Polyarteritis nodosa (PAN) is a necrotizing vasculitis of small and medium sized muscular arteries. The spectrum of the clinical presentation can range from an apparently limited disease to fulminant polyvisceral failure. We report a fatal case of isolated cardiac PAN presenting as an acute febrile rash and hypotension.
FinkC.W., Polyarteritis and other diseases with necrotizing vasculitis in childhood. Arthritis Rheum, 1977. 20(2 Suppl): p. 378–84.
2.
FinkC.W., Vasculitis. Pediatr Clin North Am, 1986. 33(5): p. 1203–19.
3.
KussmaulA.M.K., Uber eine bisher neiht beschriebene eigenthumliche Arterienerkrankung die mit Morbus Brightii und rapid fortschreitender allgemeiner Muskellahmung einhegt. Deutch. Arch. Klin. Med., 1866. 1: p. 484.
KamimuraT., Muscular polyarteritis nodosa as a cause of fever of undetermined origin: a case report and review of the literature. Rheumatol Int, 2005. 25(5): p. 394–7.
6.
KubosawaH., Localized necrotizing angiitis of the ileum. Pathol Int, 2003. 53(3): p. 186–90.
7.
KumarB., Isolated necrotizing vasculitis of gallbladder: a report of two cases and review of literature. Indian J Pathol Microbiol, 2003. 46(3): p. 429–31.
8.
DavisJ.P., Toxic-shock syndrome: epidemiologic features, recurrence, risk factors, and prevention. N Engl J Med, 1980. 303(25): p. 1429–35.
9.
DarenbergJ., Intravenous immunoglobulin G therapy in streptococcal toxic shock syndrome: a European randomized, double-blind, placebo-controlled trial. Clin Infect Dis, 2003. 37(3): p. 333–40.
10.
GuillevinL., Microscopic polyangiitis: clinical and laboratory findings in eighty-five patients. Arthritis Rheum, 1999. 42(3): p. 421–30.
11.
MaderR., and KeystoneE.C., Infections that cause vasculitis. Curr Opin Rheumatol, 1992. 4 (1): p. 35–8.
12.
TiulaE., and LeinikkiP., Fatal cytomegalovirus infection in a previously healthy boy with myocarditis and consumption coagulopathy as presenting signs. Scand J Infect Dis, 1972. 4(1): p. 57–60.
13.
WarisE., Fatal cytomegalovirus disease in a previously healthy adult. Scand J Infect Dis, 1972. 4(1): p. 61–7.
14.
HoffmanG.S., and SpecksU., Antineutrophil cytoplasmic antibodies. Arthritis Rheum, 1998. 41(9): p. 1521–37.
15.
LightfootR.W.Jr., The American College of Rheumatology 1990 criteria for the classification of polyarteritis nodosa. Arthritis Rheum, 1990. 33(8): p. 1088–93.
