About VF
Learn
- Vasculitis Types
  Vasculitis Types
  General Vasculitis
  
  Aortitis
  
  Anti-GBM/Goodpasture’s Syndrome
  
  Behcet’s Disease
  
  Central Nervous System Vasculitis
  
  Cogan’s Syndrome
  
  Cryoglobulinemia
- Cutaneous Small-Vessel Vasculitis
  
  Eosinophilic Granulomatosis with Polyangiitis
  
  Giant Cell Arteritis (Temporal Arteritis)
  
  Granulomatosis with Polyangiitis
  
  IgA Vasculitis
  
  Kawasaki Disease
- Microscopic Polyangiitis
  
  Polyarteritis Nodosa
  
  Polymyalgia Rheumatica
  
  Rheumatoid Vasculitis
  
  Takayasu Arteritis
  
  Urticarial Vasculitis
  
  Download & Order Literature
- Pediatrics
  Pediatrics
  Pediatrics/Young Adults
  
  Newly Diagnosed
  
  Education Concerns
  
  Teen to Adult
- Resources
  Resources
  Find a Doctor
  
  Support and Wellness
  
  Articles
  
  Patient Advocacy Groups
  
  Educational Videos
  
  Frequently Asked Questions
  
  Coronavirus – COVID-19
  
  Aprendiendo de Vasculitis
- Be Inspired
  Be Inspired
  Blog
  
  Newsletters
  
  E-News
  
  Podcasts
  
  Vasculitis In The News
Engage
- Patients
  Patients
  Participate in Clinical Trials and Focus Groups
  
  Find Area Contacts
  
  Learn about Research at ClinicalTrials.gov
- Researchers
  Researchers
  Research Program
  
  Our Researchers
  
  VCRC – VF Fellowship Program
- Join
  Join
  Vasculitis Foundation Membership
  
  Join an Event
  
  VF Virtual Support Meetings
- Give
  Give
  Make a Donation
  
  Start a Fundraiser
  
  Plan to Gift
  
  Give through United Way Giving
VPPRN
Videos
Treatments
- Treatment Guidelines
- Glucocorticoids/Steroids
Contact Us
Donate
E-News

VPREG_PortugueseConsent

VPREG background (2)

Consentimento para participar no Registo de Grávidas com Vasculite (V-PREG)

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.

Connect with us on social media!

Start Doing Your Bit to Help Others. Support Our Work.

Chip in with your donation

Our Mission

Building upon the collective strength of the vasculitis community, the Foundation supports, inspires and empowers individuals with vasculitis and their families through a wide range of education, research, clinical, and awareness initiatives.

The Vasculitis Foundation is a registered 501 (c) (3) non-profit organization. All contributions are 100% tax-deductible.

Contact Us

Click here to send us an email!
Mail:
Vasculitis Foundation
PO Box 28660
Kansas City, MO 64188
1.816.436.8211 or 1.800.277.9474

Participate in Research

Learn how you can participate in clinical trials - National Institutes of Health

All Rights Reserved

Privacy
Medical Disclaimer
Terms
Contact Us

Your ticket for the: VPREG_PortugueseConsent

Title

VPREG_PortugueseConsent

USD