What Is the Most Common Avascular Necrosis Treatment?

Necrotizing vasculitis refers to allergic vasculitis that invades dermal capillaries and small blood vessels. The pathogenesis is generally considered to be related to allergic reactions. Poison in the blood causes autoimmune inflammation and invades damaged blood vessels. Patients may develop increased erythrocyte sedimentation, bilateral lower extremity skin lesions, and pigmentation.

Necrotizing vasculitis refers to allergic vasculitis that invades dermal capillaries and small blood vessels. The pathogenesis is generally considered to be related to allergic reactions. Poison in the blood causes autoimmune inflammation and invades damaged blood vessels. Patients may develop increased erythrocyte sedimentation, bilateral lower extremity skin lesions, and pigmentation.

Western Medicine Name

Necrotizing vasculitis

Disease site

Kidney, liver

The main symptoms

Increased erythrocyte sedimentation, skin lesions on both lower limbs, pigmentation

Main cause

allergy

Necrotizing vasculitis symptoms

1, whole body performance

Patients can have fever, body temperature can be high or low, loss of appetite, weight loss, general discomfort, fatigue, headache, abdominal pain, muscle pain, acute or hidden onset.

Kidney performance

Renal involvement is more common. The most common change in renal involvement in classic necrotizing vasculitis is glomerular ischemia, while the renal involvement of polyangiitis under the microscope is glomerulonephritis. Renal polyarteritis and glomerulonephritis cause increased blood pressure to aggravate the disease. Uremic disease is often the leading cause of death from necrotizing vasculitis. Renal lesions are rare and mild in allergic granulomatous vasculitis.

3. Lung performance

Lung involvement varies widely among subgroups. Classic necrotizing vasculitis is mostly without lung damage. The pulmonary lesions caused by pulmonary capillary vasculitis are more common in microscopic polyangiitis, which is the main clinical difference between classic necrotizing vasculitis and microvascular polyangiitis. The lung manifestations are most pronounced in allergic granulomatous vasculitis, with severe asthma and pulmonary infiltration occurring in more than 90% of patients.

4, skin performance

Skin manifestations of necrotizing vasculitis can occur in various types of patients. Subcutaneous nodules are common. Others include erythema, pimples, and purpura. Especially in allergic granulomatous vasculitis, the occurrence rate can be as high as 70%.

5.Other

All organs of the digestive system can be affected, and various clinical manifestations appear: gastroenteritis, intestinal obstruction, intestinal perforation, and peritonitis. Abdominal pain is common. Mesenteric arterial embolism should be considered for diffuse abdominal pain. Corresponding symptoms can occur in the blood vessels of the liver, pancreas and gallbladder.

Necrotizing vasculitis treatment

1. Internal treatment method: syndrome differentiation is heat and blood stasis, symptoms include erythema, ecchymosis, maculopapular rash, nodules, blister, blood blister, necrosis, ulceration, purulent secretion from both lower extremities to ankle Fever, thirst, dry stools, redness, redness, yellow tongue, pulse strings. Governance to clear heat and detoxify, cool blood and promote blood circulation.

2. External treatment method: rotten flesh purulent secretions on the wounded surface, external use of saprophytic muscle hippocampus cream, debridement and dressing change once a day. The wound carrion has been removed, the granulation is bright red, and the secretion is small. You can use Shengji ointment and change the dressing once a day.

3. Nursing: The diet is light and non-greasy, avoid cold, spicy, seafood and allergic substances, quit smoking and alcohol, and keep the spirit happy.

Necrotizing vasculitis precautions

1. Fever is an important clinical manifestation of vasculitis. Because this fever is not caused by infection, body temperature cannot be controlled after antibiotic, antituberculosis, antifungal, or antiviral treatment. Therefore, traditional anti-inflammatory drugs are not used for treatment.

2. Fever is the prominent clinical manifestation of vasculitis, and is also a common clinical symptom of malignant tumors (may be the first in some patients). Therefore, before diagnosing vasculitis, it should be distinguished from various malignant tumors, so as not to miss the diagnosis of malignant tumors. .

3. The clinical symptoms of vasculitis have many similarities with lupus erythematosus, polymyositis / dermatomyositis, and wind-like disease. However, these classic rheumatic diseases have relatively clear classification criteria. During laboratory inspection, You can find some highly specific autoantibodies, so it is easier to judge, and vasculitis has few specific diagnostic methods except for some trauma inspection methods such as biopsy of diseased tissue and angiography.