Abstract
We describe a case of classical polyarteritis nodosa (PAN) with visceral aneurysms presenting with renal infarction and hypertension. The female patient also had all the laboratory features of the antiphospholipid syndrome (APS) and 2 months into her illness developed a large iliofemoral thrombosis. She responded well to immunosuppressive therapy and anti-coagulation. Repeat arteriogram showed regression of the visceral aneurysms. The link between PAN and APS, and the therapeutic dilemma posed by this association, are discussed.
MeSH terms
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Aneurysm / diagnostic imaging
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Aneurysm / etiology
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Aneurysm / pathology
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Antiphospholipid Syndrome / complications*
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Aortography
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Female
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Femoral Vein / diagnostic imaging
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Femoral Vein / pathology
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Humans
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Hypertension, Renal / etiology
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Iliac Vein / diagnostic imaging
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Iliac Vein / pathology
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Infarction / etiology
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Kidney / blood supply
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Middle Aged
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Pain / etiology
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Polyarteritis Nodosa / complications*
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Renal Artery / diagnostic imaging
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Renal Artery / pathology
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Thrombophlebitis / diagnostic imaging
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Thrombophlebitis / etiology
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Thrombophlebitis / pathology