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==Other Imaging Findings== | ==Other Imaging Findings== | ||
< | === Arteriography === | ||
* Arteriography is the best imaging study to diagnosis of PAN. | |||
* Findings on an arteriography diagnostic of PAN include:<ref name="pmid2892931">{{cite journal |vauthors=Ewald EA, Griffin D, McCune WJ |title=Correlation of angiographic abnormalities with disease manifestations and disease severity in polyarteritis nodosa |journal=J. Rheumatol. |volume=14 |issue=5 |pages=952–6 |date=October 1987 |pmid=2892931 |doi= |url=}}</ref> | |||
** Microaneurysms | |||
</ | *** Pathognomic finding seen in 60-80% patients. | ||
*** Caused by rupture of a vessel wall due to necrotizing inflammatory process. | |||
*** Most commonly seen at the branching points and bifurcations of arteries. | |||
*** Microaneurysms are usually more than 10 in number. | |||
*** Size: 2-5mm | |||
** Saccular aneurysms | |||
*** Size: 1-5mm | |||
< | *** Seen in small and medium sized vessels. | ||
</div> | ** Tortuous vessels showing: | ||
*** Irregular lumina | |||
*** Segmental luminal narrowing or dilatation | |||
*** Infarctions | |||
*** Vascular irregularity | |||
*** Segmental occlusions | |||
<div align="left"></div> | |||
==References== | ==References== |
Revision as of 20:05, 21 May 2018
Polyarteritis nodosa Microchapters |
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Polyarteritis nodosa other imaging findings On the Web |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Cafer Zorkun, M.D., Ph.D. [2]; Haritha Machavarapu, M.B.B.S.
Overview
Other Imaging Findings
Arteriography
- Arteriography is the best imaging study to diagnosis of PAN.
- Findings on an arteriography diagnostic of PAN include:[1]
- Microaneurysms
- Pathognomic finding seen in 60-80% patients.
- Caused by rupture of a vessel wall due to necrotizing inflammatory process.
- Most commonly seen at the branching points and bifurcations of arteries.
- Microaneurysms are usually more than 10 in number.
- Size: 2-5mm
- Saccular aneurysms
- Size: 1-5mm
- Seen in small and medium sized vessels.
- Tortuous vessels showing:
- Irregular lumina
- Segmental luminal narrowing or dilatation
- Infarctions
- Vascular irregularity
- Segmental occlusions
- Microaneurysms