Pulmonary medium vessel vasculitis in an 11 year old boy: Hughes Stovin syndrome as a variant of polyarteritis nodosa?

Autor: Hendrika Bootsma, Gerard H. Koppelman, Wineke Armbrust, Willemien de Vries, Marc T. R. Roofthooft, Martha K. Leijsma
Přispěvatelé: Groningen Research Institute for Asthma and COPD (GRIAC), Faculteit Medische Wetenschappen/UMCG, Translational Immunology Groningen (TRIGR)
Rok vydání: 2011
Předmět:
Zdroj: Pediatric Rheumatology Online Journal
Pediatric Rheumatology Online Journal, Vol 9, Iss 1, p 19 (2011)
Pediatric rheumatology, 9:19. BioMed Central Ltd.
ISSN: 1546-0096
Popis: We present the case of an 11-year-old boy presenting with haemoptysis, dyspnoea and weight loss as a manifestation of isolated pulmonary vasculitis, leading to pulmonary hypertension. He also appeared to have a longstanding dural venous sinus thrombosis. This rare presentation, especially in childhood, might represent a case of the seldomly reported Hughes-Stovin syndrome. The patient achieved remission after therapy with cyclophosphamide pulses and high-dose steroids. Based on the presented case and review of the literature, we propose that this syndrome might be a variant of polyarteritis nodosa. This report highlights diagnostic issues and describes a successful treatment regimen.
Databáze: OpenAIRE