Autoimmune antibodies __ vasculitis
At the age of 29, I was diagnosed with "cardiovascular disease" (currently, there is no pulse in my left arm due to an issue with the aorta).
I was scheduled for bypass surgery in September 2007, as the area requiring bypass connects to a blood vessel in my neck that leads to the brain, forming a T-shape.
However, the day before the surgery, the doctor reviewed my previous angiograms and felt something was off.
The surgery was postponed, and a CT scan was performed instead.
The results revealed that I have "autoimmune antibodies" due to inflammation (hypertrophy) of a specific blood vessel in my neck, which is particularly thick.
I remember the doctor saying that the normal thickness is around 20, while mine is 80 (I hope I remembered correctly).
During my last follow-up appointment on the 28th, the doctor mentioned that my condition has not improved and is still worsening.
I would like to ask Dr.
Zeng:
1.
Am I no longer a candidate for surgery (I am afraid of having a stroke as I have experienced a warning sign before)? Why is that?
2.
Will the vasculitis improve? Is it going to take a very long time?
3.
Besides taking the prescribed medications on time, what other aspects should I pay attention to in order to recover more quickly?
4.
Regarding health maintenance: Can I take Vitamin D, calcium, and B vitamins?
Thank you, Dr.
Zeng, for your response amidst your busy schedule.
Wishing you all the best and good health...
^_^
Dan, 30~39 year old female. Ask Date: 2007/12/31
Dr. Zeng Guosen reply Internal Medicine
1.
It is essential to first assess for vasculitis and the extent of vascular involvement before determining the necessity of surgery.
2.
The etiology of vasculitis is unknown; therefore, long-term treatment, management, monitoring, and evaluation are required.
3.
Follow the treatment regimen prescribed by your physician, and discuss any questions with your attending physician.
4.
Supplementing with vitamins has contraindications, but they can be consumed.
Reply Date: 2007/12/31
More Info
Understanding autoimmune antibodies and their impact on vascular health is crucial, especially for individuals diagnosed with cardiovascular diseases. In your case, the discovery of autoimmune antibodies and vascular inflammation raises several important considerations regarding your health and treatment options.
1. Surgical Considerations: The presence of autoimmune antibodies, particularly in the context of vascular inflammation, can complicate surgical interventions. Surgeons often assess the risk of complications such as stroke or excessive bleeding when considering surgery. If your blood vessels are inflamed and thickened, as indicated by your elevated measurements, this could increase the risk of complications during and after surgery. The inflammation may also affect blood flow, making it more challenging for the surgical team to navigate the affected areas. Therefore, it is essential to have a thorough discussion with your healthcare provider about the risks and benefits of proceeding with the surgery. They may recommend further imaging studies or adjustments to your treatment plan before considering surgical options.
2. Prognosis of Vascular Inflammation: Vascular inflammation can be a chronic condition, and its duration and resolution depend on various factors, including the underlying cause and your response to treatment. In many cases, with appropriate management, including medications such as corticosteroids or immunosuppressants, inflammation can be controlled, and symptoms may improve. However, it may take time to see significant changes, and regular follow-up with your healthcare provider is essential to monitor your condition and adjust treatment as necessary.
3. Lifestyle and Management: In addition to adhering to your prescribed medication regimen, there are several lifestyle modifications you can adopt to support your vascular health. These include:
- Diet: A balanced diet rich in anti-inflammatory foods, such as fruits, vegetables, whole grains, and healthy fats (like omega-3 fatty acids found in fish), can help reduce inflammation. Avoiding processed foods and excessive sugars may also be beneficial.
- Exercise: Regular physical activity can improve circulation and overall cardiovascular health. However, consult your doctor before starting any new exercise program, especially given your current condition.
- Stress Management: Chronic stress can exacerbate inflammation, so incorporating stress-reducing practices such as mindfulness, yoga, or meditation can be helpful.
- Regular Monitoring: Keep track of your symptoms and any changes in your condition. Regular check-ups with your healthcare provider will help ensure that your treatment plan is effective.
