Poly-arteritis nodosa presenting as bilateral renal infarction

Started by NEPHROLOGY Apr 2, 2018

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NEPHROLOGY

New Member

5+ Year Member

Apr 2, 2018

A 47yo woman presents to the GP with left sided abdominal pain that has been present for a week. No fever or other symptoms. No relevant history or medication

- Contrast-enhanced CT: left renal infarction
- Angiography: dissection of left renal artery

The day after discharge, she presents to the ER with right sided pain

- new CT: right renal infarction DD pyelonephritis

The consequent angiography shows this image. Is this poly-arteritis nodosa? And could you guys help me point out the pathognomonic features?