Rheumatology consult
May warrant surgical intervention if abdominal involvement
Corticosteroids:
Prednisone 1mg/kg
Methylprednisolone (7-15mg/kg, max 1000mg IV) for severe, organ threatening
Immunosuppressive agent for moderate to severe
Cyclophosphamide (600mg/m2) q2weeks x 3 doses
ACEI or ARB for hypertension
Prednisone 1mg/kg
Methylprednisolone (7-15mg/kg, max 1000mg IV) for severe, organ threatening
Cyclophosphamide (600mg/m2) q2weeks x 3 doses
Polyarteritis nodosa
Embolism, thrombosis, atherosclerosis
Thromboangiitis obliterans
HIV, Hepatitis, IE, mycotic aneurysm
Takayasu arteritis
Fibromuscular dysplasia
Granulomatosis with polyangiitis
Microscopic polyangiitis, Granulomatosis with polyangiitis 