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Reading: Multiple Splenic Infarctions Complicating Granulomatosis with Polyangiitis

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Original Article

Multiple Splenic Infarctions Complicating Granulomatosis with Polyangiitis

Authors:

M. Kahloune ,

Departments of Radiology, Cliniques Universitaires St-Luc, Université Catholique de Louvain, Brussels., BE
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M. Lambert,

Departments of Internal Medicine, Cliniques Universitaires St-Luc, Université Catholique de Louvain, Brussels., BE
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F.-X. Hanin,

Nuclear Medicine, Cliniques Universitaires St-Luc, Université Catholique de Louvain, Brussels., BE
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E. Coche,

Departments of Radiology, Cliniques Universitaires St-Luc, Université Catholique de Louvain, Brussels., BE
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B. Ghaye

Departments of Radiology, Cliniques Universitaires St-Luc, Université Catholique de Louvain, Brussels., BE
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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.

How to Cite: Kahloune, M. et al., (2015). Multiple Splenic Infarctions Complicating Granulomatosis with Polyangiitis. Journal of the Belgian Society of Radiology. 98(3), pp.129–130. DOI: http://doi.org/10.5334/jbr-btr.798
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Published on 01 Jun 2015.
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