Presentation
Churg-Strauss syndrome?
Patient Data
Age: 50 years
Gender: Male
From the case:
Polyarteritis nodosa
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Aneurysmal dilatations of intrahepatic and cystic arteries up to 7 mm. Also, there are microaneurysms in the kidneys (mostly including interlobar arteries), in the pancreatic head and mesentery.
Gallbladder stones without signs of cholecystitis. Renal pelvis stones. The lungs are clear.
From the case:
Polyarteritis nodosa
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Intrahepatic artery microaneurysm (green arrow).
Renal artery microaneurysm (red arrow).
Pancreatic head artery microaneurysm (blue arrow).
Case Discussion
Multiple microaneurysms of intrahepatic, cystic, renal, pancreatic, and mesenteric arteries and unremarkable lungs (lung studies are not shown) suggest the diagnosis of polyarteritis nodosa, not Churg-Strauss syndrome.