A Case of Polyarteritis Nodosa Mimicking Systemic Lupus Erythematosus.
10.4078/jkra.2007.14.4.427
- Author:
Kwang Hoon LEE
1
;
Dong Hyuk NAM
;
Hye Won LEE
;
Tae Hyun RYU
;
Chan Hee LEE
;
Soo Kon LEE
Author Information
1. Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Polyarteritis nodosa;
Systemic lupus erythematosus;
Vasculitis
- MeSH:
Anemia, Hemolytic;
Angiography;
Biopsy;
Cyclophosphamide;
Female;
Hematuria;
Humans;
Lupus Erythematosus, Systemic*;
Middle Aged;
Oliguria;
Pericardial Effusion;
Polyarteritis Nodosa*;
Proteinuria;
Systemic Vasculitis;
Vasculitis
- From:The Journal of the Korean Rheumatism Association
2007;14(4):427-430
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Polyarteritis nodosa (PAN) is a rare systemic necrotizing vasculitis involving multiple organ system. Systemic lupus erythematousus (SLE) also presented as a vasculitic symptoms. So, systemic vasculitis and SLE share some clinical features. We report a case of polyarteritis nodosa mimicking SLE. A 45-year-old woman was admitted due to oliguria. She diagnosed SLE because of pericardial effusion, hemolytic anemia, proteinuria, hematuria, and positivity of anti-dsDNA antibody. But she re-diagnosed as PAN through renal angiography and renal biopsy afterwards. She was treated with high dose steroid, cyclophosphamide, and anti-TNF-alpha antibody, but didn't respond those therapies.
