Posterior Reversible Encephalopathy (PRES) as a Presentation Form of Classical Polyarteritis Nodosa (PAN)
| Autor: | Jorge Álvarez Troncoso, Laura Lacruz Ballester, Ana Noblejas Mozo, Manuel Lorenzo Diéguez, Ángel Robles Marhuenda, Rafael Genaro Martínez Marín, Juan José Ríos Blanco |
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| Jazyk: | angličtina |
| Rok vydání: | 2022 |
| Předmět: | |
| Zdroj: | Journal of Clinical Rheumatology and Immunology, Vol 22, Iss 02, Pp 73-77 (2022) |
| Druh dokumentu: | article |
| ISSN: | 26613417 2661-3425 2661-3417 |
| DOI: | 10.1142/S266134172272004X |
| Popis: | A 21-year-old woman with unremarkable past health presented with an intense headache and visual disturbance, followed by a secondary generalized tonic-clonic focal seizure. She had a history of arthritis, livedo reticularis, myalgia, elevated erythrocyte sedimentation rate, and nonspecific constitutional manifestations (fever and weight loss). Examination revealed new-onset severe hypertension. Complete immunological studies were negative. Electroencephalogram showed abnormalities compatible with secondarily generalized tonic–clonic focal occipital seizures. Brain magnetic resonance imaging (MRI) revealed high signal intensity on T2 in occipital lobes, cerebellum, and brainstem and renal imaging multiple hypoenhancing parenchymal images (renal infarction). Follow-up brain MRI at 3 months showed marked improvement. A diagnosis of polyarteritis nodosa with posterior reversible encephalopathy syndrome was made. |
| Databáze: | Directory of Open Access Journals |
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