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Classic polyarteritis nodosa presenting with rapidly progressive renal insufficiency.
MedLine Citation:
PMID:  20875386     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Rapidly progressive renal insufficiency is rare in patients with classic polyarteritis nodosa (cPAN). We describe two cases of cPAN who presented with rapid and progressive deterioration of renal function. Renal biopsies showed severe necrotizing vasculitis in medium-sized arteries but no changes in glomeruli. Combination therapy of corticosteroid and cyclophosphamide resulted in marked improvement of clinical symptoms, amelioration of renal function and lack of subsequent relapse of vasculitis. These findings suggest good prognosis of patients with cPAN who show rapid and progressive deterioration of renal function who respond to immunosuppressive therapy.
Authors:
Y Oe; I Nakaya; M Yahata; T Sakuma; J Soma
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Clinical nephrology     Volume:  74     ISSN:  0301-0430     ISO Abbreviation:  Clin. Nephrol.     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-09-29     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0364441     Medline TA:  Clin Nephrol     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  315-8     Citation Subset:  IM    
Affiliation:
Departments of 1Nephrology and 2Pathology, Iwate Prefectural Central Hospital, Morioka, Japan.
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