Cardiovascular Pathology, Set 3

For each of the following patient descriptions match the most closely associated lettered vascular disease process:

1. A 6-year-old child has a 2 day history of increasing abdominal pain. Within the past day the child has developed scattered 1 to 4 cm purpuric skin lesions. Urinalysis reveals both hematuria and proteinuria. A skin biopsy shows necrotizing vasculitis of small dermal vessels. A renal biopsy shows immune complex deposition in glomeruli with some IgA-rich immune complexes. The serum P-ANCA and C-ANCA are negative:

2. An 80-year-old man has a history of hypertension. His current blood pressure is 170/105 mm Hg. On physical examination he has abdominal tenderness with a 6 cm pulsatile mass in the midline of his lower abdomen. His hemoglobin A1C is 9.5 mg/dL. He has a 90 pack year history of smoking. He survived a myocardial infarction several years before. He has poor pulses peripherally in his lower extremities:

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