Isabella

Isabella has eosinophilic granulomatosis with polyangiitis (EGPA), a type of ANCA associated vasculitis previously known as Churg-Strauss syndrome. Isabella would welcome the opportunity to see a vasculitis specialist as she has some unanswered questions.

Two years ago, Isabella was diagnosed with Churg-Strauss syndrome, a type of ANCA associated vasculitis known now as eosinophilic granulomatosis with polyangiitis (EGPA). Although she has regained a lot of strength, she feels she would benefit from seeing a vasculitis specialist who could answer some of her lingering questions.

Isabella had experienced periods of chest infections, sinusitis, stomach problems and fleetin joint pain for 25 years and now suspects vasculitis was biding its tim in her system. She persevered with work, even when she felt very unwell, but stopped participating in activities such as Scottish country dancing because her health was so unpredictable. She wonders if vasculitis would have had less of an impact on her life if a potential connection between these various symptoms had been considered earlier.

Two years ago, after a winter with more chest infections than usual, Isabella felt increasingly unwell throughout the summer. As symptoms grew to include a floppy foot, peculiar tingling in her arms and legs, and swelling in her hands, Isabella kept returning to her GP surgery and had various blood tests. Although she didn’t realise how ill she was, she was relieved when her GP said she would need to go to hospital.

Living on a remote island with no specialist facilities meant Isabella was transferred by air then road ambulance before being admitted to hospital and then intensive care. She remembers wonderfu and kind staff who asked lots of questions and did numerous blood tests. She also recalls being very determined to do things for herself in spite of the effort involved in simple things like putting on socks.

With the vasculitis diagnosis came a plan for increased steroids along with cyclophosphamide, a kind of chemotherapy. Isabella was flown home after 14 days but each chemotherapy session and other services also involved a trip in a small plane, which was often cancelled or unpleasant depending on the weather. High dose steroids led to poor sleep and puffiness but in time Isabella’s vasculitis was stabilised with azathioprine, an immunosuppressant.

Nerve damage is a persistent problem for Isabella. When she got home from hospital, she couldn’t believe how much strength she had lost. This affected her ability to walk, chop vegetables, do buttons and shoes, and lift a teapot. She couldn’t feel heat and still gets very cold legs and hands. Exercises from occupational therapists and physiotherapists proved helpful, as did some gadgets. Isabella has always enjoyed the outdoors and feels it made a big difference that she kept doing things like gardening and walking.

Although Isabella can appear all right to anyone who sees her walking up a hill, she still has occasional days of exhaustion that feel like she is covered in a big blanket She remains uncertain about how far to push herself and how much to rest and wonders how much improvement she can expect. As it is such a rare disease, she describes the opportunity to meet and chat with other people who have vasculitis as a lifeline

After reading “horror stories” about vasculitis on the internet, Isabella found a support group “heartening and uplifting.”

Age at interview 68

Gender Female

Age at diagnosis 66

Isabella would prefer to talk about her symptoms and medication with a specialist in vasculitis.

Age at interview 68

Gender Female

Age at diagnosis 66

Isabella likes to help her grown-up daughters, but getting ill with vasculitis meant they were helping her.

Age at interview 68

Gender Female

Age at diagnosis 66

Isabella has questions about her vasculitis (“Churg-Strauss”) but finds appointments are short and focused on other things.

Age at interview 68

Gender Female

Age at diagnosis 66

As her vasculitis recovery continues, Isabella is enjoying outdoor exercise and using a fitness monitor.

Age at interview 68

Gender Female

Age at diagnosis 66

Isabella was “surprised” by how much nerve damage vasculitis caused in her arms and legs.

Age at interview 68

Gender Female

Age at diagnosis 66

Isabella is determined to have as good a life as possible with vasculitis (“Churg Strauss”).

Age at interview 68

Gender Female

Age at diagnosis 66

Before Isabella was diagnosed with vasculitis, she’d had “bouts” of chest infections, stomach problems and painful joints for many years.

Age at interview 68

Gender Female

Age at diagnosis 66