Summary
We present a case history of a patient with polyarteritis nodosa (PAN). The first disease symptoms started when the patient was 6 years old and concerned mainly musculoskeletal complaints. The disease persisted into adulthood when, 10 years later, the diagnosis of PAN could be confirmed by histopathological examination.
Similar content being viewed by others
References
Kussmaul, A., R. Maier. Ueber eine bisher nicht beschriebene eigenthumliche Arterienerkrankung (Periarteritis Nodosa), die mit Morbus Brightii und rapid fortschreitender allgemeniner Muskellahmung eingergeht. Dtsch Arch klin Med 1866, 1, 484.
Ettlinger, R.E., Nelson, A.M., Burke, E.C., Lie, J.T. Polyarteritis nodosa in childhood. A clinical pathologic study. Arthritis Rheum 1979, 22, 8.
Fernandez-Diez, J. General pathology of necrotizing vasculitis. Clin in Rheum diseases 1980, 6, 279.
Lie, J.T., and Members and Consultants of the American College of Rheumatology Subcommittee on Classification of Vasculitis. Illustrated histopathologic classification criteria for selected vasculitis syndromes. Arthritis Rheum 1990, 33, 1074.
Brewer, E.J., et al. JRA Criteria Subcommittee of the Diagnostic and Therapeutic Criteria Committee of the American Rheumatism Association Section of the Arthritis Foundation. Current proposed revision of JRA criteria. Arthritis Rheum 1977, 20, 195.
Cassidy, J.T., Levinson, J.E., Bass, J.C., Baum, J., Brewer, E.J. Jr., Fink, C.W., Hanson, V., Jacobs, J.C., Masi, A.T., Schaller, J.G., Fries, J.F., McShane, D., Young, D. A study of classification criteria for a diagnosis of juvenile rheumatoid arthritis. Arthritis Rheum 1986, 29, 274.
Calabro, J.J., Burnstein, S.L., Staley, H.L. JRA posing as fever of unknown origin. Arthritis Rheum 1977, 20, 178.
Petty, R.E., Magilavy, D.B., Cassidy, J.T., Sullivan, D.B. Polyarteritis in childhood. A clinical description of eight cases. Arthritis Rheum 1977, 20, 392.
Magilavy, D.B., Petty, R.E., Cassidy, J.T. and Sullivan Donita, B. A syndrome of childhood polyarteritis. J Pediatr 1977, 91, 1.
Golding, D.N. Polyarteritis presenting with leg pains. Br Med J 1970, 1, 277.
Frohnert, P.P., Sheps, S.G. Long-term follow-up study of periarteritis nodosa. Clinical studies. Am J Med 1967, 43, 8.
Leib, E.S., Restivo, C., Paulus, H.E. Immunosuppressive and corticosteroid therapy of polyarteritis nodosa. Am J Med 1979, 67, 941.
Fauci, A.S., Katz, P., Haynes, B.F., Wolff, S.M. Cyclophosphamide therapy of severe systemic necrotizing vasculitis. N Engl J Med 1979, 301, 235.
Cassidy, J.T., Petty, R.E. Vasculitis. Textbook of Pediatrics 1990, Second edition. USA.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Andrésdóttir, M.B., Sukhai, R. & Swaak, A.J.G. Polyarteritis nodosa in a young man, a ten-year delay in diagnosis. Clin Rheumatol 12, 392–395 (1993). https://doi.org/10.1007/BF02231586
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF02231586