Asymptomatic coronary aneurysms in a patient with eosinophilic granulomatosis with polyangiitis who developed a digital gangrene

The clinical characteristics and predictors of severe digital ischemia in patients with anti‐aminoacyl transfer RNA synthetase antibodies

“…Among our patients with SDI, two out of three showed giant capillaries in NVC such as systemic sclerosis and antiphospholipid syndrome, which are well‐known underlying causes of SDI 21,22 . NVC detects structural changes in arterioles and micro–vasculopathies, 23 so that nail fold abnormalities such as giant capillaries are rarely observed in medium and/or large vessel vasculitis 24,25 . The findings of arterial narrowing and occlusions in angiography and abnormalities of the nailfold capillary suggest that ASS can affect both micro‐ and macrovessels.…”

“…21,22 NVC detects structural changes in arterioles and micro-vasculopathies, 23 so that nail fold abnormalities such as giant capillaries are rarely observed in medium and/or large vessel vasculitis. 24,25 The findings of arterial narrowing and occlusions in angiography and abnormalities of the nailfold capillary suggest that ASS can affect both micro-and macrovessels. In addition, eight of the nine patients with SDI were naïve to immunosuppressive therapy at the onset of SDI, five of these patients responded to the therapy.…”

Glomerulonephritis and Interstitial Nephritis Originating from Vasculitis of the Interlobular Arteries of the Kidney in a Patient with Eosinophilic Granulomatosis with Polyangiitis

“…First, small vessels with a vascular diameter larger than that of capillaries are sometimes impaired in AAV, including EGPA [ 2 ]. When medium-sized vessels or small vessels with a larger vascular diameter than capillaries are predominantly impaired, atypical symptoms of EGPA may occur [ 9 , 10 ]. Clinicians should thus keep in mind the possible impairment of vessels upstream of capillaries when presented with patients with eosinophilia accompanied by atypical findings of EGPA.…”