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Pazopanib-Induced Large Vessel Vasculitis

Imaging findings

CT chest and abdomen demonstrate new, eccentric wall thickening and narrowing of the subclavian, brachiocephalic, aortic, and right renal arteries in a patient with renal cell carcinoma on the tyrosine kinase inhibitor Pazopanib.

Key takeaways

Pazopanib is a multi-targeted tyrosine kinase inhibitor (not a TNF-alpha inhibitor). It has been associated with drug-induced vasculitis, which can affect large and medium-sized vessels. Recognizing this drug-induced etiology is crucial as discontinuation of the drug and steroid therapy can reverse the vasculitis.

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