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Renal Vasculitis
Bryan R. Foster, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Clinical Issues

          • Diagnostic Checklist

            TERMINOLOGY

            • Abbreviations

              • Polyarteritis nodosa (PAN)
              • Granulomatosis with polyangiitis (GPA)
              • Antineutrophil cytoplasmic autoantibodies (ANCA)
            • Synonyms

              • GPA previously known as Wegener granulomatosis
            • Definitions

              • PAN: Necrotizing granulomatous vasculitis of small to medium arteries (larger than arterioles) not associated with ANCA
              • Takayasu: Chronic granulomatous vasculitis of large vessels predominately affecting aorta and major branches (< 50 years old)
              • GPA: ANCA-associated small vessel vasculitis with necrotizing granulomas

            IMAGING

            • General Features

              • CT Findings

                • Angiographic Findings

                  • Imaging Recommendations

                    DIFFERENTIAL DIAGNOSIS

                      PATHOLOGY

                      • General Features

                        • Microscopic Features

                          CLINICAL ISSUES

                          • Presentation

                            • Demographics

                              • Treatment

                                DIAGNOSTIC CHECKLIST

                                • Image Interpretation Pearls

                                  Selected References

                                  1. Naeem M et al: Imaging spectrum of granulomatous diseases of the abdomen and pelvis. Radiographics. 41(3):783-801, 2021
                                  2. Parmar N et al: Wunderlich syndrome: wonder what it is. Curr Probl Diagn Radiol. 9;S0363-0188(21)00016-5, 2021
                                  3. Yamamoto T et al: Granulomatosis with polyangiitis presenting as a solitary renal mass: a case report with imaging and literature review. Radiol Case Rep. 16(3):736-41, 2021
                                  4. Bedayat A et al: Recent innovations in renal vascular imaging. Radiol Clin North Am. 58(4):781-96, 2020
                                  5. Suillot J et al: Bilateral ureteral stenosis with hydronephrosis as first manifestation of granulomatosis with polyangiitis (Wegener's granulomatosis): a case report and review of the literature. Case Rep Nephrol. 2020:7189497, 2020
                                  6. Livingston D et al: "Tram-line" calcifications in granulomatosis with polyangiitis. J Clin Imaging Sci. 9:13, 2019
                                  7. Singhal M et al: Role of multidetector abdominal CT in the evaluation of abnormalities in polyarteritis nodosa. Clin Radiol. 71(3):222-7, 2016
                                  Related Anatomy
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                                  Related Differential Diagnoses
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                                  References
                                  Tables

                                  Tables

                                  KEY FACTS

                                  • Terminology

                                    • Imaging

                                      • Top Differential Diagnoses

                                        • Clinical Issues

                                          • Diagnostic Checklist

                                            TERMINOLOGY

                                            • Abbreviations

                                              • Polyarteritis nodosa (PAN)
                                              • Granulomatosis with polyangiitis (GPA)
                                              • Antineutrophil cytoplasmic autoantibodies (ANCA)
                                            • Synonyms

                                              • GPA previously known as Wegener granulomatosis
                                            • Definitions

                                              • PAN: Necrotizing granulomatous vasculitis of small to medium arteries (larger than arterioles) not associated with ANCA
                                              • Takayasu: Chronic granulomatous vasculitis of large vessels predominately affecting aorta and major branches (< 50 years old)
                                              • GPA: ANCA-associated small vessel vasculitis with necrotizing granulomas

                                            IMAGING

                                            • General Features

                                              • CT Findings

                                                • Angiographic Findings

                                                  • Imaging Recommendations

                                                    DIFFERENTIAL DIAGNOSIS

                                                      PATHOLOGY

                                                      • General Features

                                                        • Microscopic Features

                                                          CLINICAL ISSUES

                                                          • Presentation

                                                            • Demographics

                                                              • Treatment

                                                                DIAGNOSTIC CHECKLIST

                                                                • Image Interpretation Pearls

                                                                  Selected References

                                                                  1. Naeem M et al: Imaging spectrum of granulomatous diseases of the abdomen and pelvis. Radiographics. 41(3):783-801, 2021
                                                                  2. Parmar N et al: Wunderlich syndrome: wonder what it is. Curr Probl Diagn Radiol. 9;S0363-0188(21)00016-5, 2021
                                                                  3. Yamamoto T et al: Granulomatosis with polyangiitis presenting as a solitary renal mass: a case report with imaging and literature review. Radiol Case Rep. 16(3):736-41, 2021
                                                                  4. Bedayat A et al: Recent innovations in renal vascular imaging. Radiol Clin North Am. 58(4):781-96, 2020
                                                                  5. Suillot J et al: Bilateral ureteral stenosis with hydronephrosis as first manifestation of granulomatosis with polyangiitis (Wegener's granulomatosis): a case report and review of the literature. Case Rep Nephrol. 2020:7189497, 2020
                                                                  6. Livingston D et al: "Tram-line" calcifications in granulomatosis with polyangiitis. J Clin Imaging Sci. 9:13, 2019
                                                                  7. Singhal M et al: Role of multidetector abdominal CT in the evaluation of abnormalities in polyarteritis nodosa. Clin Radiol. 71(3):222-7, 2016