We describe a 62-year-old man with perinuclear-antineutrophil cytoplasmic a
ntibodies-associated vasculitis. which involved the heart. lung, and kidney
s. The patient's care was complicated by total occlusions of the brachiocep
halic and right renal arteries and a stenosis of the left renal artery. Inv
olvement of large-sized vessels has not been reported in patients with peri
nuclear-antineutrophil cytoplasmic antibodies-associated vasculitis. (C) 20
01 Elsevier Science Ireland Ltd. All rights reserved.