A 30 years old male patient presents with complaints of weakness in right upper and both lower limbs of last 4 months. He developed digital infarcts involving 2nd and 3rd fingers on right side and 5th finger on left side. On examination, BP was 160/140 mm Hg, all peripheral pulses were palpable and there was asymmetrical neuropathy. Investigations showed a Hb 12 gm, TLC -- 12000 Cu mm, Platelets 430,000; ESR -- 49 mm. Urine examination showed proteinuria and RBC -- 10-15/hpf with no casts. Which of the following is the most likely diagnosis?
In PAN, there is development of digital infarcts even in the presence of good peripheral pulses. Hypeension is due to involvement of renal aeries. Ref : Harrison's Principles of Internal Medicine 21st ed
Wegener's granulomatosis
Mixed cryoglobulemia
Polyaeritis nodosa
SLE
All India exam