TY - JOUR
T1 - A concomitant case of giant cell arteritis and microscopic polyangiitis with hemoperitoneum by rupture of the gastroepiploic artery
AU - Fujii, Kenji
AU - Tsutsumi, Tomomi
AU - Takaoka, Kensuke
AU - Osugi, Yasuhiro
AU - Ando, Satoshi
AU - Koyama, Yoshinobu
PY - 2012/11/1
Y1 - 2012/11/1
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=84870350310&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84870350310&partnerID=8YFLogxK
U2 - 10.1007/s10165-012-0610-4
DO - 10.1007/s10165-012-0610-4
M3 - Article
C2 - 22354635
AN - SCOPUS:84870350310
VL - 22
SP - 934
EP - 938
JO - Japanese Journal of Rheumatology
JF - Japanese Journal of Rheumatology
SN - 1439-7595
IS - 6
ER -