Shirai T, Fujii H, Saito S et al (2013) Polyarteritis nodosa
clinically mimicking nonocclusive mesenteric ischemia.
Localized polyarteritis nodosa
of breast--report of two cases and a review of the literature.
Keywords: Cytomegalovirus, Polyarteritis nodosa
, microscopic polyangiitis and Churg-Strauss syndrome: Clinical aspects and treatment.
EULAR/PRINTO/PRES criteria for Henoch-Schonlein purpura, childhood polyarteritis nodosa
, childhood Wegener granulomatosis and childhood Takayasu arteritis: Ankara 2008.
Inflammation and potentially ischemia due to vasculitidies, such as systemic lupus erythematosus, polyarteritis nodosa
, and Henoch-Schonlein purpura, may present as variable segments of wall thickening, potentially with submucosal edema, and when ischemia is present may exhibit decreased wall enhancement.
The differential diagnosis of idiopathic OM includes the following: infections (viral infections, orbital cellulitis, orbital abscess, Lyme disease, Herpes zoster, and syphilis), inflammatory reaction (trauma, foreign body, bisphosphonaterelated reaction, and postvaccinal reaction), Tolosa-Hunt syndrome, thyroid ophthalmopathy, vasculitis (Wegener's granulomatosis, polyarteritis nodosa
, rheumatoid arteritis, giant cell arteritis, and Kawasaki disease), systemic lupus erythematosus, sarcoidosis, inflammatory bowel disease, neoplasm, arteriovenous fistulas, and malformations (3).
5) Our third case was also initially misdiagnosed as polyarteritis nodosa
due to absence of cutaneous lesions and sensory symptoms.
Based on the clinical picture and multiple aneurysms on arteriogram, a diagnosis of polyarteritis nodosa
was made in accordance with the American College of Rheumatology 1990 criteria by rheumatologist.
It has also been described by spontaneous hematoma in a patient with polyarteritis nodosa
These classification criteria were developed for HSP, childhood polyarteritis nodosa
(PAN), Takayasu arteritis (TA) and granulomatous polyarteritis (GPA).
smoking, hypertension, Marfan syndrome, polyarteritis nodosa
, lupus erythematosus, cocaine, cyclosporin, oral contraceptives, etc.
CNS involvement is much less common as compared to peripheral nerve involvement in polyarteritis nodosa
, but 10-20% of patients may develop CNS manifestations in the form of headache, seizures, stroke and cerebral hemorrhage12.
Classic Polyarteritis nodosa
(PAN) is a multisystem disorder characterized by necrotizing inflammation of small or medium arteries that usually spares the smallest blood vessels (e.
The breakdown of collagen diseases included SLE (6 patients), mixed connective tissue disease (3 patients), polyarteritis nodosa
(2 patients), and polymyositis, Sjogren syndrome (1 case each).