Skip to content
Search
Search
Donate
Newly Diagnosed
About
Our Impact
Our Team
Annual Reports
News
Contact Us
Education
General Vasculitis
Vasculitis Types
Anti-GBM Disease
Aortitis
Behçet’s Syndrome
Central Nervous System Vasculitis
Cogan’s Syndrome
Cryoglobulinemic Vasculitis
Cutaneous Small-Vessel Vasculitis
Eosinophilic Granulomatosis with Polyangiitis
Giant Cell Arteritis
Granulomatosis with Polyangiitis
IgA Vasculitis
Kawasaki Disease
Microscopic Polyangiitis
Polyarteritis Nodosa
Polymyalgia Rheumatica
Rheumatoid Vasculitis
Takayasu Arteritis
Urticarial Vasculitis
Immunity and Infection
Reproductive Health
Pediatric
Behçet’s Disease
Eosinophilic Granulomatosis with Polyangiitis
Granulomatosis With Polyangiitis
Kawasaki Disease
Polyarteritis Nodosa
Takayasu Arteritis
Newly Diagnosed
Your Treatment Plan
Immunity and Infection
Pediatrics
Vasculitis Types
Behçet’s Disease
Eosinophilic Granulomatosis with Polyangiitis
Granulomatosis With Polyangiitis
IgA Vasculitis
Kawasaki Disease
Polyarteritis Nodosa
Takayasu Arteritis
Lung Involvement
Kidney Involvement
Family Resources
Managing Symptoms
Medications & Treatments
Vaccine Guidelines
Education Concerns
Living Well
Self Advocacy
Mental Health & Mindfulness
Physical Health Resources
Self-Care
Find Support
Community Voices
Raise Awareness
Donate
VAM Calendar
Fundraise/Swap your Social Media Graphics
Buy your #VAM2024 Awareness Shirt
Treatments/Research
Treatments
ACR/VF Treatment Guidelines
Prednisone
Treatments
Your Treatment Plan
VPPRN Patient-Powered Research
Who We Are
Patient Research Partners
Open Studies
Community Dashboard
Research Discoveries
Research Poster Gallery
VPREG Pregnancy Registry
Participate in Research
Clinical Trials
Focus Groups & Surveys
V-Red
VF Funded Research
Apply for Research Funding
Our Researchers
VF Fellowship Program
Apply for Fellowship
Meet our Fellows
Resources
Find a Doctor
Video Library
Order/Print Resources
Recursos Español
FAQ’s
Glossary
Ways to Give
2024 Annual Appeal
Make a Donation
Recurring Gifts
Memorial & Honorary Gifts
Matching Gifts
Host a Fundraiser!
Planned Giving
Give through United Way Pledge
Connect
Subscribe to E-News
Blog
Events
Conferences
Find Support
Contact Us
Menu
About
Our Impact
Our Team
Annual Reports
News
Contact Us
Education
General Vasculitis
Vasculitis Types
Anti-GBM Disease
Aortitis
Behçet’s Syndrome
Central Nervous System Vasculitis
Cogan’s Syndrome
Cryoglobulinemic Vasculitis
Cutaneous Small-Vessel Vasculitis
Eosinophilic Granulomatosis with Polyangiitis
Giant Cell Arteritis
Granulomatosis with Polyangiitis
IgA Vasculitis
Kawasaki Disease
Microscopic Polyangiitis
Polyarteritis Nodosa
Polymyalgia Rheumatica
Rheumatoid Vasculitis
Takayasu Arteritis
Urticarial Vasculitis
Immunity and Infection
Reproductive Health
Pediatric
Behçet’s Disease
Eosinophilic Granulomatosis with Polyangiitis
Granulomatosis With Polyangiitis
Kawasaki Disease
Polyarteritis Nodosa
Takayasu Arteritis
Newly Diagnosed
Your Treatment Plan
Immunity and Infection
Pediatrics
Vasculitis Types
Behçet’s Disease
Eosinophilic Granulomatosis with Polyangiitis
Granulomatosis With Polyangiitis
IgA Vasculitis
Kawasaki Disease
Polyarteritis Nodosa
Takayasu Arteritis
Lung Involvement
Kidney Involvement
Family Resources
Managing Symptoms
Medications & Treatments
Vaccine Guidelines
Education Concerns
Living Well
Self Advocacy
Mental Health & Mindfulness
Physical Health Resources
Self-Care
Find Support
Community Voices
Raise Awareness
Donate
VAM Calendar
Fundraise/Swap your Social Media Graphics
Buy your #VAM2024 Awareness Shirt
Treatments/Research
Treatments
ACR/VF Treatment Guidelines
Prednisone
Treatments
Your Treatment Plan
VPPRN Patient-Powered Research
Who We Are
Patient Research Partners
Open Studies
Community Dashboard
Research Discoveries
Research Poster Gallery
VPREG Pregnancy Registry
Participate in Research
Clinical Trials
Focus Groups & Surveys
V-Red
VF Funded Research
Apply for Research Funding
Our Researchers
VF Fellowship Program
Apply for Fellowship
Meet our Fellows
Resources
Find a Doctor
Video Library
Order/Print Resources
Recursos Español
FAQ’s
Glossary
Ways to Give
2024 Annual Appeal
Make a Donation
Recurring Gifts
Memorial & Honorary Gifts
Matching Gifts
Host a Fundraiser!
