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hello and welcome to this video is Dr Ryan here again with another helpful Topic in Internal Medicine today we are discussing takayasu arthritis okay so were going to start off with a clinical case as always and were going to look at where takayasus fits into the grand scheme of things in terms of the vasculitic syndromes and were going to talk about takayasus in terms of diagnosis and pathophysiology clinical features different types investigations treatment and of course were going to close with some encouragement from scripture so fasten your seat belts folks here we go heres our clinical question all of the following vasculitic syndromes are thought to be due to immune complex deposition with one exception what is that exception is it a cryogenemic vasculitis B granomatosis with polyangitis previously termed weaknesses it is associated with Hepatitis B or is it e serum sickness I wonder okay guys so when it comes to systemic vasculitis we partition them based on the size of th