4. Nutritional Supplements: Regarding the intake of vitamin D, calcium, and B vitamins, these can generally be beneficial for overall health. Vitamin D is essential for immune function and bone health, while B vitamins play a crucial role in energy metabolism and neurological function. However, it is important to discuss any supplements with your healthcare provider, especially considering your autoimmune condition and current medications. They can provide personalized recommendations based on your specific health needs and any potential interactions with your treatment.
In summary, your situation requires careful management and collaboration with your healthcare team. While the presence of autoimmune antibodies and vascular inflammation poses challenges, with appropriate treatment and lifestyle adjustments, it is possible to manage your condition effectively. Always communicate openly with your healthcare providers about your concerns and symptoms, as this will help them tailor your care to your needs. Wishing you strength and health as you navigate this journey.
Similar Q&A
Understanding Capillary Rupture and Autoimmune Disorders in the Legs
Hello, Doctor Gao. I am currently experiencing capillary inflammation in my calves, which has led to subcutaneous bleeding, and I am experiencing widespread pain, particularly in my legs. I visited a dermatologist who said it is not an allergy, and then I consulted an internist w...
Dr. Gao Jiankai reply Internal Medicine
Hello, thank you for your inquiry. There are many causes for inflammation of the small blood vessels in the legs, and it would be advisable to discuss this with your physician to determine if blood tests should be arranged. Most cases are minor issues, including viral infections,...[Read More] Understanding Capillary Rupture and Autoimmune Disorders in the Legs
Understanding Elevated RF Levels: Implications for Autoimmune Disorders
Hello Doctor, I have had an allergic constitution since childhood and have been receiving treatment in the rheumatology and immunology department for long-term issues related to my nose and urticaria. During my last visit at the end of last year, I reported to my physician that I...
Dr. Gao Jiankai reply Internal Medicine
Hello, thank you for your inquiry. If the test results mentioned above are all the examinations you have undergone, I believe there are additional tests that can be arranged. If you are very concerned and unsure about whether to take quinine, I suggest you consult another rheumat...[Read More] Understanding Elevated RF Levels: Implications for Autoimmune Disorders
Is Vasculitis Serious? Understanding Risks and Implications for Young Patients
I previously experienced frequent lower back pain and visited a rheumatologist who mentioned it was similar to ankylosing spondylitis. Later, due to other health issues, I underwent blood tests again, and the doctor diagnosed me with vasculitis. He mentioned that at my young age,...
Dr. Zeng Guosen reply Internal Medicine
Hello, it seems that you have a positive result for cold agglutinin IgM (1+), which is abnormal. There are many types of vasculitis, and the severity depends on the symptoms and the extent of organ involvement. It is advisable to seek medical attention for a comprehensive underst...[Read More] Is Vasculitis Serious? Understanding Risks and Implications for Young Patients
Understanding Positive ANA Test Results: What You Need to Know
Hello, the results of your immunological tests show a positive ANA (antinuclear antibody) with a titer of 1:40 and a pattern described as dense fine speckled. This indicates the presence of antinuclear antibodies, which can be associated with autoimmune diseases. The specific pat...
Dr. Gao Jiankai reply Internal Medicine
Hello, thank you for your inquiry. This is considered normal, and you can follow up in six months or more. If any new rheumatic symptoms arise during this period, please return for an earlier consultation. The Allergy, Immunology, and Rheumatology Department of Changhua Hospital,...[Read More] Understanding Positive ANA Test Results: What You Need to Know
Related FAQ
(Internal Medicine)
Vasculitis(Internal Medicine)
Antinuclear Antibody(Internal Medicine)
Immune System(Internal Medicine)
Biologics(Internal Medicine)
Vaccination(Internal Medicine)
C-Reactive Protein(Internal Medicine)
Stroke(Internal Medicine)
Cholesterol(Internal Medicine)
Blood Pressure(Internal Medicine)