Document Detail


Vasculitic changes in the temporal artery in polyarteritis nodosa.
MedLine Citation:
PMID:  9385352     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In a retrospective study of primary vasculitis in a Norwegian community hospital 6 patients were found to have polyarteritis nodosa (PAN). Five of them had taken a temporal artery biopsy and in all biopsies vasculitic changes were found, but no giant cells. Muscle biopsies from each of the patients showed the same major vasculitic changes as in the temporal artery. The histopathological findings could not exclude temporal arteritis (TA). None of the 5 polyarteritis patients who all fulfilled the ACR 1990 criteria had a case history typical for TA. Our results give the impression that vasculitic changes in the temporal artery may be a frequent finding in PAN. An atypical case history of TA with vasculitis in the temporal artery without giant cells and atypical histopathological findings should lead to the suspicion of PAN or another primary vasculitis. We also recommend a temporal artery biopsy in all cases of suspected PAN.
Authors:
G Haugeberg; R Bie; V Johnsen
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Scandinavian journal of rheumatology     Volume:  26     ISSN:  0300-9742     ISO Abbreviation:  Scand. J. Rheumatol.     Publication Date:  1997  
Date Detail:
Created Date:  1997-12-05     Completed Date:  1997-12-05     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0321213     Medline TA:  Scand J Rheumatol     Country:  NORWAY    
Other Details:
Languages:  eng     Pagination:  383-5     Citation Subset:  IM    
Affiliation:
Department of Rheumatology, Vest-Agder Community Hospital, Kristiansand, Norway.
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MeSH Terms
Descriptor/Qualifier:
Aged
Biopsy
Female
Giant Cell Arteritis / pathology*
Humans
Macrophages / pathology
Male
Middle Aged
Muscle, Skeletal / pathology
Polyarteritis Nodosa / pathology*
Retrospective Studies
T-Lymphocytes / pathology
Temporal Arteries / pathology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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