Treatment

In general the treatment for vasculitis may be classified according to the size of the vessels affected:

• large vessel vasculitis:
  • steroids
• medium vessel vasculitis:
  • steroids
  • cytotoxic agent e.g. cyclophosphamide
    
• small vessel vasculitis:
• ANCA-associated:
  • crescentic glomerulonephritis:
    • pulsed steroids
    • cytotoxic agent
    • plasma exchange if dialysis dependent
  • other ANCA vasculitides:
• steroids
  • cytotoxic agent
    
• anti-glomerular basement membrane disease:
  • steroids
  • cytotoxic agent
  • plasma exchange
    
• immune complex disease:
  • treatment depends on the cause

Reference

1. Basu N, Karabayas M, Pusey C. Prognosis and future developments in vasculitis. Best Pract Res Clin Rheumatol. 2018 Feb;32(1):148-165.