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POLYARTERITIS NODOSA-CLINICAL & MANAGEMENT

Rheumatology

POLYARTERITIS NODOSA-CLINICAL & MANAGEMENT

1. Patients P/W anorexia, weight loss, fevers, malaise, arthralgias, mononeuritis multiplex, CNS symptoms, abdominal symptoms, and lower extremity rashes (palpable purpura, livedo reticularis, nodules, and bullae/vesicles).

2. Renal involvement usually presents as HTN, mild proteinuria, and hematuria without red cell casts.

3. Inx - angiogram which reveals characteristic aneurysms, ANCA negative, bx involved sites.

4. Tx involves management of chronic HBV, prednisone +/- cyclophosphamide.


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REFERENCES

1. Wilkinson, I. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press.
2. Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
3. Image: no reference available.

Ⓒ A. Manickam 2018

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