Systemic Vasculitis

Thoughts about causes of systemic vasculitis

This page covers thoughts about causes of systemic vasculitis 
 
Some people talked to us about what they thought might have caused their vasculitis. Steve was among those who said there were a lot of unknowns. Jane and Karen understood there may be several contributing factors rather than a single cause. 
 

Steve is frustrated that people expect him to know what causes vasculitis when “medical science doesn’t.”

Steve is frustrated that people expect him to know what causes vasculitis when “medical science doesn’t.”

Age at interview: 60
Sex: Male
Age at diagnosis: 59
AAV (MPA)
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And I have to, I find, it’s worth saying I actually find myself putting quite a lot of time and energy into explaining that to people. You know, I have to explain quite a lot, that dealing with the kidneys is not the same thing as dealing with the vasculitis because so few people have heard of vasculitis, so few people are familiar with what an autoimmune disorder is. They ask all sorts of questions, well-intentioned, but they ask all sorts of questions about what causes it, you know, what have you done to deserve this, blah, blah, blah, and you think I’ve got, you, the questions just numb your brain because you’ve got no idea how to respond to them. What causes it? Well medical science doesn’t know what causes it, you’re asking me? Good grief you know, and you get very frustrated because you just want to kind of shout at people sometimes, “Just stop asking all these questions. “No, it’s not down to an infection.” No, it’s not, “I haven’t been drinking bleach,” no, I haven’t you know, oh, whatever it is, “I haven’t been taking crazy drugs” or anything. “No, it’s just a thing that happens to people.”

You know, when I was in hospital, in the next room to me was a teenager with the same condition, and on the other side was an 80-year-old lady with the same condition, and at that point I was in my late 50s, so there you go, it happens to a range of people and there’s very little you can do about it. You’ve either got it or you haven’t and it’s either going to flare up and attack you or it isn’t. And that’s it.

Jane thinks there may be a number of reasons for her getting vasculitis, but she no longer blames herself.

Jane thinks there may be a number of reasons for her getting vasculitis, but she no longer blames herself.

Age at interview: 58
Sex: Female
Age at diagnosis: 57
AAV
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I did feel bad at first. I blamed myself. For not realising I was ill. But I went to work. And it must, the walk must have been just too much. I collapsed right, clutching my chest, just outside the GP surgery. It’s amazing, isn’t it? Everybody was just so shocked.

That is something that quite a few people have told me, is that they didn’t realise how ill they were.

No, it’s the silent killer, isn’t it? It is. And anyway, my auntie and my great-niece have both got rheumatoid arthritis, I think there may be a link to it, is there? Yes. So that, I think that probably what was the cause. And some unknown trigger. Like I did work too hard, they said “Jane does the work of two people.” I did push myself because, well, at school I wasn’t very clever. I know, I’m quite IT literate, but growing up I had to work hard to prove myself.

 
Angharad, Isabella and Jane mentioned possible genetic links as they have family members affected by conditions such as rheumatoid arthritis. Due to family history, Lynn has “always had something in the back of my head that has thought that something like this would happen.” Dawn is concerned that her daughter is showing similar symptoms. However, Jeremy – who wondered if he should alert his brother - was reassured by his consultant that there was no genetic element.
 
In trying to understand what had “triggered” his initial symptoms, Graham questioned whether it could have been a fall in the garden or the upset of his brother dying. Peter had wondered if two operations in quick succession might have set his vasculitis in motion. Nicola felt there was “not an ounce of coincidence” that vasculitis came into her life after she had experienced family illnesses and bereavements, including the loss of her baby son Theo. 
 

Although Dawn had always been healthy, she believes a “stressful life” led to her getting vasculitis.

Although Dawn had always been healthy, she believes a “stressful life” led to her getting vasculitis.

Age at interview: 54
Sex: Female
Age at diagnosis: 43
AAV (GPA)
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The other thing, and I did - that I didn’t mention - is that I did wonder where this disease come from, how, where did I get it, I’d always been a healthy person. I’d always had a very stressful life, I’ve been, my brother had learning difficulties, and I, he was seven years younger than me and I did effectively really bring him up and deal with a lot of his health and welfare, and two years before I became ill in 2015, we had some very challenging times with him you know, things like he was even taken to court and I had to fight for his rights in court. So, I believe that I had two years of severe stress and that’s what made me ill.

In 2017 I became ill and so did my mother, my mother was diagnosed with dementia, and she had never been ill. So, I do believe that stress is the factor and the trigger because I think my, I think when you’re stressed you have cortisol levels, and if you have too much cortisol in your body, it depletes your immune system, and I do believe that’s what caused all this, my immune system was so low, that that’s where, where I got this from, so.

I try and live as stress free as I can although, you know, life is life.

 
Other people thought of vasculitis as “just one of these things” that happens.
 

Salma tells medical students she is comforted by her faith in Allah, believing that vasculitis was “sent to me by Him for whatever reason.”

Salma tells medical students she is comforted by her faith in Allah, believing that vasculitis was “sent to me by Him for whatever reason.”

Age at interview: 51
Sex: Female
Age at diagnosis: 33
AAV (GPA)
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I think the second-year students were sent to me, at home, I had about four, or maybe five of them, who were learning to talk to patients as part of their medical degree.

So that, obviously we made arrangements to meet up at my house, they would come, they, they would ask me loads of questions and, you know, like how I felt and how I had been treated, all this sort of thing, and then they’d write it down and, while I was talking. There, there was one young lady who came to me and she, all the other students used to write it all down, they’d come with a big notepad and pen and whatever, but this one student didn’t bring anything with her. She just sat there and listened to me and all the while I was thinking, “Is she going to remember any of this?”

And then one time maybe about a year or so later she emailed me to say that, “I was very, very impressed with the way your attitude was, is towards your illness. You never asked why it had happened to you, you never, you just accepted it without any questions. And I was, I was in tears about it afterwards because thinking of everything that you’d done, that you’ve been through really scared me, and I don’t think I’d be able to be as strong as you and you know, think that ‘Oh, well Allah’s done this for a reason and therefore, it is what it is.’”

But yeah, I was, she was very impressed, and she had, I said to her when she, I think she either emailed or telephoned, she said to me that, I said, no, I said to her, I said, “All the other students that came to me were writing everything down and you didn’t write anything down.” So, she said, “No, I remembered every single word you said, so I didn’t need to write it down, I wanted to concentrate on you instead of, sort of being sit there and writing while you’re talking. But yes, I’m, I hope you get a lot better soon and, you know, I will be praying for you.” So, she was a really nice young lady, and it just makes you feel a lot better.

And yes, I do have a lot, a lot of faith in my, you know, religion and in Allah Himself. So, you know, the way I see it, it’s sent to me by Him for whatever reason and it will get, you know, [sighs] I’ll stay as well as I possibly can in the meantime, so, yeah.

 
Nicky said, “I don’t know why it picked on me and I wish it hadn’t [laughs].” In Pete’s view, there was “No point in deliberating on ‘Why me?’ or ‘What have I done to deserve this?’ because I couldn’t think of anything that could have contributed towards it.” 

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