Acute cholecystitis at initial presentation of polyarteritis nodosa
Polyarteritis nodosa (PAN) is a systemic vasculitis of unknown etiology. Although gastrointestinal involvement may be seen in half of the cases of PAN, vasculitis of the gallbladder at the disease onset is a rare presentation. We report a case of a 48-year-old man who was admitted due to acute chole...
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| Veröffentlicht in: | Clinical rheumatology 2005-12, Vol.24 (6), p.625-627 |
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| creator | Fernandes, Sandra Regina Muchinechi Samara, Adil Muhib Magalhães, Eduardo Paiva Sachetto, Zoraida Metze, Konradin |
| description | Polyarteritis nodosa (PAN) is a systemic vasculitis of unknown etiology. Although gastrointestinal involvement may be seen in half of the cases of PAN, vasculitis of the gallbladder at the disease onset is a rare presentation. We report a case of a 48-year-old man who was admitted due to acute cholecystitis. He had complained of myalgia, fever and weight loss for about one month prior to admission. At physical examination, mild hypertension and calf pain were noted. He underwent a cholecystectomy; histopathological evaluation disclosed necrotizing vasculitis suggestive of PAN. We emphasize that cholecystitis may be part of the initial presentation of systemic vasculitis. |
| doi_str_mv | 10.1007/s10067-005-1092-y |
| format | Article |
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Although gastrointestinal involvement may be seen in half of the cases of PAN, vasculitis of the gallbladder at the disease onset is a rare presentation. We report a case of a 48-year-old man who was admitted due to acute cholecystitis. He had complained of myalgia, fever and weight loss for about one month prior to admission. At physical examination, mild hypertension and calf pain were noted. He underwent a cholecystectomy; histopathological evaluation disclosed necrotizing vasculitis suggestive of PAN. We emphasize that cholecystitis may be part of the initial presentation of systemic vasculitis.</description><identifier>ISSN: 0770-3198</identifier><identifier>EISSN: 1434-9949</identifier><identifier>DOI: 10.1007/s10067-005-1092-y</identifier><identifier>PMID: 15789142</identifier><language>eng</language><publisher>Germany: Springer Nature B.V</publisher><subject>Cholecystitis, Acute - complications ; Cholecystitis, Acute - diagnosis ; Cholecystitis, Acute - surgery ; Cyclophosphamide - therapeutic use ; Diagnosis, Differential ; Drug Therapy, Combination ; Gallbladder ; Gallbladder - pathology ; Gallbladder - surgery ; Gallbladder diseases ; Glucocorticoids - therapeutic use ; Humans ; Immunosuppressive Agents - therapeutic use ; Male ; Middle Aged ; Polyarteritis Nodosa - complications ; Polyarteritis Nodosa - diagnosis ; Polyarteritis Nodosa - drug therapy ; Prednisone - therapeutic use ; Treatment Outcome</subject><ispartof>Clinical rheumatology, 2005-12, Vol.24 (6), p.625-627</ispartof><rights>Clinical Rheumatology 2005</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c326t-4f6fec144e09a1cf4e8b622b9c252df246b16ea759072bfcf312c577dcbf9c083</citedby><cites>FETCH-LOGICAL-c326t-4f6fec144e09a1cf4e8b622b9c252df246b16ea759072bfcf312c577dcbf9c083</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15789142$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fernandes, Sandra Regina Muchinechi</creatorcontrib><creatorcontrib>Samara, Adil Muhib</creatorcontrib><creatorcontrib>Magalhães, Eduardo Paiva</creatorcontrib><creatorcontrib>Sachetto, Zoraida</creatorcontrib><creatorcontrib>Metze, Konradin</creatorcontrib><title>Acute cholecystitis at initial presentation of polyarteritis nodosa</title><title>Clinical rheumatology</title><addtitle>Clin Rheumatol</addtitle><description>Polyarteritis nodosa (PAN) is a systemic vasculitis of unknown etiology. Although gastrointestinal involvement may be seen in half of the cases of PAN, vasculitis of the gallbladder at the disease onset is a rare presentation. We report a case of a 48-year-old man who was admitted due to acute cholecystitis. He had complained of myalgia, fever and weight loss for about one month prior to admission. At physical examination, mild hypertension and calf pain were noted. He underwent a cholecystectomy; histopathological evaluation disclosed necrotizing vasculitis suggestive of PAN. We emphasize that cholecystitis may be part of the initial presentation of systemic vasculitis.