POLYARTERITIS-NODOSA (PN) COMPLICATED WITH UNILATERAL EXOPHTHALMOS

被引:8
作者
KOIKE, R
YAMADA, M
MATSUNAGA, T
YOSHIDA, S
TSUKAGOSHI, H
机构
[1] Division of Internal Medicine, Asahi General Hospital, Chiba
[2] Department of Neurology, Tokyo Medical and Dental University, Tokyo
关键词
MONONEURITIS MULTIPLEX; SURAL NERVE BIOPSY; WEGENERS GRANULOMATOSIS; GRAVES DISEASE;
D O I
10.2169/internalmedicine.32.232
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A 58-year-old woman suddenly developed right exophthalmos. A CT scan of her orbit revealed an increase in volume and density of extraocular muscles and intraorbital soft tissues that resembled exophthalmos in Graves' disease. The exophthalmos gradually improved without treatment. Two months later she developed mononeuritis multiplex in her limbs, and then showed a sudden onset of swelling of her right calf. Sural nerve biopsy was performed and the diagnosis of polyarteritis nodosa (PN) was established from the histological findings. A rare case of PN with exophthalmos is herein reported with a review of the literature.
引用
收藏
页码:232 / 236
页数:5
相关论文
共 21 条
[1]  
Rosen C.E., Burde R.M., Pathophysiolosy and etiology of Graves' ophthalmopathy, Thyroid Disease: Endocrinology, Surgery, Nuclear Medicine, and Radiotherapy, (1990)
[2]  
Van Wien S., Merz E.H., Exophthalmos secondary to periarteritis nodosa, Am J Ophthalmol, 56, (1963)
[3]  
Walton E.W., Pseudo tumor of the orbit and polyarteritis nodosa, J Clin Pathol, 12, (1959)
[4]  
Ishida K., Yokota T., Wada Y., Yamada M., Tsukagoshi H., Unilateral facial swelling and exophthalmos in a patient with polyarteritis nodosa, Internal Medicine, 31, (1992)
[5]  
Haynes B.F., Fishman M.L., Fauci A.S., Wolff S.M., The ocular manifestations of Wegener's granulomatosis, Am J Med, 63, (1977)
[6]  
Jacob J.S.H., Ocular manifestations of Wegener's granulomatosis, Trans Ophthal Soc NZ, 32, (1980)
[7]  
Kussmaul A., Maier K., Über eine bischer nicht beschreibene eigenthumiiche Arterienerkrankrung (Periarteritis nodosa) die mit Morbus Brightii und rapid fortschreitender allgemeiner Mulkellahmung einhergeht, Dtsch Arch Klin Med, 1, (1866)
[8]  
Fauci A.S., Haynes B.F., Katz P., The spectrum of vasculitis: clinical, pathologic, immunologic, and therapeutic consideration, Ann Intern Med, 89, (1978)
[9]  
Swerlick R.T., Lawley T.J., Small vessel vasculitis and cutaneous vasculitis, Systemic Vasculitides, (1991)
[10]  
Balow J.E., Renal vasculitis, Kidney Int, 27, (1985)