A 46-year-old man presents with a 3-month history of progressive weight loss, postprandial abdominal pain, and painful nodules on his lower extremities. He has hypertension (BP 158/96 mmHg) and tachycardia (HR 102 bpm). Laboratory studies reveal positive hepatitis B surface antigen and elevated transaminases. Mesenteric angiography demonstrates multiple microaneurysms in renal and mesenteric vessels. Cardiac examination is unremarkable. Which of the following is the most likely diagnosis?
- A)Granulomatosis with polyangiitis
- B)IgA vasculitis
- C)Microscopic polyangiitis
- D)Takayasu arteritis
- E)Polyarteritis nodosaGABARITO
Explicação
Polyarteritis nodosa is a necrotizing vasculitis of medium sized arteries associated with hepatitis B infection. It can cause renal ischemia and hypertension, abdominal pain from mesenteric ischemia, and aneurysmal dilation of involved vessels. Unlike ANCA ass... Ver explicação completa e trilha adaptativa →