OBJECTIVES: We report a clinical case of a small-vessel vasculitis with ischemia of the left upper limb. CASE: A patient diagnosed with Wegener's granulomatosis and involvement of the left axillary and brachial arteries. A left axillary-radial bypass with reversed left great saphenous vein was performed. RESULTS: After a period of 36 months of follow-up the patient is asymptomatic with complete healing of the trophic lesions. CONCLUSION: Classic Wegener's granulomatosis is a form of vasculitis that primarily involves the upper and/or lower respiratory tract and kidney. The amount of clinical symptoms is enormous and the diagnosis, arduous. In the literature there are only a few clinical cases referring to limb ischemia in a setting of Wegener's granulomatosis. This is a unique case report of upper limb ischemia due to involvement of a medium-large size artery in a patient with Wegener's granulomatosis.
OBJECTIVES: We report a clinical case of a small-vessel vasculitis with ischemia of the left upper limb. CASE: A patient diagnosed with Wegener's granulomatosis and involvement of the left axillary and brachial arteries. A left axillary-radial bypass with reversed left great saphenous vein was performed. RESULTS: After a period of 36 months of follow-up the patient is asymptomatic with complete healing of the trophic lesions. CONCLUSION:Classic Wegener's granulomatosis is a form of vasculitis that primarily involves the upper and/or lower respiratory tract and kidney. The amount of clinical symptoms is enormous and the diagnosis, arduous. In the literature there are only a few clinical cases referring to limb ischemia in a setting of Wegener's granulomatosis. This is a unique case report of upper limb ischemia due to involvement of a medium-large size artery in a patient with Wegener's granulomatosis.
Authors: Richard A Lau; Ramandeep Bains; Duminda Suraweera; Jane Ma; Emil R Heinze; Andrew L Wong; Philip J Clements Journal: Case Rep Rheumatol Date: 2017-02-28