Vasculitis

Availability

North South North West Statewide

Pre-referral work-up

History

Possible diagnoses include giant cell/temporal arteritis, polymyalgia rheumatica, ANCA positive vasculitis, ANCA negative vasculitis

All referrals should comply to referral standards and include in particular:

  • A history of:
    • Muscle pain
    • Marked morning stiffness
    • Unilateral Headaches, jaw claudication, acute visual loss
    • Vasculitic skin rash
    • Constitutional /systemic symptoms
    • Onset of symptoms
    • Evidence of end organ damage
    • Past history
  • Examination:
    • Functional capacity
    • Evidence of end organ damage

Tests

  • FBE, ESR and CRP
  • U&E,  LFT
  • CK
  • ANCA
  • U/A for protein, MSU for dysmorphic red cells/casts

Interim/GP management

To refer a patient with this condition, please see the Rheumatology clinic page for the full referral process and templates.

  • Simple analgesia
  • Early discussion with rheumatology team

For more information please see the Tasmanian Health Pathways website.

Emergency

Temporal arteritis

Urgent / category 1

Acutely ill with systemic symptoms e.g. renal impairment, dyspnoea, rapidly progressive loss of mobility

Semi-urgent / category 2

Polymyalgia rheumatica, subacute symptoms

Red flags are clinical indicators of possible serious underlying conditions requiring further medical intervention. They may or may not indicate an emergency.

Patient information advice is found at Arthritis Australia

Emergency:

Proceed to Emergency Department (ED). Please contact ED Medical Officer in Charge:
LGH ED
– Phone: (03) 6777 6405  Fax: (03) 6348 7382
MCH ED
– Phone: (03) 6478 5120  Fax: (03) 6441 5923
NWRH ED
– Phone: (03) 6493 6340  Fax: (03) 6464 1926
RHH ED
– Phone: (03) 6166 6100  Fax: (03) 6173 0489

Urgent:

Please discuss with registrar or consultant. We will endeavour to see these patients within four weeks.

Urgent referrals (e.g. temporal arteritis, septic arthritis) should be accompanied by a phone call to the Rheumatology Registrar or Consultant for urgent assessment, or patient should be directed to the Emergency Department.

Semi-urgent:

We will endeavour to see these patients within 12 weeks

Routine:

Next available appointment