A case of microscopic polyangiitis (MPA) with hepatic infarct diagnosed at autopsy is described.
The patient had renal, skin, lung and pancreas involvement along with hepatic infarct.
Necrotising glomerulonephritis along with necrotizing small to medium sized vessel vasculitis
in lung, skin, and pancreas were also present. A highly elevated ESR and C-reactive protein was
observed. The diagnosis of MPA is based on histopathology of necropsy organs. The literature
and differential diagnosis of MPA is discussed. This case serves to emphasize that hepatic
infarct, a very unusual feature can occur in MPA