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A concomitant case of giant cell arteritis and microscopic polyangiitis with hemoperitoneum by rupture of the gastroepiploic artery

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Modern Rheumatology

Abstract

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.

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Authors and Affiliations

  1. Center for Rheumatic Disease, Iizuka Hospital, 83-3 Yoshio-machi, Iizuka, Fukuoka, 820-8505, Japan

    Kenji Fujii, Tomomi Tsutsumi, Kensuke Takaoka, Yasuhiro Osugi, Satoshi Ando & Yoshinobu Koyama

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  1. Kenji Fujii
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  2. Tomomi Tsutsumi
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  3. Kensuke Takaoka
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  4. Yasuhiro Osugi
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  5. Satoshi Ando
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  6. Yoshinobu Koyama
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Correspondence to Kenji Fujii.

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Fujii, K., Tsutsumi, T., Takaoka, K. et al. A concomitant case of giant cell arteritis and microscopic polyangiitis with hemoperitoneum by rupture of the gastroepiploic artery. Mod Rheumatol 22, 934–938 (2012). https://doi.org/10.1007/s10165-012-0610-4

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  • DOI: https://doi.org/10.1007/s10165-012-0610-4

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