Vasculitic Neuropathy Follow-up

Updated: Feb 05, 2015
  • Author: Abbas Mehdi, MD; Chief Editor: Nicholas Lorenzo, MD, MHA, CPE  more...
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Follow-up

Further Outpatient Care

See the list below:

  • Patients on cyclophosphamide require regular blood testing (ie, CBC).
  • Continue and encourage physical therapy. Patients may need splints for weakness; especially with foot drop, an ankle foot orthosis can stabilize gait.
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Further Inpatient Care

See the list below:

  • Treatment and management of systemic manifestations of vasculitis require a multidisciplinary approach with consultation with other subspecialists.
  • Physical therapy is recommended if the patient's condition is clinically stable.
  • Obtain a nutrition consult for patients on long-term steroid treatment.
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Prognosis

Vasculitic neuropathy requires prompt diagnosis and treatment to promote good outcome. In patients whose neuropathy is part of a systemic vasculitis, the neuropathy can be expected to improve, leaving only mild or moderately severe functional disability. Nevertheless, the long-term outlook for such patients is poor, with a 5-year survival rate of approximately 50%; most excess deaths are due to vascular disease. The prognosis in nonsystemic vasculitic neuropathy is substantially better than in systemic vasculitis.

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