Project ECHO Case Submission

Submit a Case for Project ECHO

Have a challenging vasculitis case you’d like to discuss with experts? Submit your case for consideration during an upcoming Project ECHO session. Share clinical details, ask questions, and receive feedback from vasculitis specialists and fellow healthcare providers.

Patient Privacy: All cases must be de-identified before submission. Do not include patient names, dates of birth, or other personally identifiable information.

PO Box 28660
Kansas City, MO 64188

Phone: 816.436.8211
Toll Free: 800.277.9474

Project ECHO Case Submission

Case Presenter(Required)

First Last Credentials

Presenter Specialty(Required)

Dermatology

ENT (ear, nose, throat)

Nephrology

Pediatrics

Pulmonology

Rheumatology

Presenter Affiliation

Name of hospital/clinic where case is treated.

Patient Age(Required)

Patient Gender(Required)

We recognize that identity is complex and people use many different terms to describe their relationship to gender. For the purposes of presenting these medical case studies, we are interested in the gender assigned to the individual at birth.

Primary Diagnosis(Required)

We understand some patients are diagnoses with multiple types of vasculitis. Please select the primary type(s) presented in this case.

History of Present Illness(Required)

Overview of Past Medical History(Required)

Social History(Required)

Family History(Required)

Current Medications(Required)

Pertinent labs, radiology, vascular imaging, and pathology (if available):

Drop files here or

Max. file size: 100 MB.

De-identified clinical images (of rashes, etc.):

Drop files here or

Max. file size: 100 MB.

Please describe/summarize the clinical presentation:(Required)

Main question(s) for subject matter experts:(Required)

What barriers may be preventing resolution of this issue?(Required)

e.g. A barrier may be drug availability.

Would you prefer to present the care or have someone from the hub team present the case on your behalf?(Required)

Recommendations:

THIS SECTION TO BE COMPLETED ONLY BY SUBJECT MATTER EXPERTS OR DELEGATE

YOUR GIFT GOES TWICE AS FAR TODAY!

Double Match Day is here—help us celebrate 40 years by raising $40,000.

People living with vasculitis rely on support, research, and connection every day.

Today only, your donation will be matched dollar-for-dollar, helping us reach more patients, fund critical research, and ensure no one faces vasculitis alone.

Quick Links

Project ECHO Case Submission

Project ECHO Case Submission

Submit a Case for Project ECHO

Project ECHO Case Submission

Ways to Support the Next 40 Years

Project ECHO

Medical Provider Hub

Find A Doctor