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Review
. 2010 Nov;62(11):1655-60.
doi: 10.1002/acr.20294. Epub 2010 Jul 26.

Clinical diagnosis of segmental arterial mediolysis: differentiation from vasculitis and other mimics

Julie C Baker-LePain  1 , David H Stone, Aras N Mattis, Mary C Nakamura, Kenneth H Fye
Affiliations
Review

Clinical diagnosis of segmental arterial mediolysis: differentiation from vasculitis and other mimics

Julie C Baker-LePain et al. Arthritis Care Res (Hoboken). 2010 Nov.
No abstract available

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Conflict of interest statement

There are no conflicts of interest for any of the authors.

Figures

Figure 1
Figure 1
Angiographic and histologic features of segmental arterial mediolysis in Case 1. (a) Focal stenoses of the right and left hepatic arteries (arrows). (b) Hyperemic blush in the left colonic flexure, suggesting formation of small collateral vessels from the splenic artery in response to occlusion of the left colic artery (not shown). (c) Large bowel with thrombosis in multiple small arteries (long arrows) and focal ischemia (short arrow). Hemosiderin and eosin stain (H&E), 10×. (d, e) Adventitial arteries with thrombosis, minimal inflammatory infiltrate, and granulation tissue disrupting the media (arrow). H&E, 50×. (f) Fibrosis of several small colonic arteries. H&E, 50×. (g, h) Foamy deterioration of media with disruption of internal elastic lamina of colonic vessels. Van Gieson stain, 50× (g), 100× (h).
See this image and copyright information in PMC

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