Polyarteritis nodosa in a patient with type 1 autoimmune hepatitis
Autor: | Nikolaos Evgenidis, Alexander Mpoumponaris, Nikolaos Nikolaidis, Olga Giouleme, Panagiotis Anagnostis, Spiridon Aslanidis, Themistoklis Vasiliadis, Panagiotis Giamalis |
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Rok vydání: | 2010 |
Předmět: |
Pathology
medicine.medical_specialty Cirrhosis Biopsy Autoimmune hepatitis Kidney Asymptomatic Gastroenterology Diagnosis Differential Internal medicine Necrotizing Vasculitis medicine Humans Hepatitis Polyarteritis nodosa business.industry General Medicine Middle Aged medicine.disease Polyarteritis Nodosa Hepatitis Autoimmune Liver Antibodies Antinuclear Female Liver function medicine.symptom business Vasculitis Magnetic Resonance Angiography Follow-Up Studies |
Zdroj: | Southern medical journal. 104(1) |
ISSN: | 1541-8243 |
Popis: | Polyarteritis nodosa is a systemic necrotizing vasculitis that affects small- and medium-sized arteries. Liver involvement in patients with polyarteritis nodosa has been described, and ranges from asymptomatic elevation of aminotransferases to hepatic aneurysm rupture. We describe the case of a patient with type 1 autoimmune hepatitis and compensated liver cirrhosis who developed classic polyarteritis nodosa, complicated with cytomegalovirus and repeated urinary tract infections. After a long bedridden hospitalization, the patient's condition was stabilized. She is currently in good health, with well-controlled blood pressure, and stable kidney and liver function. To our knowledge, this is the first case report in the literature with concurrent appearance of both diseases. |
Databáze: | OpenAIRE |
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