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Ureteric vasculitis, an unusual presentation of polyarteritis nodosa: a case report
Ramesh Jois1, Anant Gupta1, Santosh Krishnamurthy2
1Rheumatology, Fortis Hospitals, Bangalore, India.
Abstract:
A 22 year old female presented with vasculitic skin rash. She was incidentally found to be hypertensive and had proteinuria. Skin biopsy showed leuco-cytoclastic vasculitis. On Imaging, there was left hydronephrosis, hydroureter with bilateral multiple foci of ureteric stenosis and micro-aneurysms in relation to interlobar arteries of kidney. A diagnosis of classical Polyarteritis Nodosa (cPAN) with multi-level ureteric stenosis was made. She was treated with Glucocorticoids, Cyclophosphamide, following which Azathioprine was given.
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