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Suggest Treatment For Recurring Vasculitis After Stopping Medicines
Question: Hello doctor
I am suffering for vasculities and taking treatment under skin specialist for last 3-4 months. all my reports are normal.. with the medicines it is under control.. but when i do not take medicines for 3-4 days it reooccurs.. kindly suggest if it is compeltely curable
I am suffering for vasculities and taking treatment under skin specialist for last 3-4 months. all my reports are normal.. with the medicines it is under control.. but when i do not take medicines for 3-4 days it reooccurs.. kindly suggest if it is compeltely curable
Brief Answer:
vasculitis is treatable
Detailed Answer:
Hi,
Thanks for writing to us.
Vasculitis is treatable, however time span required may vary from weeks to months or sometimes years.
Firstly, I need to confirm the diagnosis.
I would appreciate if you could upload pics clearly showing your skin lesions and your doctor's prescription.
I would like to know where are these lesions present
Since how long are you having these lesions
If you have any other underlying medical disorder
If blood investigations or any ultrasound was done
If the diagnosis was confirmed by skin biopsy
Any other medicines that your using other than dapsone.
Please answer these questions and upload the pics so that we can carry the discussion further.
Waiting to hear from you.
vasculitis is treatable
Detailed Answer:
Hi,
Thanks for writing to us.
Vasculitis is treatable, however time span required may vary from weeks to months or sometimes years.
Firstly, I need to confirm the diagnosis.
I would appreciate if you could upload pics clearly showing your skin lesions and your doctor's prescription.
I would like to know where are these lesions present
Since how long are you having these lesions
If you have any other underlying medical disorder
If blood investigations or any ultrasound was done
If the diagnosis was confirmed by skin biopsy
Any other medicines that your using other than dapsone.
Please answer these questions and upload the pics so that we can carry the discussion further.
Waiting to hear from you.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
thank you doctor!!
i have not done any biopsy
lesions are present in lower legs only (cutaneous vasculitis)
and in small red colourd dots only, itching rearely on feet
am suffering from since 3-4 months
no other disorder
blood investigations are done ultrasound not done
diagnosis was confirmed just on lesion observations
currently no other medicines apart from dapsone and Fucibet cream
(earlier tab zempred 4 mg and tab levosiz 5 mg taken for 20 day)
blood tests - haemogram, AMA, DS-DNA, P-ANCA, C-ANCA
Weli XXXXXXX test -
All blood reports normal
i have not done any biopsy
lesions are present in lower legs only (cutaneous vasculitis)
and in small red colourd dots only, itching rearely on feet
am suffering from since 3-4 months
no other disorder
blood investigations are done ultrasound not done
diagnosis was confirmed just on lesion observations
currently no other medicines apart from dapsone and Fucibet cream
(earlier tab zempred 4 mg and tab levosiz 5 mg taken for 20 day)
blood tests - haemogram, AMA, DS-DNA, P-ANCA, C-ANCA
Weli XXXXXXX test -
All blood reports normal
Brief Answer:
continue dapsone.
Detailed Answer:
Hi,
Thanks for providing all the details. Though you haven't attached a pic but by description provided and investigations done, I too agree with the diagnosis of vasculitis.
Once all the underlying causes like autoimmune diseases, infections, drug induced vascilitis has been ruled out, we start the patient on tapering doses of steroid. Other drugs like NSAID( indomethacin), dapsone, hydroxychloroquine can be added. vasculitis usually takes weeks to months to resolve. As you are having response with dapsone, continue it for two to three weeks and then taper it to one tablet every alternate day ie do not stop it abruptly. Also use a mild steroid cream like fluticasone cream over affected area. If the disease is controlled at tapered doses of dapsone, we will taper it further. But still dapsone needs to be continued till remission is achieved.
Hope this helped.
Take care
continue dapsone.
Detailed Answer:
Hi,
Thanks for providing all the details. Though you haven't attached a pic but by description provided and investigations done, I too agree with the diagnosis of vasculitis.
Once all the underlying causes like autoimmune diseases, infections, drug induced vascilitis has been ruled out, we start the patient on tapering doses of steroid. Other drugs like NSAID( indomethacin), dapsone, hydroxychloroquine can be added. vasculitis usually takes weeks to months to resolve. As you are having response with dapsone, continue it for two to three weeks and then taper it to one tablet every alternate day ie do not stop it abruptly. Also use a mild steroid cream like fluticasone cream over affected area. If the disease is controlled at tapered doses of dapsone, we will taper it further. But still dapsone needs to be continued till remission is achieved.
Hope this helped.
Take care
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Thank you doctor for the advice...
just for my knowledge can you please share the exact reason of having vasculitis..
i would lke to know what exactly vasculities is and how one suffers from it
also other than medicines what precautions i need to take to clear it completely
awaiting your reply.
thanks once again :)
just for my knowledge can you please share the exact reason of having vasculitis..
i would lke to know what exactly vasculities is and how one suffers from it
also other than medicines what precautions i need to take to clear it completely
awaiting your reply.
thanks once again :)
Brief Answer:
Inflammation of blood vessel
Detailed Answer:
Hi,
Vasculitis is inflammation of blood vessel wall. Depending on the sites involves one gets the symptoms.
Most often cause for vasculitis is autoimmune, where one's own immune cells attach the self blood vessel wall cells. Other causes include infections and medications.
Healthy life style and regular exercises can help in preventing the worsening of the condition.
Hope, I answered your query.
Wish you good health.
Regards,
Inflammation of blood vessel
Detailed Answer:
Hi,
Vasculitis is inflammation of blood vessel wall. Depending on the sites involves one gets the symptoms.
Most often cause for vasculitis is autoimmune, where one's own immune cells attach the self blood vessel wall cells. Other causes include infections and medications.
Healthy life style and regular exercises can help in preventing the worsening of the condition.
Hope, I answered your query.
Wish you good health.
Regards,
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation
Above answer was peer-reviewed by :
Dr. Raju A.T
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