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[Vasculitis of the hepatic artery: A case of a single-organ vasculitis]. Rev Med Interne 2017; 38:847-849. [PMID: 28784561 DOI: 10.1016/j.revmed.2017.06.023] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2017] [Revised: 05/25/2017] [Accepted: 06/24/2017] [Indexed: 11/22/2022]
Abstract
INTRODUCTION Vasculitis usually have a systemic involvement. Rare cases of localized vasculitis have been described, but the exclusive involvement of the hepatic artery is exceptional. We report the case of a patient who developed a vasculitis of the right and left hepatic arteries. CASE REPORT A 63-year-old woman presented with unexplained abdominal pain. A computed tomography of the abdomen was suggestive of vasculitis of the hepatic arteries, showing a sequence of stenosis and aneurysmal dilatations of the hepatic arteries. There were no other arterial involvement, in particular of the abdomen and the brain. No other systemic disease or infection was found. The outcome was favorable, with corticosteroids alone. DISCUSSION The exclusive involvement of the hepatic artery is an exceptional form of localized vasculitis, with only one other case reported. This diagnosis could therefore be discussed, in the presence of unexplained hepatic hematoma or pain.
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Anquetil C, Stavris C, Chanson N, Lambert M, Hachulla E, Launay D, Hatron PY. [Hemorrhagic shock revealing multiple digestive microaneurysms in a patient with systemic lupus erythematosus: Case report and literature review]. Rev Med Interne 2016; 38:56-60. [PMID: 27036226 DOI: 10.1016/j.revmed.2016.02.020] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/02/2015] [Revised: 02/23/2016] [Accepted: 02/27/2016] [Indexed: 01/17/2023]
Abstract
INTRODUCTION The vascular disorders in systemic lupus erythematosus (SLE) result from various mechanisms and presentations (inflammatory disease or vasculitis, atherosclerosis). CASE REPORT We report on a 34-year-old man with cutaneous, articular, neurological and nephrologic SLE. He presented with catastrophic haemorrhage on microaneurysm rupture of the left hepatic artery. After blood transfusions and immunosuppressive treatments, his condition improves. CONCLUSION Uncommon complication in SLE patients, digestive vasculitis with microaneurysms may occur as in polyarteritis nodosa. In the literature, we identified 10 additional cases of hepatic microaneurysms in SLE patients. The main issue is an earlier diagnosis in order to give appropriate treatment and improve prognosis.
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Affiliation(s)
- C Anquetil
- UFR de médecine, université de Lille, 59000 Lille, France; Service de médecine interne et immunologie clinique, hôpital Claude-Huriez, CHRU de Lille, pôle spécialités médicales et gérontologie, rue Michel-Polonovski, 59037 Lille cedex, France; Centre national de référence maladies systémiques et auto-immunes rares (sclérodermie systémique), 59037 Lille cedex, France; FHU Immune-Mediated Inflammatory Diseases and Targeted Therapies (IMMInENT), 59000 Lille, France
| | - C Stavris
- UFR de médecine, université de Lille, 59000 Lille, France; Service de médecine interne et immunologie clinique, hôpital Claude-Huriez, CHRU de Lille, pôle spécialités médicales et gérontologie, rue Michel-Polonovski, 59037 Lille cedex, France; Centre national de référence maladies systémiques et auto-immunes rares (sclérodermie systémique), 59037 Lille cedex, France; FHU Immune-Mediated Inflammatory Diseases and Targeted Therapies (IMMInENT), 59000 Lille, France
| | - N Chanson
- UFR de médecine, université de Lille, 59000 Lille, France; Service de médecine interne et immunologie clinique, hôpital Claude-Huriez, CHRU de Lille, pôle spécialités médicales et gérontologie, rue Michel-Polonovski, 59037 Lille cedex, France; Centre national de référence maladies systémiques et auto-immunes rares (sclérodermie systémique), 59037 Lille cedex, France; FHU Immune-Mediated Inflammatory Diseases and Targeted Therapies (IMMInENT), 59000 Lille, France
