Vasculitis Care and Prevention

• Aggressive LDL cholesterol lowering with statins.
• Strict blood pressure control (target <130/80 mmHg).
• Glycemic control to prevent endothelial glycation.
• Daily low-dose aspirin for antiplatelet effect (if indicated).
• Complete smoking cessation and avoidance of passive smoke.

Dietary Components for Vascular Health:

• High intake of omega-3 fatty acids for anti-inflammatory effects.
• Polyphenol-rich foods (berries, tea) for endothelial support.
• Low sodium intake to reduce hemodynamic stress.
• Adequate protein intake to support tissue repair.
• Avoidance of processed trans fats, which trigger inflammation.

Stress Management Techniques:

• Mindfulness-Based Stress Reduction (MBSR) to lower cortisol.
• Biofeedback to regulate autonomic vascular tone.
• Cognitive Behavioral Therapy (CBT) for illness anxiety.
• Sleep hygiene protocols to ensure restorative rest.
• Gentle yoga or Tai Chi for low-impact movement.

Infection Prevention Strategies:

• Vaccination against influenza, pneumonia, and zoster (shingles).
• Prophylactic antibiotics (e.g., TMP-SMX) during intense immunosuppression.
• Hand hygiene and avoidance of sick contacts.
• Regular dental care to prevent oral sources of bacteremia.
• Prompt evaluation of any fever or new symptom.

Long-term Surveillance Metrics:

• Annual cardiovascular risk assessment.
• Regular bone density scanning (DEXA) for osteoporosis.
• Ophthalmologic exams to detect steroid cataracts or glaucoma.
• Skin cancer screening (increased risk with immunosuppression).
• Monitoring for bladder toxicity (if cyclophosphamide was used).