| 中文摘要 |
A 40-year-old woman who had systemic lupus erythematosus since age 17 years with initial presentations of fever, malar rash, polyarthritis, pleural effusion, hemolytic anemia, thrombocytopenia and proteinuria. End-stage lupus nephritis developed and she was initiated on hemodialysis since age 28 years. One month ago, painful necrosis with nonhealing ulceration and then gangrene developed over her fingers and toes (Panel A). Peripheral arterial occlusion disease was diagnosed by peripheral vascular ultrasound examination. Recently, she presented with chest tightness and cold sweating. Cardiac catheterization revealed two-vessel coronary artery disease with diffusely heavy calcification. Stenting to left anterior descending artery was performed. Pelvis and hand radiographs also showed severely calcified iliac arteries (Panel B, arrow), femoral arteries (Panel B, arrowhead) and digital arteries (Panel C). Calcified aorta, coronary arteries (Panel D, arrowhead) and splenic artery (Panel D, arrow) was seen at CT. |
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