Chonnam Med J.  2019 Sep;55(3):170-172. 10.4068/cmj.2019.55.3.170.

Isolated Spontaneous Celiac Artery Dissection as a First Manifestation of Systemic Lupus Erythematosus

• Yu SY
• Kim KM
• Kang KP

• KMID: 2458572
• DOI: http://doi.org/10.4068/cmj.2019.55.3.170

Abstract

No abstract available.

MeSH Terms

Celiac Artery*
Lupus Erythematosus, Systemic*

Figure

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  FIG. 1 Contrast enhaced abdominal computed tomography (CT) of Celiac trunk. (A) Origin of Celiac trunk is encapsulated by hemorrhagic lesion and shows focal narrowing in vascular lumen. This lesion is associated with dissection of arterial wall in coronal scan view (arrow). (B) Follow-up CT scan shows much improved encapsulated hemorrhagic lesion and focal narrowing of vascular lumen after 3 months of diagnosis (arrowhead).

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  FIG. 2 Renal biopsy of the patient. (A) Representative glomerulus showing endocapillary proliferation, mesangial expansion with hypercellularity and diffuse glomerular basement thickening (H&E stain, ×400). (B) Immunofluorescence staining of IgG showing positive deposition in the glomerular basement membrane (IgG immunofluorescence stain, ×400). (C) There are subepithelial and subendothelial electron-dense deposits with foot process effacement (electronmicrograph, ×2,500). (D) Tubuloreticular structure (arrow) is present in the endothelial cell (electronmicrograph, ×4,000).

Reference

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