인플루엔자 감염 후 말초 신경병증으로 발현한 결절성 다발성 동맥염 1예

Polyarteritis nodosa (PAN) is a necrotizing vasculitis of the medium-sized arteries. The symptoms and signs of PAN include purpuric skin lesions, mononeuritis multiplex, symptoms of mesenteric ischemia, and renal involvement. We report the first case of PAN manifesting as a neuropathy after influenz...

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Bibliographic Details
Published in:Journal of rheumatic diseases 2012, 19(3), , pp.163-167
Main Authors: 이동화, Dong Hwa Lee, 한정호, Jung Ho Han, 김미경, Mi Kyoung Kim, 이옥준, Ok Jun Lee, 강귀영, Kwi Young Kang
Format: Article
Language:Korean
Subjects:
Influenza infection
Neuropathy
Polyarteritis nodosa
내과학
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Summary:Polyarteritis nodosa (PAN) is a necrotizing vasculitis of the medium-sized arteries. The symptoms and signs of PAN include purpuric skin lesions, mononeuritis multiplex, symptoms of mesenteric ischemia, and renal involvement. We report the first case of PAN manifesting as a neuropathy after influenza infection in Korea. A 68-year-old woman had fever, myalgia, hyperesthesia of both hand and foot, and lower extremity weakness. EMG findings showed severe sensorimotor polyneuropathy, such as multiple mononeuritis. A sural nerve biopsy showed vasculitis and Influenza A (H1N1) were positive. Our patient was treated by glucocorticoid and oral cyclophosphamide, thereafter, symptoms and signs improved. No recurrence has been observed for five months.
ISSN:2093-940X
2233-4718