Abstract
Polyarteritis nodosa (PN) occasionally develops in association with malignant disorders. A 71-year-old man suddenly suffered from bleeding due to the rupture of a hepatic artery aneurysm. The ruptured lesion was embolized endovascularly by coiling, and the bleeding was stopped. A biopsy of the right inguinal lymph node demonstrated angioimmunoblastic T cell lymphoma (AITL). He received immunosuppressive treatment with transient response, although he relapsed 4 months later. To our knowledge, this is the first case of which PN was associated with AITL.
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References
Jennette JC, Falk RJ, Andrassy K et al (1994) Nomenclature of systemic vasculitides. Proposal of an international consensus conference. Arthritis Rheum 37:187–192
Poveda F, Gonzalez-Garcia J, Picazo ML et al (1994) Systemic polyarteritis nodosa as the initial manifestation of a gastric adenocarcinoma. J Intern Med 236:679–683
Harris NL, Ferry JA (2001) Classification of Non-Hodgkin’s lymphomas. In: Knowles DM (ed) Neoplastic hematopathology. Lippincott Williams and Wilkins, Philadelphia, pp 691–753
Lightfoot RW Jr, Michel BA, Bloch DA et al (1990) The American College of Rheumatology 1990 criteria for the classification of polyarteritis nodosa. Arthritis Rheum 33:1088–1093
Stone JH (2001) Vasculitides. In: Klippel JH, Crofford LJ, Stone JH, Weyand CM (eds) Primer on the rheumatic diseases. Arthritis Foundation, Atlanta, pp 385–414
Stambo GW, Guiney MJ, Cannella XF, Germain BF (2004) Coil embolization of multiple hepatic artery aneurysms in a patient with undiagnosed polyarteritis nodosa. J Vasc Surg 39:1122–1124
Archimbaud E, Coiffier B, Bryon PA, Vasselon C, Brizard CP, Viala JJ (1987) Prognostic factors in angioimmunoblastic lymphadenopathy. Cancer 59:208–212
Frizzera G (2001) Atypical lymphoproliferative disorders. In: Knowles DM (ed) Neoplastic hematopathology. Lippincott Williams and Wilkins, Philadelphia, pp 569–622
Fauci AS, Haynes B, Katz P (1978) The spectrum of vasculitis: clinical, pathologic, immunologic and therapeutic considerations. Ann Intern Med 89:660–676
Higuchi T, Mori H, Niikura H, Omine M (1996) Hypocomplementemia and hematological abnormalities in immunoblastic lymphadenopathy and immunoblastic lymphadenopathy-like T cell lymphoma. Acta Haematol 96:68–72
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Nakashima, M., Suzuki, K., Okada, M. et al. Successful coil embolization of a ruptured hepatic aneurysm in a patient with polyarteritis nodosa accompanied by angioimmunoblastic T cell lymphoma. Clin Rheumatol 26, 1362–1364 (2007). https://doi.org/10.1007/s10067-006-0383-2
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DOI: https://doi.org/10.1007/s10067-006-0383-2