HEPATIC INVOLVEMENT IN EOSINOPHILIC GRANULOMATOSIS WITH POLYANGITIS, AN ATYPICAL MANIFESTATION

Quratulain haroon

Abstract


ABSTRACT

Eosinophilic granulomatosis with polyangiitis (EGPA) is a systemic necrotizing vasculitis mainly affecting small-sized arteries. It usually presents with pulmonary and renal involvement with rare hepatic manifestation. We report the case of a 33-year-old young adult, known case of EGPA who presented with dry cough, hemoptysis, fever, right hypochondrial pain. His contrast enhanced CT chest and abdomen demonstrated hepatic aneurysm with hematoma in the right hepatic lobe. What makes this case worth reporting is the coexistence of liver aneurysms and hematoma with concomitant systemic disease affecting the lungs with keeping in mind that limited forms of GPA with atypical site involvement might occur. Until recently, little had been reported in radiology literature regarding polyarteritis nodosa

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