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Case Reports in Gastrointestinal Medicine
Volume 2014 (2014), Article ID 485714, 6 pages
http://dx.doi.org/10.1155/2014/485714
Case Report

Cutaneous Vasculitis, Interstitial Pneumonia with Crazy-Paving Appearance, and Positive pANCA in a Patient with Severe Crohn’s Disease

1Department of Rheumatology & Immunology, Affiliated Hospital of Guilin Medical University, 5th Floor, Building No. 3, 15 Lequn Road, Guilin 541001, China
2Department of Internal Medicine 3, University of Erlangen-Nuremberg, 91054 Erlangen, Germany
3Department of Rheumatology, Huashan Hospital Affiliated to Fudan University, Shanghai 200040, China
4Department of Rheumatology, Renji Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, 145 Shandong C Road, Shanghai 200001, China

Received 30 March 2014; Revised 12 July 2014; Accepted 5 August 2014; Published 14 August 2014

Academic Editor: Ian Craig Lawrance

Copyright © 2014 Guang-liang Chen et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Cutaneous vasculitis, interstitial pneumonia with crazy-paving appearance on high-resolution computed tomography, and repeated positive perinuclear anti-neutrophil cytoplasmic antibodies (pANCA) are rarely found together in patients with inflammatory bowel disease in the existing literature. We report the case of a Chinese patient previously diagnosed with cutaneous vasculitis and interstitial pneumonia, who presented with acute pain and mass in his right lower quadrant a couple of years later. The terminal ileum biopsy and postoperative pathology confirmed Crohn’s disease (CD).