Planned Giving
Give through United Way Pledge
Connect
Subscribe to E-News
Blog
Events
Conferences
Find Support
Contact Us
Donate
Search
Search
Close this search box.
NEWLY DIAGNOSED
About
Our Impact
Our Team
Annual Reports
News
Contact Us
Education
General Vasculitis
Vasculitis Types
Anti-GBM Disease
Aortitis
Behçet’s Syndrome
Central Nervous System Vasculitis
Cogan’s Syndrome
Cryoglobulinemic Vasculitis
Cutaneous Small-Vessel Vasculitis
Eosinophilic Granulomatosis with Polyangiitis
Giant Cell Arteritis
Granulomatosis with Polyangiitis
IgA Vasculitis
Kawasaki Disease
Microscopic Polyangiitis
Polyarteritis Nodosa
Polymyalgia Rheumatica
Rheumatoid Vasculitis
Takayasu Arteritis
Urticarial Vasculitis
Immunity and Infection
Reproductive Health
Pediatric
Behçet’s Disease
Eosinophilic Granulomatosis with Polyangiitis
Granulomatosis With Polyangiitis
Kawasaki Disease
Polyarteritis Nodosa
Takayasu Arteritis
Newly Diagnosed
Your Treatment Plan
Immunity and Infection
Pediatrics
Vasculitis Types
Behçet’s Disease
Eosinophilic Granulomatosis with Polyangiitis
Granulomatosis With Polyangiitis
IgA Vasculitis
Kawasaki Disease
Polyarteritis Nodosa
Takayasu Arteritis
Lung Involvement
Kidney Involvement
Family Resources
Managing Symptoms
Medications & Treatments
Vaccine Guidelines
Education Concerns
Living Well
Self Advocacy
Mental Health & Mindfulness
Physical Health Resources
Self-Care
Find Support
Community Voices
Raise Awareness
Donate
VAM Calendar
Fundraise/Swap your Social Media Graphics
Buy your #VAM2024 Awareness Shirt
Treatments/Research
Treatments
ACR/VF Treatment Guidelines
Prednisone
Treatments
Your Treatment Plan
VPPRN Patient-Powered Research
Who We Are
Patient Research Partners
Open Studies
Community Dashboard
Research Discoveries
Research Poster Gallery
VPREG Pregnancy Registry
Participate in Research
Clinical Trials
Focus Groups & Surveys
V-Red
VF Funded Research
Apply for Research Funding
Our Researchers
VF Fellowship Program
Apply for Fellowship
Meet our Fellows
Resources
Find a Doctor
Video Library
Order/Print Resources
Recursos Español
FAQ’s
Glossary
Ways to Give
2024 Annual Appeal
Make a Donation
Recurring Gifts
Memorial & Honorary Gifts
Matching Gifts
Host a Fundraiser!
