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Polyarteritis Nodosa Localized in Small Intestine: A Case Report  

Lim, Byung-Hoon (Department of Internal Medicine, Seoul Veterans Hospital, Department of Pathology)
Jang, Ji-Sun (Department of Internal Medicine, Seoul Veterans Hospital, Department of Pathology)
Kim, Jung-Won (Hallym University Medical Center, Hallym University College of Medicine)
Jang, Se-Jin (Asan Medical Center, University of Ulsan College of Medicine)
Kim, Sung-Hoon (Department of Internal Medicine, Seoul Veterans Hospital, Department of Pathology)
Bang, Jei-So (Department of Internal Medicine, Seoul Veterans Hospital, Department of Pathology)
Yang, Soo-Hyun (Department of Internal Medicine, Seoul Veterans Hospital, Department of Pathology)
Byun, Jong-Hoon (Department of Internal Medicine, Seoul Veterans Hospital, Department of Pathology)
Publication Information
Clinical Endoscopy / v.41, no.2, 2010 , pp. 113-117 More about this Journal
Abstract
Polyarteritis nodosa is a systemic necrotizing vasculitis that affects mainly small and medium-sized arteries that involve multiple organs. In addition to the systemic involvement of classical vasculitis, localized vasculitis involves blood vessels within a confined vascular distribution or single organ without clinical evidence of generalized inflammation. Localized vasculitis of the gastrointestinal tract is a rare entity. In particular, a limited involvement of the small bowel is an unusual manifestation of polyarteritis nodosa. In this report, we describe a case of biopsy-proven polyarteritis nodosa presenting as small bowel bleeding without other systemic manifestations.
Keywords
Polyarteritis nodosa; Localized vasculitis; Small bowel;
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1 Pagnoux C, Seror R, Henegar C, et al. Clinical features and outcomes in 348 patients with polyarteritis nodosa: a systematic retrospective study of patients diagnosed between 1963 and 2005 and entered into the French Vasculitis Study Group Database. Arthritis Rheum 2010;62:616-626.   DOI   ScienceOn
2 Edwards WH Jr, Martin RS 3rd, Edwards WH Sr, Mulherin JL Jr. Surviving gastrointestinal infarction due to polyarteritis nodosa: a rare event. Am Surg 1992;58:167-172.
3 Ebert EC, Hagspiel KD, Nagar M, Schlesinger N. Gastrointestinal involvement in polyarteritis nodosa. Clin Gastroenterol Hepatol 2008;6:960-966.   DOI   ScienceOn
4 Burke AP, Virmani R. Localized vasculitis. Semin Diagn Pathol 2001;18:59-66.
5 Hernandez-Rodriguez J, Molloy ES, Hoffman GS. Single-organ vasculitis. Curr Opin Rheumatol 2008;20:40-46.   DOI   ScienceOn
6 Kim MJ, Lee BH, Kim SK, Lee DS, Myong NH, Chang HK. Limited polyarteritis nodosa presenting as acute appendicitis. J Korean Rheum Assoc 2005;12:315-319.
7 Khasnis A, Langford CA. Update on vasculitis. J Allergy Clin Immunol 2009;123:1226-1236.   DOI   ScienceOn
8 Pagnoux C, Mahr A, Cohen P, Guillevin L. Presentation and outcome of gastrointestinal involvement in systemic necrotizing vasculitides: analysis of 62 patients with polyarteritis nodosa, microscopic polyangiitis, Wegener granulomatosis, Churg-Strauss syndrome, or rheumatoid arthritis-associated vasculitis. Medicine (Baltimore) 2005;84:115-128.   DOI   ScienceOn
9 Gonzalez-Gay MA, Vazquez-Rodriguez TR, Miranda-Filloy JA, Pazos-Ferro A, Garcia-Rodeja E. Localizd vasculitis of the gastrointestinal tract: a case report and literature review. Clin Exp Rheumatol 2008;26(suppl):101S-104S.
10 Lie JT. Systemic and isolated vasculitis. A rational approach to classification and pathologic diagnosis. Pathol Annu 1989;24: 25-114.