Polyarteritis Nodosa Renal Crisis with Malignant Hypertension

Awad Magbri

Authors

Awad Magbri

Keywords:

Abstract

A case of 28 years female with no significant past medical history presented with malignant hypertension. She was found to have Polyarteritis nodosa involving the kidney on angiography. She was treated successfully with steroids and cytotoxic drugs and made uneventful recovery. Her kidney function remained stable and her BP was controlled on Po medications. Even though she was negative for hepatitis B infection, the association was strongly confirmed in about 10% of patients. PAN should be suspected in any patients with multisystem involvement with hypertension and minimal findings in urinalysis. Polyneuropathy and high ESR are also red flags for PAN.

Downloads

How to Cite

Polyarteritis Nodosa Renal Crisis with Malignant Hypertension. (2016). Global Journal of Medical Research, 16(F5), 1-3. https://medicalresearchjournal.org/index.php/GJMR/article/view/1209

Download Citation

References

O Sato, D Cohn (2003) Polyarteritis and microscopic polyangitis.

J Stockigt, D Topliss, M Hewett (1979) High-renin hypertension in necrotizing vasculitis. 300, 1218.

W Ng, L Chow, P Lam (1993) Localized polyarteritis nodosa of breast-report of two cases and a review of the literature. 23(6), 535-539.

Loïc Guillevin, Alfred Mahr, Patrice Callard, Pascal Godmer, Christian Pagnoux, Emmanuelle Leray, Pascal Cohen (2005) Hepatitis B Virus-Associated Polyarteritis Nodosa. 84(5), 313-322.

Manuel Ramos-Casals, Sandra Muñoz, Francisco Medina, Luis-Javier Jara, José Rosas, Jaime Calvo-Alen, Pilar Brito-Zerón, Xavier Forns, Jose-Maria Sánchez-Tapias (2009) Systemic Autoimmune Diseases in Patients with Hepatitis C Virus Infection: Characterization of 1020 Cases (The HISPAMEC Registry). 36(7), 1442-1448.

P Hasler, H Kistler, H Gerber (1995) Vasculitides in hairy cell leukemia. 25, 134.

M Carpenter, S West (1994) Polyarteritis nodosa in hairy cell leukemia: treatment with interferon-alpha. 21, 1150.

Christian Pagnoux, Raphaèle Seror, Corneliu Henegar, Alfred Mahr, Pascal Cohen, Véronique Le Guern, Boris Bienvenu, Luc Mouthon, Loïc Guillevin (2010) Clinical features and outcomes in 348 patients with polyarteritis nodosa: A systematic retrospective study of patients diagnosed between 1963 and 2005 and entered into the French vasculitis study group database. 62(2), 616-626.

Lawrence Gibson, W Su (1995) CUTANEOUS VASCULITIS. 21(4), 1097-1113.

P Karlsberg, W Lee, D Casey (1995) Cutaneous vasculitis and rheumatoid factor positivity as presenting signs of hepatitis C virus-induced mixed cryoglobulinemia. 131, 1119.

J Balow (1985) Renal vasculitis. 27, 954.

N Ohkoshi, H Mizusawa, E Oguni (1996) Sural nerve biopsy in vasculitic neuropathies: morphometric analysis of the caliber of invoved vessels. 27, 153.

Jan Tervaert, Cees Kallenberg (1993) NEUROLOGIC MANIFESTATIONS OF SYSTEMIC VASCULITIDES. 19(4), 913-940.

P Moore (1995) Neurological manifestation of vasculitis: update on immunopathogenic mechanisms and clinical features. 37(1), 131.

J Provenzale, N Allen (1996) Neuroradiologic findings in Polyarteritis nodosa. 17, 1119.

Randolph Cohen, Doyt Conn, Duane Ilstrup (1980) Clinical Features, Prognosis, and Response to Treatment in Polyarteritis. 55(3), 146-155.

M Reichart, J Bogousslavsky, R Janzer (2000) Early lacunar strokes complicating Polyarteritis nodosa: thrombotic microangiopathy. 54, 883.

Christian Pagnoux, Alfred Mahr, Pascal Cohen, Loïc Guillevin (2005) Presentation and Outcome of Gastrointestinal Involvement in Systemic Necrotizing Vasculitides. 84(2), 115-128.

Thomas Zizic, John Classen, Mary Stevens (1982) Acute abdominal complications of systemic lupus erythematosus and polyarteritis nodosa. 73(4), 525-531.

S Plumley, R Rubio, S Alasfar, H Jasin (2002) Polyarteritis nodosa presenting as polymyositis. 31, 377.

J Fort, R Griffin, A Tahmoush, J Abruzzo (1994) Muscle involvement in Polyarteritis nodosa: report of a patient presenting clinically as polymyositis and review of the literature. 21, 945.

Joel Teichman, Robert Mattrey, Alan Demby, Joseph Schmidt (1993) Polyarteritis Nodosa Presenting as Acute Orchitis: A Case Report and Review of the Literature. 149(5 Part 1), 1139-1140.

Y Akova, N Jabbur, C Foster (1993) Ocular presentation of Polyarteritis nodosa. Clinical course and management with steroid and cytotoxic therapy. 100, 1775.

Cynthia Hsu, John Kerrison, Neil Miller, Morton Goldberg (2001) CHOROIDAL INFARCTION, ANTERIOR ISCHEMIC OPTIC NEUROPATHY, AND CENTRAL RETINAL ARTERY OCCLUSION FROM POLYARTERITIS NODOSA. 21(4), 348-351.

Randi Leavitt, Anthony Fauci (1986) Polyangiitis overlap syndrome. 81(1), 79-85.