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Rheumatology 2000; 39: 1173-1179
© 2000 British Society for Rheumatology

Editorial

Psychological aspects of vasculitis

M. Koutantji, S. Pearce and E. Harrold

School of Health Policy and Practice, University of East Anglia, Norwich NR4 4TJ, UK.

The first 150 words of the full text of this article appear below.

Primary systemic vasculitides are a group of rare chronic illnesses which are life-threatening. They are characterized by inflammation of blood vessels and can affect and damage to a variable degree many organ systems, including the lungs, kidneys and skin. The disease usually manifests itself with an initial acute, severe episode that requires aggressive medical management (e.g. high-dose steroids and cyclophosphamide). This is followed by a chronic course, often requiring prolonged immunosuppression (e.g. azathioprine, methotrexate, etc) and there is a significant risk of relapse. Watts et al. [1] report that the overall annual incidence of systemic vasculitis in adults is 19.8/million with peak incidence in the 65–74-yr age group. Some studies suggest the incidence may be increasing with time (for a review see Watts et al. [2]). The diseases can affect all age groups and they are slightly more common in men (male:female ratio 1.3–1.5:1 [. . . [Full Text of this Article]


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