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Drug-Induced Necrotizing Granulomatous Arteritis

Imaging findings

Multiple circumscribed subpleural spherical nodules that showed spontaneous resolution over time.

Key takeaways

This case highlights an adverse reaction to Vedolizumab (a monoclonal antibody to integrin), presenting as necrotizing granulomatous arteritis. It mimics sarcoidosis but lacks granulomas in specific subpleural and interlobular regions.

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