“So Similar and Yet So Different: Diagnosis of Systemic Vasculitis in Pediatric Rheumatology

“So Similar and Yet So Different: Diagnosis of Systemic Vasculitis in Pediatric Rheumatology

On February 17, 2025, the regularly held educational project “Winter School on Pediatric Rheumatology” began its work at the Department of Internal Medicine and Rheumatology of SMU NCJSC. This year, it was dedicated to a large group of diseases – systemic vasculitis. The event was organized by Acting Associate Professor of the Department of Internal Medicine and Rheumatology, Dr. T.Kh. Rymbayeva, with the participation of Professor R.L. Ivanova, Acting Professor M.V. Goremikina, Assistant Professor Yu.V. Petrova, and Assistant Professor of Pediatrics and Medical Rehabilitation named after D.M. Tusupova and D.M. Imanmadiyeva.

 

Systemic vasculitis is a group of diseases united by a common pathophysiological mechanism: aseptic inflammation and necrosis of the vascular endothelium with secondary ischemia of organs and tissues. In children, they are considered rare diseases, but in recent years there has been a trend towards an increase in their incidence, especially during the post-COVID syndrome period. The clinical manifestations of the pathological process in vasculitis are diverse and depend on the size and location of the affected vessels, as well as the degree and nature of the extravascular inflammatory process.

 

At this meeting, residents of the “Adult and Pediatric Rheumatology” program conducted a review of systemic vasculitis in children, presenting their etiology, pathogenesis, classification, and clinical manifestations. They provided modern recommendations for the diagnosis and treatment of the most common systemic vasculitis in pediatric practice. They focused in detail on the most common systemic vasculitis in childhood: Kawasaki disease, Polyarteritis nodosa, and Takayasu’s arteritis. Residents of the “Pediatrics” specialty demonstrated the results of their own observation of a patient suffering from Hemorrhagic vasculitis – one of the most common vasculitis in pediatric practice.

 

At the end of the first day of the Winter School, Acting Associate Professor of the Department of Internal Medicine and Rheumatology, Dr. T.Kh. Rymbayeva, thanked all participants and suggested consolidating the theory in practice by inviting them to the pediatric department of SMU NCJSC to conduct clinical rounds of patients with systemic vasculitis currently undergoing inpatient treatment in the pediatric department of SMU NCJSC and to receive individual consultations on these patients if desired.

 

Then, Assistant Professor of Pediatrics and Medical Rehabilitation named after Tusupova D.M. Imanmadiyeva Danara Mubarakovna noted the well-organized educational process and expressed confidence that the information received by the students was valuable and necessary.

Thus, the purpose of the Winter School was to improve the level of professional competencies of the listeners in the issues of differential diagnosis of systemic vasculitis in pediatric patients, and to familiarize them with new diagnostic and therapeutic opportunities available today in pediatric rheumatology.