Table 1 Symptoms, severity score index and main lab and imagery results of the patient described in the case report.
From: Valvular involvement in ANCA-associated systemic vasculitis: a case report and literature review
November 2006 | - Persisting facial pain, right chronic headaches resisting usual pain killers |
- Cerebral CT-scan: pansinusitis | |
March 2007 | - Same symptoms + right hypoacusia and tinnitus |
- Cerebral CT-scan: pansinusitis predominating on the right side with right mastoiditis and otitis media | |
- Cerebral MRI: pachymeningitis of the cerebellopontine angle | |
June 2007 | When hospitalized: |
- Violent headaches and vomiting: severe intracranial hypertension | |
- Significant weight loss (- 10 kg) | |
- Right otitis media | |
- Paralysis of the left vocal cord (dysphonia), abolition of the gag reflex, and palatal paralysis | |
- Cerebral MRI: unchanged | |
- Spinal tap: Aseptic meningitis | |
- Discovery of the aortic regurgitation | |
- Abdominal CT-scan: focal aortic and mesenteric vasculitis and mesenteric panniculitis | |
- Elevated C-reactive protein and leukocyte count | |
- Polyclonal hypergammaglobulinemia | |
- pANCA+; anti-MPO +; anti Pr3 - | |
- BVAS = 23 | |
June 2009 | BVAS = 2 |