Polyarteritis nodosa: a case presenting with renal mass

An adolescent girl was hospitalized due to fever and abdominal flank pain. A left renal haematoma was detected on magnetic resonance imaging. Renal angiography demonstrated multiple microaneurysms at both hepatic arteries, intrarenal segments of the bilateral renal arteries, and inferior lobar segme...

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Bibliographic Details
Published in:European journal of pediatrics 2012-12, Vol.171 (12), p.1859-1860
Main Authors: Cengiz, Nurcan, Demir, Şenay, Parmaksız, Gönül, Temiz, A. Kerim, Noyan, Aytül
Format: Article
Language:English
Subjects:
Abdominal Pain - etiology
Adolescent
Angiography
Biological and medical sciences
Fatal Outcome
Female
Fever - etiology
General aspects
Hematoma - diagnosis
Hematoma - diagnostic imaging
Hematoma - etiology
Hematoma - therapy
Humans
Images in Pediatrics
Kidney Diseases - diagnosis
Kidney Diseases - diagnostic imaging
Kidney Diseases - etiology
Kidney Diseases - therapy
Magnetic Resonance Imaging
Medical sciences
Medicine
Medicine & Public Health
Pediatrics
Polyarteritis Nodosa - complications
Polyarteritis Nodosa - diagnosis
Polyarteritis Nodosa - diagnostic imaging
Polyarteritis Nodosa - therapy
Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis
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Summary:An adolescent girl was hospitalized due to fever and abdominal flank pain. A left renal haematoma was detected on magnetic resonance imaging. Renal angiography demonstrated multiple microaneurysms at both hepatic arteries, intrarenal segments of the bilateral renal arteries, and inferior lobar segment of the left pulmonary artery, which is consistent with the diagnosis of polyarteritis nodosa. Vasculitic syndromes should be considered in patients with visceral haemorrhage.
ISSN:0340-6199
1432-1076
DOI:10.1007/s00431-012-1812-7