| | - M Lambert
- UFR de médecine, université de Lille, 59000 Lille, France; Service de médecine interne et immunologie clinique, hôpital Claude-Huriez, CHRU de Lille, pôle spécialités médicales et gérontologie, rue Michel-Polonovski, 59037 Lille cedex, France; Centre national de référence maladies systémiques et auto-immunes rares (sclérodermie systémique), 59037 Lille cedex, France; FHU Immune-Mediated Inflammatory Diseases and Targeted Therapies (IMMInENT), 59000 Lille, France
| | - E Hachulla
- UFR de médecine, université de Lille, 59000 Lille, France; Service de médecine interne et immunologie clinique, hôpital Claude-Huriez, CHRU de Lille, pôle spécialités médicales et gérontologie, rue Michel-Polonovski, 59037 Lille cedex, France; Centre national de référence maladies systémiques et auto-immunes rares (sclérodermie systémique), 59037 Lille cedex, France; FHU Immune-Mediated Inflammatory Diseases and Targeted Therapies (IMMInENT), 59000 Lille, France; LIRIC, UMR 995, EA2686, 59000 Lille, France
| | - D Launay
- UFR de médecine, université de Lille, 59000 Lille, France; Service de médecine interne et immunologie clinique, hôpital Claude-Huriez, CHRU de Lille, pôle spécialités médicales et gérontologie, rue Michel-Polonovski, 59037 Lille cedex, France; Centre national de référence maladies systémiques et auto-immunes rares (sclérodermie systémique), 59037 Lille cedex, France; FHU Immune-Mediated Inflammatory Diseases and Targeted Therapies (IMMInENT), 59000 Lille, France; LIRIC, UMR 995, EA2686, 59000 Lille, France.
| | - P Y Hatron
- UFR de médecine, université de Lille, 59000 Lille, France; Service de médecine interne et immunologie clinique, hôpital Claude-Huriez, CHRU de Lille, pôle spécialités médicales et gérontologie, rue Michel-Polonovski, 59037 Lille cedex, France; Centre national de référence maladies systémiques et auto-immunes rares (sclérodermie systémique), 59037 Lille cedex, France; FHU Immune-Mediated Inflammatory Diseases and Targeted Therapies (IMMInENT), 59000 Lille, France
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Tijani Y, Chtata H, Elkaoui H, Hatim A, Drissi M, Abissegue Y, Taberkant M. [The aneurysms of digestive system arteries: three cases]. Ann Cardiol Angeiol (Paris) 2014; 64:109-12. [PMID: 24856656 DOI: 10.1016/j.ancard.2014.04.007] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2013] [Accepted: 04/08/2014] [Indexed: 11/16/2022]
Abstract
The aneurysms of digestive arteries are a rare pathological entity, with a risk of rupture associated to a high mortality rate, often asymptomatic, then they are discovered incidentally during a exam for other diagnostic purposes. We report three cases of digestive aneurysms, one of celiac trunk, one of mesenteric artery on behçet disease, and one of splenic artery, which were treated surgically with success.
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Affiliation(s)
- Y Tijani
- Service de chirurgie vasculaire de l'HMIMV, université Mohammed V Soussi, angle rue souss-qahira résidence le nid, immeuble 16, n(o) 06 Kénitra, 14000 Kénitra Maamora, Rabat, Maroc.
| | - H Chtata
- Service de chirurgie vasculaire de l'HMIMV, université Mohammed V Soussi, angle rue souss-qahira résidence le nid, immeuble 16, n(o) 06 Kénitra, 14000 Kénitra Maamora, Rabat, Maroc
| | - H Elkaoui
- Service de chirurgie viscérale de l'HMIMV, université Mohammed V Soussi, Rabat, Maroc
| | - A Hatim
- Service d'anesthésie réanimation de chirurgie cardiaque et vasculaire HMIMV, université Mohammed V Soussi, Rabat, Maroc
| | - M Drissi
- Service d'anesthésie réanimation de chirurgie cardiaque et vasculaire HMIMV, université Mohammed V Soussi, Rabat, Maroc
| | - Y Abissegue
- Service de chirurgie vasculaire de l'HMIMV, université Mohammed V Soussi, angle rue souss-qahira résidence le nid, immeuble 16, n(o) 06 Kénitra, 14000 Kénitra Maamora, Rabat, Maroc
| | - M Taberkant
- Service de chirurgie vasculaire de l'HMIMV, université Mohammed V Soussi, angle rue souss-qahira résidence le nid, immeuble 16, n(o) 06 Kénitra, 14000 Kénitra Maamora, Rabat, Maroc
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