| A case of polyarteritis nodosa with lesions of the superior mesenteric artery illustrating the diagnostic usefulness of three-dimensional computed tomographic angiography. | |
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MedLine Citation:
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PMID: 16044207 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A 40-year-old Japanese man who developed upper abdominal pain, weight loss, and hypertension was diagnosed as suffering with polyarteritis nodosa (PAN) with lesions of the superior mesenteric artery (SMA). Three-dimensional computed tomographic angiography (3D-CTA) and conventional angiography revealed smooth segmental luminal narrowing of the branches of the SMA. In addition, an enhanced abdominal CT scan demonstrated diffuse thickening of the wall of the affected SMA. Treatment with high-dose corticosteroids resulted in immediate improvement of the abdominal manifestations and normalized the serum C-reactive protein levels. Furthermore, the subsequent enhanced CT and 3D-CTA revealed improvement of the wall thickening and luminal narrowing of the SMA and its branches during the treatment period. In addition to possessing the diagnostic usefulness of conventional angiography, 3D-CTA is also less invasive and facilitates the prompt and accurate diagnosis of PAN. Furthermore, thickening of the wall of medium-sized arteries evidenced by enhanced CT scan may also support a diagnosis of PAN. |
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Authors:
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Takashi Kato; Kenji Fujii; Eiji Ishii; Ryoichi Wada; Yuji Hidaka |
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Publication Detail:
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Type: Case Reports; Journal Article Date: 2005-07-26 |
Journal Detail:
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Title: Clinical rheumatology Volume: 24 ISSN: 0770-3198 ISO Abbreviation: Clin. Rheumatol. Publication Date: 2005 Nov |
Date Detail:
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Created Date: 2005-10-26 Completed Date: 2006-01-31 Revised Date: - |
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: 628-31 Citation Subset: IM |
Affiliation:
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Department of Rheumatology, Kameda Medical Center, Kamogawa City, Chiba, Japan. kintarou@s9.dion.ne.jp |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Administration, Oral Adult Angiography / methods* Anti-Inflammatory Agents / administration & dosage, therapeutic use Humans Imaging, Three-Dimensional* Male Mesenteric Artery, Superior / pathology*, radiography Methylprednisolone / administration & dosage, therapeutic use Polyarteritis Nodosa / drug therapy, pathology*, radiography Pulse Therapy, Drug Tomography, X-Ray Computed / methods* |
| Chemical | |
Reg. No./Substance:
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0/Anti-Inflammatory Agents; 83-43-2/Methylprednisolone |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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