Bilateral Carotid Aneurysms Secondary to Catastrophic Antiphospholipid Syndrome in a Patient with Differential Diagnosis of Polyarteritis Nodosa

Catastrophic antiphospholipid syndrome and polyarteritis nodosa.

Polyarteritis nodosa presenting with bilateral cavernous internal carotid artery aneurysms.

A 24-year-old man was admitted with a severe, abrupt-onset headache and diplopia. On neurologic examination, movement of the left eye was limited in all directions, while the right eye was limited on lateral gaze. Cerebral angiography demonstrated bilateral aneurysms on the cavernous portion of the internal ICA, measuring 2.4 cm on the left and 2 cm on the right (figure, A and B). Abdominal ang...

Rhabdomyolysis in a Patient with Polyarteritis Nodosa

Polyarteritis nodosa (PAN) is a medium vessel vasculitis affecting systemic organs. Muscle involvement of PAN usually lacks elevation of creatinine kinase (CK). We herein report a case of PAN with rhabdomyolysis. A 71-year-old man was hospitalized because of muscle weakness of the lower limbs that persisted for 1 month. On a physical examination, rapidly progressive lower proximal muscle weakne...

Seckel syndrome with polyarteritis nodosa.

Seckel syndrome is a rare genetic disorder with a typical "bird-headed" appearance. It could affect many organ systems but renal involvement is uncommon. Polyarteritis nodosa is systemic vasculitic disorder which also involves kidneys. We report a case of Seckel syndrome in a 9 year-old boy with renal involvement due to polyarteritis nodosa. According to the literature, this is the first report...

Catastrophic Antiphospholipid Syndrome in Secondary Syphilis

events, recurrent episodes of fetal loss, and moderate throm bocytopenia in association with the presence of antiphospholipid (aPL) antibodies. Analysis of the precipitating factors of CAPS shows that the most remarkable factor is infection, occurring at a rate of 26% (Table 1).1,3 The infections most associated with CAPS are respiratory, followed by cutaneous (Table 2).1 The discovery of aPL a...