A concomitant case of giant cell arteritis and microscopic polyangiitis with hemoperitoneum by rupture of the gastroepiploic artery

Kenji Fujii, Tomomi Tsutsumi, Kensuke Takaoka, Yasuhiro Osugi, Satoshi Ando, Yoshinobu Koyama

Research output: Contribution to journalArticlepeer-review

6 Citations (Scopus)

Abstract

Giant cell arteritis (GCA) mainly involves large-sized arteries, while microscopic polyangiitis (mPA), characterized by pauci-immune necrotizing vasculitis, mainly affects small-sized vessels. We report a very rare concomitant case of GCA diagnosed by temporal artery biopsy and mPA with a high titer of myeloperoxidase antineutrophil cytoplasmic antibody, exacerbation of interstitial pneumonia, and suspected rapidly progressive glomerulonephritis. The patient died by sudden rupture of the gastroepiploic artery (medium-sized vessel), which may have been triggered by GCA and/or mPA.

Original languageEnglish
Pages (from-to)934-938
Number of pages5
JournalModern Rheumatology
Volume22
Issue number6
DOIs
Publication statusPublished - 01-11-2012
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Rheumatology

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