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Many forms of vasculitis are diagnosed by blood tests and urinalysis. Some tougher ones are diagnosed by biopsies. Once diagnosed, the rheumatologist usually leads the team, but because other organs are usually involved, we all end up with a large number of doctors, such as nephrologist, cardiologists, pulmonary doctors, dermatologists, opthomologists, and others. Many keep their primary care doc in the loop for times when the sniffles crop up, or other illnesses occur.