Childhood polyarteritis nodosa: A rare presentation

Polyarteritis nodosa (PAN) is a rare systemic vasculitis characterized by necrotizing arteritis of small to medium-sized arteries. It manifests as skin ulceration, hypertension, abdominal pain, digital gangrene, subcutaneous nodules etc. Childhood polyarteritis nodosa (CPAN) is a rare and often fata...

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Main Author: Sandeep Lahiry
Format: Article
Language:English
Published: Manipal College of Medical Sciences, Pokhara 2016-10-01
Series:Asian Journal of Medical Sciences
Subjects:
Online Access:https://www.nepjol.info/index.php/AJMS/article/view/15724
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author Sandeep Lahiry
author_facet Sandeep Lahiry
author_sort Sandeep Lahiry
collection DOAJ
description Polyarteritis nodosa (PAN) is a rare systemic vasculitis characterized by necrotizing arteritis of small to medium-sized arteries. It manifests as skin ulceration, hypertension, abdominal pain, digital gangrene, subcutaneous nodules etc. Childhood polyarteritis nodosa (CPAN) is a rare and often fatal disease. Clinically, CPAN often is part of the spectrum of Kawasaki disease (KD). There is no specific serological marker for diagnosis and confirmation is based on histopathology. Most common mode of pharmacological therapy includes corticosteroid or cyclophosphamide, along with antimicrobials for secondary infection prevention and plasmapheresis. Here, we present a case of a 16year old boy with multiple skin ulceration, digital gangrene with few non-specific signs and symptoms, diagnosed as a case of PAN, underwent regular therapy and follow-up.
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spelling doaj.art-4829f72464194b279b0129140d5197732022-12-21T20:55:13ZengManipal College of Medical Sciences, PokharaAsian Journal of Medical Sciences2467-91002091-05762016-10-01769496https://doi.org/10.3126/ajms.v7i6.15724Childhood polyarteritis nodosa: A rare presentationSandeep Lahiry 0MBBS; Post Graduate Trainee Department of Pharmacology Institute of Post Graduate Medical Education and Research, Kolkata http://orcid.org/0000-0002-6919-0530Polyarteritis nodosa (PAN) is a rare systemic vasculitis characterized by necrotizing arteritis of small to medium-sized arteries. It manifests as skin ulceration, hypertension, abdominal pain, digital gangrene, subcutaneous nodules etc. Childhood polyarteritis nodosa (CPAN) is a rare and often fatal disease. Clinically, CPAN often is part of the spectrum of Kawasaki disease (KD). There is no specific serological marker for diagnosis and confirmation is based on histopathology. Most common mode of pharmacological therapy includes corticosteroid or cyclophosphamide, along with antimicrobials for secondary infection prevention and plasmapheresis. Here, we present a case of a 16year old boy with multiple skin ulceration, digital gangrene with few non-specific signs and symptoms, diagnosed as a case of PAN, underwent regular therapy and follow-up.https://www.nepjol.info/index.php/AJMS/article/view/15724childhood polyarteritis nodosacorticosteroidsmycophenolate mofetil
spellingShingle Sandeep Lahiry
Childhood polyarteritis nodosa: A rare presentation
Asian Journal of Medical Sciences
childhood polyarteritis nodosa
corticosteroids
mycophenolate mofetil
title Childhood polyarteritis nodosa: A rare presentation
title_full Childhood polyarteritis nodosa: A rare presentation
title_fullStr Childhood polyarteritis nodosa: A rare presentation
title_full_unstemmed Childhood polyarteritis nodosa: A rare presentation
title_short Childhood polyarteritis nodosa: A rare presentation
title_sort childhood polyarteritis nodosa a rare presentation
topic childhood polyarteritis nodosa
corticosteroids
mycophenolate mofetil
url https://www.nepjol.info/index.php/AJMS/article/view/15724
work_keys_str_mv AT sandeeplahiry childhoodpolyarteritisnodosaararepresentation