A Case of Polyarteritis Nodosa Manifesting as a Neuropathy Following Influenza Infection
Journal of Rheumatic Diseases
; : 163-167, 2012.
Article
in Ko
| WPRIM
| ID: wpr-39658
Responsible library:
WPRO
ABSTRACT
Polyarteritis nodosa (PAN) is a necrotizing vasculitis of the medium-sized arteries. The symptoms and signs of PAN include purpuric skin lesions, mononeuritis multiplex, symptoms of mesenteric ischemia, and renal involvement. We report the first case of PAN manifesting as a neuropathy after influenza infection in Korea. A 68-year-old woman had fever, myalgia, hyperesthesia of both hand and foot, and lower extremity weakness. EMG findings showed severe sensorimotor polyneuropathy, such as multiple mononeuritis. A sural nerve biopsy showed vasculitis and Influenza A (H1N1) were positive. Our patient was treated by glucocorticoid and oral cyclophosphamide, thereafter, symptoms and signs improved. No recurrence has been observed for five months.
Key words
Full text:
1
Database:
WPRIM
Main subject:
Organic Chemicals
/
Polyarteritis Nodosa
/
Polyneuropathies
/
Arteries
/
Recurrence
/
Skin
/
Sural Nerve
/
Vasculitis
/
Biopsy
/
Mononeuropathies
Limits:
Aged
/
Female
/
Humans
Country/Region as subject:
Asia
Language:
Ko
Journal:
Journal of Rheumatic Diseases
Year:
2012
Document type:
Article