Abdominal polyarteritis nodosa: angiographic features

Polyarteritis nodosa (PAN) is a systemic vasculitis of small and medium size arteries. The purpose of this study is to evaluate imaging findings, especially angiographic features, of 17 patients with abdominal involvement from polyarteritis nodosa. We reviewed the medical records and imaging finding...

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Veröffentlicht in:Journal de radiologie 2004-05, Vol.85 (5 Pt 1), p.635-638
Hauptverfasser: Mnif, N, Chaker, M, Oueslati, S, Ellouze, Th, Tenzakhti, F, Turki, S, Ben Abdallah, N, Ben Maïz, H, Hamza, R
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container_end_page 638
container_issue 5 Pt 1
container_start_page 635
container_title Journal de radiologie
container_volume 85
creator Mnif, N
Chaker, M
Oueslati, S
Ellouze, Th
Tenzakhti, F
Turki, S
Ben Abdallah, N
Ben Maïz, H
Hamza, R
description Polyarteritis nodosa (PAN) is a systemic vasculitis of small and medium size arteries. The purpose of this study is to evaluate imaging findings, especially angiographic features, of 17 patients with abdominal involvement from polyarteritis nodosa. We reviewed the medical records and imaging findings of 17 patients with PAN involving the abdomen. All patients underwent digital subtraction angiography of the renal or visceral arteries completed by a post-angiographic KUB. Abdominal CT scan was available in three patients. All patients underwent muscle biopsy. A surgical biopsy of the gallbladder was obtained in one patient. Multiple small aneurysms involving small and medium sized arteries were detected at angiography in 12 patients. CT showed a renal subcapsular hematoma in two patients and acute pancreatitis in one patient. Involvement of gastrointestinal and renal arteries is frequent in polyarteritis nodosa. The diagnosis of PAN should be considered when multiple small-sized aneurysms are present at angiography even if biopsy is negative.
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source MEDLINE; Elsevier ScienceDirect Journals
subjects Abdomen - blood supply
Abdominal Pain - etiology
Adult
Aged
Aged, 80 and over
Aneurysm - diagnostic imaging
Aneurysm - etiology
Angiography, Digital Subtraction - methods
Angiography, Digital Subtraction - standards
Biopsy - standards
Female
Fever - etiology
Humans
Hypertension - etiology
Kidney Diseases - etiology
Male
Mesenteric Artery, Superior - diagnostic imaging
Middle Aged
Patient Selection
Polyarteritis Nodosa - complications
Renal Artery - diagnostic imaging
Retrospective Studies
Tomography, X-Ray Computed - standards
Urography - standards
Weight Loss
title Abdominal polyarteritis nodosa: angiographic features
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