Skip to main content

Advertisement

Log in

Polyarteritis nodosa presenting as pancytopenia: case report and review of the literature

  • Case Report
  • Published:
Rheumatology International Aims and scope Submit manuscript

Abstract

Polyarteritis nodosa (PAN) is not commonly associated with hematologic abnormalities. We report the first case of pancytopenia as the presenting symptom of PAN. There was no associated malignancy or reactive hemophagocytic syndrome (RHS) to explain the findings. The patient, after successful treatment of PAN, subsequently developed RHS a few years later. He is the fourth reported case of RHS in a patient with PAN. In addition to describing the patient’s presentation and clinical course, a systematic review of the literature was performed examining the association between hematologic conditions, including RHS, and PAN.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Watts RA, Lane SE, Bentham G, Scott DG (2000) Epidemiology of systemic vasculitis: a ten-year study in the United Kingdom. Arthritis Rheum 43(2):414–419

    Article  PubMed  CAS  Google Scholar 

  2. Hunder G (1996) Vasculitis: diagnosis and therapy. Am J Med 100(2A):37S–45S

    Article  PubMed  CAS  Google Scholar 

  3. Segelmark M, Selga D (2007) The challenge of managing patients with polyarteritis nodosa. Curr Opin Rheumatol 19(1):33–38

    Article  PubMed  Google Scholar 

  4. Fujisaki K, Masutani K, Yoshimitsu T et al (2005) Thrombotic thrombocytopenic purpura associated with polyarteritis nodosa. Clin Nephrol 64(4):305–310

    PubMed  CAS  Google Scholar 

  5. Camos M, Arellano-Rodrigo E, Abello D et al (2003) Idiopathic myelofibrosis associated with classic polyarteritis nodosa. Leuk Lymphoma 44(3):539–541

    Article  PubMed  Google Scholar 

  6. Bordin G, Ballare M, Paglino S et al (1996) Idiopathic CD4+ lymphocytopenia and systemic vasculitis. J Intern Med 240(1):37–41

    Article  PubMed  CAS  Google Scholar 

  7. Hamidou MA, Boumalassa A, Larroche C, El Kouri D, Bletry O, Grolleau JY (2001) Systemic medium-sized vessel vasculitis associated with chronic myelomonocytic leukemia. Semin Arthritis Rheum 31(2):119–126

    Article  PubMed  CAS  Google Scholar 

  8. Hasler P, Kistler H, Gerber H (1995) Vasculitides in hairy cell leukemia. Semin Arthritis Rheum 25(2):134–142

    Article  PubMed  CAS  Google Scholar 

  9. Leung AC, McLay A, Boulton-Jones JM (1986) Polyarteritis nodosa and monocytic leukaemia. Postgrad Med J 62(723):35–37

    Article  PubMed  CAS  Google Scholar 

  10. Dhote R, Simon J, Papo T et al (2003) Reactive hemophagocytic syndrome in adult systemic disease: report of twenty-six cases and literature review. Arthritis Rheum 49(5):633–639

    Article  PubMed  Google Scholar 

  11. Hayakawa I, Shirasaki F, Ikeda H et al (2006) Reactive hemophagocytic syndrome in a patient with polyarteritis nodosa associated with Epstein-Barr virus reactivation. Rheumatol Int 26(6):573–576

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Leslie R. Harrold.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Harrold, L.R., Liu, N.Y.N. Polyarteritis nodosa presenting as pancytopenia: case report and review of the literature. Rheumatol Int 28, 1049–1051 (2008). https://doi.org/10.1007/s00296-008-0572-1

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00296-008-0572-1

Keywords

Navigation