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Diagnostic delays in systemic vasculitides
Akerke Auanassova1, Marlen Yessirkepov1, Olena Zimba2,3,4
1Department of Biology and Biochemistry, South Kazakhstan Medical Academy, Shymkent, Kazakhstan.
Rheumatology International
|April 8, 2024
Summary
Systemic vasculitides are rare but serious conditions. Early diagnosis of primary vasculitis is crucial to prevent severe outcomes, emphasizing education and improved access to care.
Area of Science:
- Rheumatology
- Immunology
- Internal Medicine
Background:
- Systemic vasculitides are uncommon rheumatologic disorders.
- Their low incidence and varied presentations often lead to delayed diagnosis.
- Delayed diagnosis can result in significant morbidity, mortality, and increased healthcare costs.
Purpose of the Study:
- To review the causes of diagnostic delays in primary systemic vasculitides.
- To propose strategies for earlier identification and treatment of these conditions.
Main Methods:
- Literature review focusing on diagnostic delays in primary vasculitides.
- Analysis of disease-, patient-, and physician-related factors contributing to delayed diagnosis.
- Synthesis of recommendations for improving early detection and management.
Main Results:
- Diagnostic delays stem from non-specific symptoms, mimicking other diseases, and prolonged prodromal phases.
- Limited awareness among healthcare professionals and lack of accessible diagnostic tools are significant barriers.
- Patient-related factors like delayed care-seeking and limited access to specialists also contribute.
Conclusions:
- Enhanced education for healthcare professionals and the public is vital.
- Expanding rheumatology workforce and facilitating timely referrals are necessary.
- Implementing accessible diagnostic tests and streamlining care pathways can improve patient outcomes, leading to remission and better quality of life.
