Granulomatosis with polyangiitis of the carotid artery: a case report and literature review

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A 45-year-old Caucasian female was seen in the outpatient department with an 8-month history of left sided otalgia, throat pain and neck swelling and a 3-day history of amaurosis fugax. On examination she was found to have a left sided level II/III neck lump. A florid peri-vascular infiltration, involving and stenosing the left common carotid artery and carotid bifurcation was identified at CT angiogram and open biopsy. Auto-immune screening was negative. Histology confirmed a diagnosis of granulomatosis with polyangiitis. We present an unusual case with specific features never previously reported in the published literature.

Additional Info

  • Authors: AMI Waters & HC Cocks
  • Keywords: Carotid artery, Vasculitis, Arteritis, Granulomatosis with polyangiitis, ANCA
Read 3020 times Last modified on Friday, 08 July 2016 15:02

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