| Duodenal necrosis as the presenting manifestation of polyarteritis nodosa. | |
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MedLine Citation:
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PMID: 12189461 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Polyarteritis nodosa involves necrotising vasculitis of small and medium-sized arteries. Multiple organ systems are involved. A non-specific and slow course of disease is common. Gastrointestinal involvement is characterised by abdominal pain, nausea and vomiting. Bowel infarction and perforation, cholecystitis and hepatic infarction are well known complications. However, bowel infarction as the presenting symptom of the disease is rare. The case of a 20-year-old male with necrosis of the duodenum heralding polyarteritis nodosa is reported. The patient made a slow recovery after extensive abdominal surgery and a stormy course. The postoperative management and treatment of polyarteritis nodosa are discussed. A high index of suspicion and prompt multidisciplinary approach are needed in order to improve survival in these rare but potentially fatal conditions. |
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Authors:
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A Becker; R Mader; M Elias; A Lev; J Sayfan |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Clinical rheumatology Volume: 21 ISSN: 0770-3198 ISO Abbreviation: Clin. Rheumatol. Publication Date: 2002 Aug |
Date Detail:
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Created Date: 2002-08-21 Completed Date: 2002-10-09 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8211469 Medline TA: Clin Rheumatol Country: Belgium |
Other Details:
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Languages: eng Pagination: 314-6 Citation Subset: IM |
Affiliation:
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Haemek Medical Center, Afula, Bruce Rappaport Faculty of Medicine, Technion - Israel Institute of Technology, Haifa, Israel. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Diagnosis, Differential Duodenal Diseases / pathology*, therapy Duodenum / pathology, surgery Humans Jejunum / pathology, surgery Male Necrosis Polyarteritis Nodosa / pathology*, therapy Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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