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"[426] POLYARTERITIS NODOSA"

“ This is a vasculitis of the small- and medium-sized arteries and is more common in males.   Fever, malaise and weight loss are almost alwa...

This is a vasculitis of the small- and medium-sized arteries and is more common in males. 
Fever, malaise and weight loss are almost always present, due to ischaemic complications. 
Most (80%) have renal involvement. 
The gastrointestinal (GI) tract is affected in about 60%.
associate with heaptitis B,C 
CT/INTERVENTION 
•  1-5-mm microaneurysms, typically peripheral and intra-renal.
•  Aneurysms tend to occur where vessels bifurcate.
•  Stenoses also occur.
•  Vasculitis causes distal ischaemia (renal infarcts, gut ischaemia, etc.).
•  May present with haemorrhage.
Polyarteritis nodosa. Left renal artery angiogram demonstrating multiple small renal artery aneurysms (white arrow).
Polyarteritis nodosa. Inferior mesenteric artery angiogram demonstrating multiple small aneurysms (white arrows).