Cutaneous Vasculitis, Interstitial Pneumonia with Crazy-Paving Appearance, and Positive pANCA in a Patient with Severe Crohn's Disease.
Cutaneous vasculitis, interstitial pneumonia with crazy-paving appearance on high-resolution computed tomography, and repeated positive perinuclear anti-neutrophil cytoplasmic antibodies (pANCA) are rarely found together in patients with inflammatory bowel disease in the existing literature. We report the case of a Chinese patient previously diagnosed with cutaneous vasculitis and interstitial pneumonia, who presented with acute pain and mass in his right lower quadrant a couple of years later. The terminal ileum biopsy and postoperative pathology confirmed Crohn's disease (CD).
Department of Rheumatology & Immunology, Affiliated Hospital of Guilin Medical University, 5th Floor, Building No. 3, 15 Lequn Road, Guilin 541001, China ; Department of Internal Medicine 3, University of Erlangen-Nuremberg, 91054 Erlangen, Germany.
Guang-Liang
GL
Chen
Department of Rheumatology, Huashan Hospital Affiliated to Fudan University, Shanghai 200040, China.
Juan
J
Wang
Department of Rheumatology & Immunology, Affiliated Hospital of Guilin Medical University, 5th Floor, Building No. 3, 15 Lequn Road, Guilin 541001, China.
Bao-Zhen
0000-0003-4134-4515
BZ
Li
Department of Rheumatology & Immunology, Affiliated Hospital of Guilin Medical University, 5th Floor, Building No. 3, 15 Lequn Road, Guilin 541001, China.
Li-Mei
LM
Li
Department of Rheumatology & Immunology, Affiliated Hospital of Guilin Medical University, 5th Floor, Building No. 3, 15 Lequn Road, Guilin 541001, China.
Han-You
HY
Mo
Department of Rheumatology, Renji Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, 145 Shandong C Road, Shanghai 200001, China.
Shuang
S
Ye