Poly-arteritis nodosa presenting as bilateral renal infarction

[NEPHROLOGY]

A 47yo woman presents to the GP with left sided abdominal pain that has been present for a week. No fever or other symptoms. No relevant history or medication

- Contrast-enhanced CT: left renal infarction
- Angiography: dissection of left renal artery

The day after discharge, she presents to the ER with right sided pain

- new CT: right renal infarction DD pyelonephritis

The consequent angiography shows this image. Is this poly-arteritis nodosa? And could you guys help me point out the pathognomonic features?



Thanks a lot!

---

Members don't see this ad.