Multiple spontaneous visceral hematomas revealing polyarteritis nodosa.
Polyarteritis nodosa is a rare life-threatening disease characterized by necrotizing vasculitis of small and median arteries. We describe the exceptional case of a 28-year-old man with successive spontaneous visceral hematomas of the kidney, bladder, and liver. Arteriography was performed for a recent spontaneous hepatic hematoma and a microaneurysm was detected, allowing the diagnosis of polyarteritis nodosa and prescription of appropriate treatment.
Allanore
Yannick
Y
Paris V University, Departments of Rheumatology and Radiology; Assistance Publique-Hopitaux de Paris, Cochin Hospital, Paris, France. yannick.allanore@cch.ap-hop-paris.fr
Rosenberg
Carole
C
Vignaux
Olivier
O
Legmann
Paul
P
Kanev
K
K
Menkes
Charles J
CJ
Kahan
Andre
A
D000328:Adult; D000792:Angiography; D006406:Hematoma / Q000000981:diagnostic imaging / Q000209:etiology*; D006499:Hepatic Artery / Q000473:pathology; D006801:Humans; D007668:Kidney / Q000098:blood supply; D008099:Liver / Q000098:blood supply; D008297:Male; D010488:Polyarteritis Nodosa / Q000150:complications* / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed; D001743:Urinary Bladder / Q000098:blood supply