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Unusual association of diseases/symptoms
CASE REPORT
Spontaneous bilateral perirenal and splenic haematoma in childhood onset polyarteritis nodosa
  1. Farzana Shumy1,
  2. Ahmad Mursel Anam2,
  3. Md Abdul Jalil Chowdhury1
  1. 1Department of Internal Medicine, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh
  2. 2Intensive Care Unit, Square Hospitals Ltd, Dhaka, Bangladesh
  1. Correspondence to Dr Ahmad Mursel Anam, murselanam{at}gmail.com

Summary

Spontaneous bilateral perirenal haematoma, as well as splenic haematoma, are rare occasions in polyarteritis nodosa (PAN). We report a case of a young man, who suffered from various typical and atypical manifestations of PAN since childhood. The diagnosis was delayed due to symptoms mimicking with other clinical conditions. Finally, the diagnosis was confirmed when presented with perirenal and splenic haematoma and was managed successfully.

  • vasculitis
  • drugs: musculoskeletal and joint diseases

https://doi.org/10.1136/bcr-2018-225762

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    Footnotes

    • Contributors FS and AMA: contributed to the conception, design, analysis and interpretation of the data; responsible for the drafting the article and the final approval of the version to be published; revising the manuscript critically for important intellectual content. FS and MAJC: contributed in treatment of the patient. All authors: read and approved the final manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.