

https://www.frontiersin.org/articles/10 ... 00146/full

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NCBI Immunosuppressive treatment for vasculitis ass. with Lyme disease

https://www.ncbi.nlm.nih.gov/pmc/articl ... p00721.pdf

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Sometimes an autoimmune disorder triggers vasculitis

https://www.nhlbi.nih.gov/health/health ... vas/causes

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What is autoimmune vasculitis?

http://unckidneycenter.org/kidneyhealth ... vasculitis

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[Sproetje]

Neuroborreliosis-Associated Cerebral Vasculitis

Nina Lenherr, MD,1 Kathi Walther, MD,1 Jacques Schneider, MD,1 Andreas Woerner, MD,1 and Melanie Hess, MD1
2015

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4784641/

Conclusion
Children with chronic neuroborreliosis may have nonspecific and only mild clinical signs but concomitant cerebral vascular involvement may be present, implying a risk for possibly severe secondary complications. Additional neurological symptoms together with a differential diagnosis of neuroborreliosis should prompt supplementary radiological evaluation searching for associated cerebral vasculitis.

[Sproetje]

Neuroborreliosis-associated cerebral vasculitis: long-term outcome and health-related quality of life.
Back T1, Grünig S, Winter Y, Bodechtel U, Guthke K, Khati D, von Kummer R.
2013

https://www.ncbi.nlm.nih.gov/pubmed/23329377

Abstract
Neuroborreliosis affects the nervous system after systemic infection with the spirochete Borrelia burgdorferi. Previously, cerebral vasculitis has been regarded as an extremely rare complication of neuroborreliosis. The data on the long-term outcome in patients with cerebral vasculitis due to neuroborreliosis are limited. The objective of this study was to perform a longitudinal analysis of cases of neuroborreliosis-associated cerebral vasculitis. We recruited all patients (n = 11) diagnosed with neuroborreliosis-associated in three neurological departments in an East German region. Inclusion criteria were sudden neurological deficits, magnetic resonance (MR) imaging findings that conform to cerebral ischemia or brain infarction, intrathecal synthesis of borrelia-specific antibodies, and non-atherosclerotic pathology of brain supplying arteries. Vasculitic changes were detected by digital subtraction angiography, MR angiography and/or transcranial Doppler ultrasound. Outcomes were measured by the modified Rankin scale (mRS) and EuroQoL Index. Cerebral vasculitis is a rare complication of Lyme disease (0.3% of all cases in the endemic area). Ten out of 11 patients diagnosed with neuroborreliosis-associated vasculitis cerebral vasculitis using clinical, radiological and immunological criteria developed ischemic stroke or transient ischemic attacks (TIA), 7 patients had recurrent stroke. Vasculitic alterations could be demonstrated in 8 patients that all except one developed ischemic lesions. The median mRS was 3 (range 0-4) at admission and 2 (range 0-6) at discharge. The posterior circulation was affected in 8 of 11 patients; thrombosis of the basilar artery was detected in 2 patients, one died in the acute stage. Neuroborreliosis can cause recurrent stroke or TIA on the basis of cerebral vasculitis. Lumbar puncture is needed for detection of this potentially life-threatening condition. Early recognition and adequate therapy would possibly improve outcome.

[Henriëtte]

Het was toeval dat mijn h.a. ontdekte dat mijn bloeddruk aan de linkerarm niet meer meetbaar is.
Wat er uit komt is een gigantisch bloeddrukverschil ten opzichte met de rechterarm.
De afgelopen weken ben ik door de molen van het Vaatlab gegaan.
De diagnose is een vaatafsluiting van arteria subclavia (hoofdslagader onder het linker sleutelbeen).
Dit kan er ook nog wel even bij!

Een aanwijsbare reden hiervoor is er niet; bloeddruk rechterarm is extreem laag, cholesterol is al jarenlang prima en geen overgewicht.
Is er sprake van vasculitis vraag ik me af?
In dit ziekenhuis is geen bekendheid met Lyme en er wordt (weer) geen verband gelegd.

Ik heb anderhalf jaar met veel pijn in de linkerarm rond gelopen.
Heb er nooit over geklaagd omdat ik vond dat dit in verhouding tot mijn andere klachten peanuts was.

De laatste trend is dat een bloeddrukmeting altijd aan beide armen moet gebeuren.
Doet jouw huisarts dit (nog) niet, vraag er desnoods om.

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[Henriëtte]

Retinale Vasculitis Als één van oorzaken wordt Lyme genoemd

https://encyclopedie.medicinfo.nl/retin ... 6cded7403e

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