Don’t forget the toes: Managing patients with ANCA vasculitis
Update: 2025-09-29
Description
Active or not active, that is the question. In this week's episode we interview Alexandra Villa-Forte, MD, MPH, a staff physician in the Center for Vasculitis Care and Research at Cleveland Clinic and a leading vasculitis expert, on a pragmatic approach to recognizing disease activity in patients with ANCA vasculitis.
- · Intro 0:01
- · Welcome Alexandra Villa-Forte, MD, MPH 0:10
- · Dr. Brown sketches a potential patient that may be seen in practice 0:40
- · How are you monitoring patients’ kidneys? 1:28
- · How reliable are ‘no casts’ results in urinalysis tests? 4:15
- · What is happening in the glomeruli? 5:23
- · The importance of monitoring the urinalysis of patients with ANCA vasculitis 7:06
- · Symptoms to watch for when tapering off medications 7:43
- · Different scenarios with lung symptoms 9:35
- · Evaluating patients with GPA; looking at the nose, ear and sinuses 12:20
- · Neurologic symptoms in ANCA vasculitis 14:24
- · Laboratory monitoring 15:52
- · Should ANCA titers be a part of routine vasculitis monitoring? 17:05
- · What is your approach using PJP prophylaxis in ANCA-associated vasculitis? 18:05
- Thank you, Dr. Villa-Forte! 20:25
We’d love to hear from you! Send your comments/questions to Dr. Brown at rheuminationspodcast@healio.com. Follow us on Twitter @HRheuminations @AdamJBrownMD @HealioRheum.
Disclosures: Brown reports no relevant financial disclosures. Healio was unable to confirm relevant financial disclosures for Villa-Forte at the time of publication.
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