Planned Giving
Give through United Way Pledge
Connect
Subscribe to E-News
Blog
Events
Conferences
Find Support
Contact Us
Menu
About
Our Impact
Our Team
Annual Reports
News
Contact Us
Education
General Vasculitis
Vasculitis Types
Anti-GBM Disease
Aortitis
Behçet’s Syndrome
Central Nervous System Vasculitis
Cogan’s Syndrome
Cryoglobulinemic Vasculitis
Cutaneous Small-Vessel Vasculitis
Eosinophilic Granulomatosis with Polyangiitis
Giant Cell Arteritis
Granulomatosis with Polyangiitis
IgA Vasculitis
Kawasaki Disease
Microscopic Polyangiitis
Polyarteritis Nodosa
Polymyalgia Rheumatica
Rheumatoid Vasculitis
Takayasu Arteritis
Urticarial Vasculitis
Immunity and Infection
Reproductive Health
Pediatric
Behçet’s Disease
Eosinophilic Granulomatosis with Polyangiitis
Granulomatosis With Polyangiitis
Kawasaki Disease
Polyarteritis Nodosa
Takayasu Arteritis
Newly Diagnosed
Your Treatment Plan
Immunity and Infection
Pediatrics
Vasculitis Types
Behçet’s Disease
Eosinophilic Granulomatosis with Polyangiitis
Granulomatosis With Polyangiitis
IgA Vasculitis
Kawasaki Disease
Polyarteritis Nodosa
Takayasu Arteritis
Lung Involvement
Kidney Involvement
Family Resources
Managing Symptoms
Medications & Treatments
Vaccine Guidelines
Education Concerns
Living Well
Self Advocacy
Mental Health & Mindfulness
Physical Health Resources
Self-Care
Find Support
Community Voices
Raise Awareness
Donate
VAM Calendar
Fundraise/Swap your Social Media Graphics
Buy your #VAM2024 Awareness Shirt
Treatments/Research
Treatments
ACR/VF Treatment Guidelines
Prednisone
Treatments
Your Treatment Plan
VPPRN Patient-Powered Research
Who We Are
Patient Research Partners
Open Studies
Community Dashboard
Research Discoveries
Research Poster Gallery
VPREG Pregnancy Registry
Participate in Research
Clinical Trials
Focus Groups & Surveys
V-Red
VF Funded Research
Apply for Research Funding
Our Researchers
VF Fellowship Program
Apply for Fellowship
Meet our Fellows
Resources
Find a Doctor
Video Library
Order/Print Resources
Recursos Español
FAQ’s
Glossary
Ways to Give
2024 Annual Appeal
Make a Donation
Recurring Gifts
Memorial & Honorary Gifts
Matching Gifts
Host a Fundraiser!
Planned Giving
Give through United Way Pledge
Connect
Subscribe to E-News
Blog
Events
Conferences
Find Support
Contact Us
Quick Links
Home
Find a Doctor
Support Groups
Self Advocacy
Treatments
VPPRN Patient-Powered Research
Vasculitis Pregnancy Registry
Resources
Connect
Ways to Give
Reset Links
VPREG Portuguese Consent
Consentimiento para V-PREG
Consentimento para participar no Registo de Grávidas com Vasculite (V-PREG)
VPREG Portuguese
Nome completo
*
Primeiro nome
Sobrenome
Data de nascimento
*
MM slash DD slash YYYY
Email
*
Qual é o seu sexo?
*
Masculino
Fêmea
Eu me recuso a responder
Você é um paciente com vasculite?
*
Sim
Não
Por favor, confirme que tipo de vasculite você tem? (Selecione apenas UM)
*
Doença de Behçet
Vasculite do Sistema Nervoso Central (SNC)
Vasculite crioglobulinêmica
Granulomatose eosinofílica com poliangiite (também chamada de síndrome de Churg-Strauss)
Arterite de células gigantes (temporal) (GCA)
Granulomatose com poliangiite (GPA) (Granulomatose de Wegener)
Púrpura de Henoch-Schönlein (vasculite por IgA)
Poliangeíte microscópica (MPA)
Poliarterite nodosa (PAN)
Takayasu’s Arteritis (TAK)
Vasculite urticariforme
Outro / diagnóstico suspeito
Está atualmente grávida?
*
Sim
Não
Qual a data provável do parto para esta gestação? (dd/mmm/aaaa)
*
MM slash DD slash YYYY
Junte-se ao estudo
*
Concordo em participar do estudo Vasculitis Pregnancy.
Estamos ansiosos para ouvir de você durante sua gravidez - faremos perguntas sobre como está sua vasculite, quais medicamentos você está tomando e como sua gravidez progride.
CAPTCHA