[Cutaneous polyarteritis nodosa and Crohn's disease: An association not to be ignored]. / Périartérite noueuse cutanée et maladie de Crohn : une association à ne pas méconnaître.
Rev Med Interne
; 30(4): 345-8, 2009 Apr.
Article
em Fr
| MEDLINE
| ID: mdl-19070944
ABSTRACT
INTRODUCTION:
Cutaneous polyarteritis nodosa (CPAN) is an entity which needs to be acknowledged, since it can have a spontaneously adverse outcome. We report two cases of CPAN associated with Crohn's disease. CASE REPORTS The first patient was suffering from Crohn's disease for 9 years when she was referred for a necrotic toe. A diagnosis of necrotizing angeitis was confirmed by histological examination of a skin biopsy. Despite systemic corticosteroids, the lesions became more severe, requiring immunosuppressive treatment. The second patient was a female patient referred with forefoot ischemia. Cutaneous histology confirmed the diagnosis of necrotizing angeitis that responded favourably to corticosteroid treatment. The patient had been diagnosed with Crohn's disease 2 months previously.CONCLUSION:
CPAN differed from systemic PAN by the absence of visceral involvement. Its association with Crohn's disease, although uncommon, must be recognized as it affects treatment and monitoring.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Tipo de estudo:
Risk_factors_studies
Limite:
Adult
/
Female
/
Humans
Idioma:
Fr
Ano de publicação:
2009
Tipo de documento:
Article