Jeffrey Gelfand

Dr. Sumanth Reddy and Dr. Jeffrey Gelfand, both neurologists at UCSF, dive into the intricate world of small vessel primary CNS vasculitis. They discuss the complex clinical features and the vital role of biopsy confirmation for accurate diagnosis. The doctors advocate for early use of cyclophosphamide over glucocorticoids to expedite remission. They also explore the challenges of defining remission and the importance of spinal fluid testing in monitoring disease activity, emphasizing collaborative treatment approaches for better patient outcomes.