Multiple Splenic Infarctions Complicating Granulomatosis with Polyangiitis

Authors

  • M. Kahloune Departments of Radiology, Cliniques Universitaires St-Luc, Université Catholique de Louvain, Brussels.
  • M. Lambert Departments of Internal Medicine, Cliniques Universitaires St-Luc, Université Catholique de Louvain, Brussels.
  • F.-X. Hanin Nuclear Medicine, Cliniques Universitaires St-Luc, Université Catholique de Louvain, Brussels.
  • E. Coche Departments of Radiology, Cliniques Universitaires St-Luc, Université Catholique de Louvain, Brussels.
  • B. Ghaye Departments of Radiology, Cliniques Universitaires St-Luc, Université Catholique de Louvain, Brussels.

DOI:

https://doi.org/10.5334/jbr-btr.798

Keywords:

Wegener granulomatosis

Abstract

Background: A 57-year-old patient was admitted for high-grade fever, asthenia, sweating, dry cough and diffuse arthro-myalgias. Two years earlier, elevated titers of anticytoplasmic antibodies (ANCA) of anti-proteinase 3 specificity and renal biopsy led to a diagnosis of granulomatosis with polyangiitis (GPA) with lung and renal involvement. GPA was treated by steroids, cyclophosphamide and rituximab with subsequent clinical and biological remission. The current chest CT scan was performed for a lung opacity that eventually was proved to be an organising pneumonia. CT also showed an unsuspected pattern of the spleen that was compared with a previous chest CT.

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Published

2015-06-01

Issue

Vol. 98 No. 3 (2015)

Section

Original Article

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