Table 2.
System | Imaging findings | Pathology findings |
---|---|---|
Eyes | ||
Fundoscopy/fluorescein angiography:- Telangiectasia- Micro-aneurysms- Cotton wool spots- Perifoveal capillary obliterations- Neovascularization's- Fluorescein leaks- Ischemia Optical coherence tomography:- Peripapillary retinal nerve fiber layer thinning- Reduced total macular volume |
Scattered microinfarcts Thickened hyalinized retinal arterial walls Focal areas of disruption of the ganglion cell layer and inner nuclear layer |
|
Brain | ||
MRI:- White Matter Hyperintensities- T2 hyperintense lesions with long-lasting contrast enhancement- Tumefactive lesions surrounded by edema CT:- Calcifications |
Multiple (often confluent) foci of ischemic necrosis of white matter Vessel wall thickening, luminal stenosis and telangiectasias A modest chronic inflammatory cell infiltrate Focal calcifications and reactive astrocytosis Myelin loss |
|
Kidney | ||
– | Renal arteriolosclerosis Focal or diffuse glomerulosclerosis |
|
Liver | ||
Ultrasound:- Liver cirrhosis |
Nodular regenerative hyperplasia Micro and macro vesicular steatosis Periportal inflammation Bridging and portal fibrosis |
|
Gastrointestinal | ||
Gastroscopy:- Telangiectasia- Angiodysplasia Colonoscopy:- Blotchy, erythematous mucosa- Ulcerations- Telangiectasia- Angiodysplasia |
Telangiectasias Thin-walled vasculopathy Focal or diffuse (chronic) inflammation |
CT = computed tomography; MRI = magnetic resonance imaging.