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Volumen 7, Ausgabe 4 (2021)

Rezensionsartikel

Glucocorticoids Induced Adverse Events in Patients with Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis Are Frequent and Often Severe, but Under-Reported: A Systematic Review

Tejas Thomas*, Dieter Götte, Bernhard Hellmich, Duvuru Geetha, Peter Antony Rutherford, Kumari Priyanka

Background: Glucocorticoids are cornerstone for treatment of anti-neutrophil cytoplasmic Antibody-Associated Vasculitis (AAV) but
their significant dose-dependent toxicity is a major concern in clinical practice. This systematic review aims to determine the frequency
and proportion of glucocorticoid-related adverse events in patients with AAV.
Method: A systematic literature search was performed in the Embase, Medline and PubMed databases with limitation on years of publication
between January 2000 and December 2020. Full text articles from randomized controlled trials, other interventional and observational
studies including data on the study design, population size, drugs administered and adverse events reported were considered for the
analyses. Studies focused exclusively on eosinophilic granulomatosis with polyangiitis were excluded. A regression model was run to
explore the relationship between mean doses of glucocorticoids, duration and reported adverse events. Furthermore, a correlation matrix
was generated to analyse the rate of incidence of adverse events.
Results: A total of 91 articles were reviewed. Most frequently reported serious adverse events included death (12%) and severe infections
(9%) while non-serious adverse events included infections (not specified) and leukocytopenia (approximately 14%each). Diabetes was
frequently reported according to the Vasculitis Damage Index components. Regression analysis revealed a significant association between
duration of glucocorticoid treatment and occurrence of infections and eye disorders (not specified, p<0.05). There was no significant
association between the mean glucocorticoid dose and occurrence of reported adverse events.
Conclusion: The increasing clinical burden of glucocorticoid-related adverse events in patients with AAV could be reduced by considering
advanced therapeutic strategies.

Kommentar

Does the Vascular Lesions Cancerous?

George Werner

A vascular tumor is a soft tissue development that is generated from blood arteries or lymph vessels and can be either benign or malignant. Hemangiomas, lymphangiomas, hemangioendotheliomas, Kaposi's sarcomas, angiosarcomas, and hemangioblastomas are all examples of vascular tumours. Any benign vascular tumour is referred to as an angioma. Because some vascular tumours are linked to major blood clotting issues, early detection is crucial. A vascular tumour can be classified as highly vascularized or poorly vascularized, depending on the amount of blood flow it receives.

Kommentar

Peripheral Vascular Disease Awareness on Public Health and Epidemiology

Yelena Shannan

A manifestation of systemic atherosclerosis, peripheral vascular disease (PVD) is an independent risk factor for cardiovascular (CV) morbidity and mortality. Due to the lack of studies focused specifically on women, PVD research has traditionally been focused on male patients. Our crosssectional study examined the incidence and risk factors associated with PVD and atherosclerosis Women veterans' ambulatory status as well as their knowledge and awareness of PVD and its effects.

Kurze Kommunikation

Development of Vascular Tissues in Living-Organisms

Sravanti Kusuma

Various species and systems were used for the analysis of plant tissue but, Arabidopsis has been incontestible to be the foremost suited plant for studies of biological science and biological process genetic science thanks to its model standing. This together with speedy and effective induction system for biological process with options, like functioning tube cambium and secondary tube tissues found in woody plants, established in Arabidopsis can offer decisive advantage over previous approaches. during this review, we tend to summarize info regarding secondary plant tissue development in Arabidopsis as well as cambium organic process and xylogenesis, with incidental changes in phytohormone distribution, directivity of its flow, and cellular polarity outlined by phytohormone transporters (PIN family proteins), that are indicated to be concerned in regulation of plant tissue patterning and regeneration.

Kurze Kommunikation

Advance Approaches to Vascular Disorders

Derin Daniel

Cardiology is a discipline of medicine concerned with the study of the heart and its functioning, as well as the diagnosis, treatment, and prevention of disorders involving blood vessels and the heart. You may want to see a cardiologist to learn more about your risk factors for heart disease and what steps you may take to improve your heart health. New technologies such as drug eluting stents, assist devices for the left ventricle, and novel inflammatory makers, as well as imaging modalities such as magnetic resonance imaging and 3D echocardiography, are all part of cardiology's future medicine.

Leitartikel

Pregnancy Related Vascular Complication

Gary S. Hoffman

Pregnancy ends up in substantial hemodynamic and prothrombotic changes that type the inspiration for downstream tube complications, each throughout gestation and within the postnatal amount. Additionally, many vital risk factors, as well as older patient age, diabetes, and smoking, will increase the chance for vascular-related gestation complications. As a result of radiologists usually play a very important role in analysis of the pregnant patient, understanding the pathophysiology of vascular-related complications in gestation and their imaging appearances is important for diagnostic accuracy.

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