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Dramatic regression of mesenteric abnormalities demonstrated on angiography following prednisolone and cyclophosphamide combination therapy in a patient with polyarteritis nodosa associated with Sjögren’s syndrome

  • Case Report
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Modern Rheumatology

Abstract

A 63-year-old woman, who had been followed for Sjögren’s syndrome, was admitted due to cryoglobulinemia, leukocytoclastic vasculitis, and mononeuritis multiplexa. In spite of the administration of 60 mg prednisolone, fecal occult blood was strongly positive. The colonoscopy showed multiple colonic ulcers, and a diagnosis of polyarteritis nodosa (PAN) was made because abdominal angiography revealed markedly serpentine and narrowed superior and inferior mesenteric arteries. After steroid pulse therapy and daily oral administration of cyclophosphamide were initiated, her symptoms improved and abdominal angiographic findings were finally normalized. Although there are only three case reports on improvements in abdominal angiographic findings of PAN in the literature, our case and previously reported cases suggest that improvements in angiographic findings may reflect a good prognosis of PAN.

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Conflict of interest

All of the authors confirm that there is no conflict of interest with regard to this work.

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Author notes

  1. Sonosuke Yukawa

    Present address: First Department of Internal Medicine, School of Medicine, University of Occupational and Environmental Health, 1-1 Iseigaoka, Yahata-nishi, Kitakyushu, 807-8555, Japan

Authors and Affiliations

  1. Department of Rheumatology, Tokyo Medical University, 6-7-1 Nishishinjuku, Shinjuku-ku, Tokyo, 160-0023, Japan

    Sonosuke Yukawa, Koichiro Tahara, Aki Shoji, Soichiro Tsuji, Haeru Hayashi & Norioki Tsuboi

  2. Department of Rheumatology and Clinical Immunology, Kyoto University Graduate School of Medicine, Kyoto, Japan

    Naoichiro Yukawa

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  1. Sonosuke Yukawa
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Correspondence to Sonosuke Yukawa.

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Yukawa, S., Tahara, K., Yukawa, N. et al. Dramatic regression of mesenteric abnormalities demonstrated on angiography following prednisolone and cyclophosphamide combination therapy in a patient with polyarteritis nodosa associated with Sjögren’s syndrome. Mod Rheumatol 18, 416–421 (2008). https://doi.org/10.1007/s10165-008-0072-x

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  • DOI: https://doi.org/10.1007/s10165-008-0072-x

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