Ureteric vasculitis, an unusual presentation of polyarteritis nodosa: a case report.
A 22 year old female presented with vasculitic skin rash. She was incidentally found to be hypertensive and had proteinuria. Skin biopsy showed leuco-cytoclastic vasculitis. On Imaging, there was left hydronephrosis, hydroureter with bilateral multiple foci of ureteric stenosis and micro-aneurysms in relation to interlobar arteries of kidney. A diagnosis of classical Polyarteritis Nodosa (cPAN) with multi-level ureteric stenosis was made. She was treated with Glucocorticoids, Cyclophosphamide, following which Azathioprine was given.
Rheumatology, Fortis Hospitals, Bangalore, India.
Ramesh
R
Jois
Rheumatology, Fortis Hospitals, Bangalore, India.
Anant
A
Gupta
Radiology, Fortis Hospitals, Bangalore, India.
Santosh
S
Krishnamurthy
D000328:Adult; D001379:Azathioprine / Q000627:therapeutic use; D003520:Cyclophosphamide / Q000627:therapeutic use; D004359:Drug Therapy, Combination; D005260:Female; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D010488:Polyarteritis Nodosa / Q000150:complications* / Q000175:diagnosis* / Q000188:drug therapy; D016896:Treatment Outcome; D014515:Ureteral Diseases / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology; D014657:Vasculitis / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology
D005938:Glucocorticoids; D003520:Cyclophosphamide; D001379:Azathioprine
polyarteritis nodosa; ureteric stenosis; ureteric vasculitis