JMA Journal

Table 1. Laboratory Test Performed at Our Hospital.

From: Rupture of Renal Artery Aneurysm in a Patient with Granulomatosis with Polyangiitis

Variables	Results (reference range)
Blood test
1) C reactive protein	18.93 mg/dL (<0.14 mg/dL)
2) D-dimer	34.08 μg/mL (<0.14 mg/dL)
3) erythrocyte sedimentation rate	49 mm (<20mm)
4) creatinine	6.07 mg/dL (0.46-0.79 mg/dL)
5) PR3-ANCA	150.50 U/mL (<3.5 U/mL)
6) MPO-ANCA	0.00 (<3.5 U/mL)
7) intact parathyroid hormone	165.80 pg/mL (10.0-65.0 pg/mL)
Urine test
1) Protein	200 mg/dL
2) Creatinine	64 mg/dL
3) Red blood cells	>100 /HPF (<4 /HPF)
4) Granular casts	positive (2+)

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Table 2. Review of the Published Literatures on Renal Artery Aneurysms in Patients with Granulomatosis with Polyangiitis.

From: Rupture of Renal Artery Aneurysm in a Patient with Granulomatosis with Polyangiitis

Author, Year	No. of patients	Age	Sex	Diagnostic tool for GPA	Aneurysmal symptoms	Hemodynamics	Diagnostic tool for aneurysms	Duration between aneurysm and GPA diagnosis	Involved artery	Rupture artery aneurysm	Treatment	Outcome
Baker, 1978 ⁽²⁾	1	24	male	Biopsy	Rt. flank pain, shock	Unstable	Angiography	2 days	Renal	Yes (renal)	AE (gelfoam)	Recovery
Moutsopoulos, 1983 ⁽³⁾	2	30	male	Biopsy	NA	Stable	Angiography	4 months	Renal	No	Immunosupression	NA
		53	female	Clinical featues	NA	Stable	Angiography	1 month	Renal	No	Immunosupression	NA
Senf, 2003 ⁽⁴⁾	1	35	male	Biopsy, PR3-ANCA	Lt. flank pain, shock	Unstable	CT	24 days	Hepatic, renal, splanchnic	Yes (hepatic)	Immunosupression	Recovery
Arlet, 2007 ⁽⁵⁾	1	29	male	Biopsy, PR3-ANCA	Abdominal pain, vomitting	Stable	CT	5 years	PD, Hepatic, renal	No	AE (coil, for hepatic artery)	Recovery
Carron, 2011 ⁽⁶⁾	1	79	male	Clinical features, PR3-ANCA	Shock due to colon hematoma	Unstable	Angiography	4 weeks	Renal	No	Immunosupression	Recovery
Boersma, 2013 ⁽⁷⁾	1	51	female	PR3-ANCA	Lower abdominal and flank pain	Unstable	Angiography	15 years	Renal	Yes (renal)	AE	Recovery
Kim, 2017 ⁽⁸⁾	1	71	male	Biopsy, PR3-ANCA	none	Stable	CT	concomitant	Renal	No	Immunosupression	Recovery
Mahmudpour, 2018 ⁽⁹⁾	1	60	male	PR3-ANCA	Rt. flank pain, shock	Unstable	CT	NA	Renal	Yes (renal)	Nephrectomy	Died due to renal failure
Skonieczny, 2019 ⁽¹⁰⁾	1	50	male	Clinical features, PR3-ANCA	Rt. flank pain, shock	Unstable	CT	15 days	Renal	Yes (renal)	AE (coil), immunosupression	Died due to infection
Present case	1	75	female	Clinical features, PR3-ANCA	Abdominal pain, shock	Unstable	CT	20 days	Renal	Yes (renal)	AE (coil), immunosupression	Recovery

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