Wegener's Granulomatosis Complicated by Arterial Aneurysm

Noriaki AOKI, Kazui SOMA, Takashi OWADA, Hideaki ISHII
1995 Internal medicine (Tokyo. 1992)  
Wegener's granulomatosis is a distinct clinicopathologic entity characterized by granulomatous vasculitis of the upper and lower respiratory tract and kidneys. A 56-year-old Japanese man with Wegener's granulomatosis died ofintraperitoneal hemorrhage from a ruptured aneurysm of his left gastric artery. Histological findings revealed necrotizing granulomatous vasculitis involving this artery. No previously published reports have described Wegener's granulomatosis patients with aneurysms in such
more » ... large artery. Weconclude that this case represents either an atypical form ofWegener's granulomatosis or a polyangiitis overlap syndrome ofWegener's granulomatosis and classic polyarteritis nodosa. (Internal Medicine 34: 790-793, 1995)
doi:10.2169/internalmedicine.34.790 fatcat:7ucvxwycprfrxj5hsdiqxpsusm