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. 2008 Jun 27:6:10.
doi: 10.1186/1546-0096-6-10.

Lupus-associated vasculitis manifesting as acute appendicitis in a 16 year old girl

Christina Cellini  1 , Syed A Hoda, Nitsana Spigland
Affiliations

Lupus-associated vasculitis manifesting as acute appendicitis in a 16 year old girl

Christina Cellini et al. Pediatr Rheumatol Online J. .

Abstract

A 16 year old female with systemic lupus erythematosus presents with acute appendicitis. Final pathologic analysis of the appendix describes a lupus-associated vasculitis.

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Figures

Figure 1
Figure 1
Acute and chronic appendicitis showing a small artery with transmural infiltration of lymphocytes (arrow) consistent with small vessel vasculitis.
Figure 2
Figure 2
Large vessel vasculitis evident by active endothelialitis (Fig 2), and by neutrophilic and lymphocytic infiltration of the wall (Fig. 3). Note fat necrosis in the vicinity of the large vessel vasculitis.
Figure 3
Figure 3
Large vessel vasculitis evident by active endothelialitis (Fig 2), and by neutrophilic and lymphocytic infiltration of the wall (Fig. 3). Note fat necrosis in the vicinity of the large vessel vasculitis.
Figure 4
Figure 4
Most sections of the vermiform appendix per se showed no histological abnormality, and there was no significant intramural inflammation.
See this image and copyright information in PMC

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