Open AccessPolyarteritis nodosa presenting with catastrophic involvement of the intra-abdominal arterial tree
Author(s) -
Edwards Gwenno,
Alejmi Abdulfattah,
Harper Janice
Publication year - 2021
Publication title -
archives of renal diseases and management
Language(s) - English
Resource type - Journals
ISSN - 2455-5495
DOI - 10.17352/2455-5495.000034
Subject(s) - medicine , polyarteritis nodosa , abdominal pain , arterial dissection , thrombosis , surgery , dissection (medical) , radiology , vasculitis , disease
We report a case of a 63-year-old female presenting with abdominal pain, who suffered a dramatic deterioration in her condition following a diagnosis of bilateral renal infarcts on imaging. Within days she had developed widespread aneurysmal dilatation, dissection and thrombosis of the intra-abdominal arterial tree, requiring emergency transfer to a tertiary vascular centre for treatment of polyarteritis nodosa. She responded well to intravenous cyclophosphamide and is now receiving treatment on an outpatient basis.