Systemic vasculitis involving the breast: a case report and literature review

Ren, Jiaqi; Liu, Jianying; Su, Jing; Zhang, Jingfeng; Zhao, Jinxia

doi:10.1007/s00296-019-04279-8

Cited by 12 publications

(14 citation statements)

References 31 publications

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“…published an extensive review clustering all kinds of breast vasculitis. Breast GPA concerned 23 patients [95]. Two (out of 12 patients with available data) did not show ANCA positivity.…”

Section: Gpamentioning

confidence: 87%

“…reported 17 cases of GCA involving the breast. These were all women and 7 of them had bilateral symptoms [95]. None of them died.…”

Section: Giant Cell Arteritismentioning

confidence: 96%

“…performed a review of GPA-associated mastitis, but Ren and coll. recently published an extensive review of systemic vasculitis involving the breast [74,95]. Out of 67 cases found in the literature, Ren and coll.…”

Section: Vasculitismentioning

confidence: 99%

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Mastitis in Autoimmune Diseases: Review of the Literature, Diagnostic Pathway, and Pathophysiological Key Players

Goulabchand

Hafidi

Perre

et al. 2020

JCM

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Mastitis frequently affects women of childbearing age. Of all the pathological breast conditions requiring specific management, autoimmune mastitis is in the third position after infection and breast cancer. The aim of this literature review was to make a comprehensive description of autoimmune diseases targeting the mammary gland. Four main histological patterns of autoimmune mastitis are described: (i) lymphocytic infiltrates; (ii) ductal ectasia; (iii) granulomatous mastitis; and (iv) vasculitis. Our literature search found that all types of autoimmune disease may target the mammary gland: organ-specific diseases (diabetes, thyroiditis); connective tissue diseases (such as systemic erythematosus lupus or Sjögren’s syndrome); vasculitides (granulomatosis with polyangiitis, eosinophilic granulomatosis with polyangiitis, giant cell arteritis, polyarteritis nodosa, Behçet’s disease); granulomatous diseases (sarcoidosis, Crohn’s disease); and IgG4-related disease. Cases of breast-specific autoimmune diseases have also been reported, including idiopathic granulomatous mastitis. These breast-limited inflammatory diseases are sometimes the first symptom of a systemic autoimmune disease. Although autoimmune mastitis is rare, it is probably underdiagnosed or misdiagnosed. Early diagnosis may allow us to detect systemic diseases at an earlier stage, which could help to initiate a prompt, appropriate therapeutic strategy. In case of suspected autoimmune mastitis, we hereby propose a diagnostic pathway and discuss the potential pathophysiological pathways leading to autoimmune breast damage.

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“…published an extensive review clustering all kinds of breast vasculitis. Breast GPA concerned 23 patients [95]. Two (out of 12 patients with available data) did not show ANCA positivity.…”

Section: Gpamentioning

confidence: 87%

“…reported 17 cases of GCA involving the breast. These were all women and 7 of them had bilateral symptoms [95]. None of them died.…”

Section: Giant Cell Arteritismentioning

confidence: 96%

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Mastitis in Autoimmune Diseases: Review of the Literature, Diagnostic Pathway, and Pathophysiological Key Players

Goulabchand

Hafidi

Perre

et al. 2020

JCM

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“…Two reviews of the literature showed that breast involvement has been rarely reported in the literature [4,5]. The most extensive review of the entity has been presented by Allende and Booth [4] and included 27 cases reported both in English and other languages.…”

Section: Breastmentioning

confidence: 99%

“…The most extensive review of the entity has been presented by Allende and Booth [4] and included 27 cases reported both in English and other languages. In turn, in their systematic review, Ren et al [5] excluded reports published in non-English languages and not published in peer-review journals, and found 23 relevant cases. In Poland, two cases of breast involvement in GPA with lung and renal manifestations were described until now [6,7].…”

Section: Breastmentioning

confidence: 99%

Atypical Manifestations of Granulomatosis with Polyangiitis: The Diagnostic Challenge for Pulmonologists

Szymanowska-Narloch

Gawryluk²,

Błasińska‐Przerwa³

et al. 2020

Advances in Respiratory Medicine

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This is a review considering atypical manifestations of granulomatosis with polyangiitis (GPA). Virtually any organ can be affected, and in some patients, GPA can manifest unusually. Since thoracic involvement of GPA often predominates, the first who might be expected to establish a diagnosis are pulmonary specialists. We would like to familiarize pulmonary specialists with several extra-ELK (E: ear-nose-throat; L: lung; K: kidney) involvements of the disease. We describe sites rarely affected by GPA like the breast, skeletal system, orbit and eye, heart and vessels, central nervous system, urogenital system as well as endocrine and gastrointestinal tract involvement.

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Localized Forms of Vasculitis

et al. 2021

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Purpose of Review To provide an updated review on epidemiology, clinical manifestations, diagnostic assessment, treatment, and prognosis of localized vasculitis, following the 2012 Revised International Chapel Hill Consensus Conference Nomenclature on single-organ vasculitis. Recent Findings Localized, single-organ vasculitides encompass a group of rare conditions in which there is no evidence of concomitant systemic vasculitis. Most data on this topic derives from case reports and small case series. Although some aspects of these diseases, such as clinical manifestations and histologic findings, have already been extensively investigated, there is still a lack of robust data concerning the pathogenesis, epidemiology, and treatment. Summary Localized vasculitides may have a wide range of clinical features depending on the organ affected. The inflammatory process may have a multifocal/diffuse or unifocal distribution. Diagnosis is usually based on histopathology findings and exclusion of systemic vasculitis, which may frequently pose a challenge. Further research on treatment is warranted. Keywords Single-organ vasculitis . Cutaneous leukocytoclastic angiitis . Cutaneous arteritis . Isolated aortitis This article is part of the Topical Collection on Vasculitis

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Systemic vasculitis involving the breast: a case report and literature review

Cited by 12 publications

References 31 publications

Mastitis in Autoimmune Diseases: Review of the Literature, Diagnostic Pathway, and Pathophysiological Key Players

Mastitis in Autoimmune Diseases: Review of the Literature, Diagnostic Pathway, and Pathophysiological Key Players

Atypical Manifestations of Granulomatosis with Polyangiitis: The Diagnostic Challenge for Pulmonologists

Localized Forms of Vasculitis

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