PMC4400447_01
(A) CT scan showing periaortic oedema of the abdominal aorta at diagnosis. (B) CT scan of abdominal aorta at 2 months (inflammation indicated by arrowheads).
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fig1
There was no narrowing or obliteration of the vessel lumen (Figure 1a). CT aortogram showed reduced aortic inflammation (Figure 1b). Clinical remission was evident after 3 months' treatment with cyclophosphamide, and methotrexate was commenced after the patient proved intolerant to azathioprine.
Biochemical markers and response to treatment. RBC, red blood cells; HPF, high power field; PCR, protein:creatinine ratio; ESR, erythrocyte sedimentation rate; CRP, C-reactive protein.
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fig2
Two months after discharge, investigations revealed a serum creatinine of 167 mumol/L (cANCA 30 U/mL), Figure 2.