Three Cases with Cutaneous Polyarteritis Nodosa / 대한류마티스학회지
The Journal of the Korean Rheumatism Association
; : 447-452, 2004.
Article
in Ko
| WPRIM
| ID: wpr-175485
Responsible library:
WPRO
ABSTRACT
Systemic polyarteritis nodosa is a necrotizing vasculitis that involves small and medium-sized muscular arteries in the multiple organ systems, whereas cutaneous polyarteritis nodosa (CPAN) is a localized disease characterized by necrotizing vasculitis of small and medium-sized arteries in the skin without life-threatening organ involvement. CPAN is usually limited to skin, muscle, and joints. It is chronic but takes a benign course. The most common cutaneous manifestations include nodules, ulcers and a livedo reticularis pattern on the extremities. We describe three cases with CPAN showing necrotizing vasculitis on the skin without systemic symptoms or visceral involvement. In Korea, most previously published cases with CPAN have shown a good response to a short term of corticosteroids or colchicine administration. However, two of our three patients required another immunosuppressive agent in addition to corticosteroids to manage their intractable skin lesions, and the remaining one showed a good response to a short course of prednisolone. In addition, there was one patient with CPAN having hepatitis B surface antigen, which might be associated with his refractory skin disease.
Key words
Full text:
1
Index:
WPRIM
Main subject:
Polyarteritis Nodosa
/
Arteries
/
Skin
/
Skin Diseases
/
Ulcer
/
Vasculitis
/
Prednisolone
/
Colchicine
/
Adrenal Cortex Hormones
/
Extremities
Limits:
Humans
Country/Region as subject:
Asia
Language:
Ko
Journal:
The Journal of the Korean Rheumatism Association
Year:
2004
Type:
Article