Document Detail

Cholangitis as an initial manifestation of polyarteritis nodosa.
MedLine Citation:
PMID:  25318793     Owner:  NLM     Status:  In-Data-Review    
A previously healthy 89-year-old man was admitted to our hospital with right upper quadrant pain and mild fever. A diagnosis of cholangitis was suspected based on the patient's physical findings and imaging features. Although he received treatment typical for cholangitis, he suddenly died of shock for unknown reasons two months after disease onset. An autopsy revealed a ruptured hepatic artery aneurysm, which had caused lethal intra-abdominal bleeding. In addition, systemic necrotizing vasculitis of small- and medium-sized arteries was detected, and polyarteritis nodosa (PAN) was diagnosed after the autopsy. Biliary symptoms as the initial manifestation of PAN are extremely rare.
Risa Kanai; Masamoto Nakamura; Kota Tomisato; Tomofumi Fukuhara; Akiyuki Kondo; Shoko Nakamura; Shinobu Matsukawa; Akira Yabutani; Kasen Kobashikawa; Tomokuni Nakayoshi; Nobufumi Uchima; Noritake Kosuge; Naoki Yoshimi
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Publication Detail:
Type:  Journal Article     Date:  2014-10-15
Journal Detail:
Title:  Internal medicine (Tokyo, Japan)     Volume:  53     ISSN:  1349-7235     ISO Abbreviation:  Intern. Med.     Publication Date:  2014  
Date Detail:
Created Date:  2014-10-16     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9204241     Medline TA:  Intern Med     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  2307-12     Citation Subset:  IM    
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