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Cutaneous polyarteritis nodosa in a patient with Crohn’s disease

  • Case Report
  • Published:
Modern Rheumatology

Abstract

A 19-year-old Japanese woman with a 4-year history of Crohn’s disease (CD) developed high fever, polyarthralgia, and painful subcutaneous nodules of the legs. A skin biopsy showed panarteritis with fibrinoid necrosis in the deep dermis. Endoscopic examination showed aphthous lesions in the entire colon. She was diagnosed with cutaneous polyarteritis nodosa (PAN) associated with CD. Steroid therapy improved her symptoms. To our knowledge, this is the first Japanese case of cutaneous PAN associated with CD.

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Acknowledgment

This report was supported in part by the Global COE Program from the Ministry of Education, Culture, Sports, Science and Technology of Japan.

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Authors and Affiliations

  1. Third Department of Internal Medicine, Akita University School of Medicine, 1-1-1 Hondo, Akita, 010-8543, Japan

    Atsushi Komatsuda, Koji Kinoshita, Masaru Togashi, Nobuki Maki, Rie Masai, Ken-ichi Sawada & Hideki Wakui

  2. Department of Hematology, Municipal Akita General Hospital, Akita, Japan

    Hidetaka Niitsu

  3. Department of Gastroenterology, Municipal Akita General Hospital, Akita, Japan

    Setsuya Ohtani

  4. Department of Pathology, Municipal Akita General Hospital, Akita, Japan

    Masato Sageshima

Authors
  1. Atsushi Komatsuda
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  2. Koji Kinoshita
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  3. Masaru Togashi
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  4. Nobuki Maki
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  5. Rie Masai
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  6. Hidetaka Niitsu
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  7. Setsuya Ohtani
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  8. Masato Sageshima
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  9. Ken-ichi Sawada
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  10. Hideki Wakui
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Corresponding author

Correspondence to Atsushi Komatsuda.

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Komatsuda, A., Kinoshita, K., Togashi, M. et al. Cutaneous polyarteritis nodosa in a patient with Crohn’s disease. Mod Rheumatol 18, 639–642 (2008). https://doi.org/10.1007/s10165-008-0110-8

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  • DOI: https://doi.org/10.1007/s10165-008-0110-8

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