</description><subject>Cholecystitis, Acute - complications</subject><subject>Cholecystitis, Acute - diagnosis</subject><subject>Cholecystitis, Acute - surgery</subject><subject>Cyclophosphamide - therapeutic use</subject><subject>Diagnosis, Differential</subject><subject>Drug Therapy, Combination</subject><subject>Gallbladder</subject><subject>Gallbladder - pathology</subject><subject>Gallbladder - surgery</subject><subject>Gallbladder diseases</subject><subject>Glucocorticoids - therapeutic use</subject><subject>Humans</subject><subject>Immunosuppressive Agents - therapeutic use</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Polyarteritis Nodosa - complications</subject><subject>Polyarteritis Nodosa - diagnosis</subject><subject>Polyarteritis Nodosa - drug therapy</subject><subject>Prednisone - therapeutic use</subject><subject>Treatment Outcome</subject><issn>0770-3198</issn><issn>1434-9949</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNpFkM1OwzAQhC0EoqXwAFxQxN2waztxfKwq_qRKXOBsOY4tUqVxsN1D3p5AK3HZmcPMrPQRcovwgADyMc23khSgpAiK0emMLFFwQZUS6pwsQUqgHFW9IFcp7QCA1QovyQJLORvBlmSztofsCvsVemenlLvcpcLkohtmZ_pijC65IZvchaEIvhhDP5mYXfwLDqENyVyTC2_65G5OuiKfz08fm1e6fX9526y31HJWZSp85Z1FIRwog9YLVzcVY42yrGStZ6JqsHJGlgoka7z1HJktpWxt45WFmq_I_XF3jOH74FLWu3CIw_xS1zXyWiDHOYTHkI0hpei8HmO3N3HSCPqXmj5S0zM1_UtNT3Pn7jR8aPau_W-cMPEfy0lpMQ</recordid><startdate>20051201</startdate><enddate>20051201</enddate><creator>Fernandes, Sandra Regina Muchinechi</creator><creator>Samara, Adil Muhib</creator><creator>Magalhães, Eduardo Paiva</creator><creator>Sachetto, Zoraida</creator><creator>Metze, Konradin</creator><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope></search><sort><creationdate>20051201</creationdate><title>Acute cholecystitis at initial presentation of polyarteritis nodosa</title><author>Fernandes, Sandra Regina Muchinechi ; 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Although gastrointestinal involvement may be seen in half of the cases of PAN, vasculitis of the gallbladder at the disease onset is a rare presentation. We report a case of a 48-year-old man who was admitted due to acute cholecystitis. He had complained of myalgia, fever and weight loss for about one month prior to admission. At physical examination, mild hypertension and calf pain were noted. He underwent a cholecystectomy; histopathological evaluation disclosed necrotizing vasculitis suggestive of PAN. We emphasize that cholecystitis may be part of the initial presentation of systemic vasculitis.</abstract><cop>Germany</cop><pub>Springer Nature B.V</pub><pmid>15789142</pmid><doi>10.1007/s10067-005-1092-y</doi><tpages>3</tpages></addata></record> |
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| subjects | Cholecystitis, Acute - complications Cholecystitis, Acute - diagnosis Cholecystitis, Acute - surgery Cyclophosphamide - therapeutic use Diagnosis, Differential Drug Therapy, Combination Gallbladder Gallbladder - pathology Gallbladder - surgery Gallbladder diseases Glucocorticoids - therapeutic use Humans Immunosuppressive Agents - therapeutic use Male Middle Aged Polyarteritis Nodosa - complications Polyarteritis Nodosa - diagnosis Polyarteritis Nodosa - drug therapy Prednisone - therapeutic use Treatment Outcome |
| title | Acute cholecystitis at initial presentation of polyarteritis nodosa |
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