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결절성 다발동맥염 1예 |
정성복 , 윤경우 |
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Abstract |
Polyarteritis Nodosa (PAN) is one of the systemic necrotizing vasculitis involving predominantly small and medium-sized muscular arteries, which shows varia- ble clinicopathologic appearance according to the size and location of involved vessels. A 35-year-old male patient was admitted to the Department of Medicine, Yeungnam University and diagnosed as classic PAN by angiography. He was treated with 5 days of methylprednisolone pulse therapy followed by oral prednisolone and cyclophosphamide and was also supported by hemodialysis. Bilateral huge hematomas were absorbed and impalpable after four weeks and no more episodes of U.G.I. Bleeding occurred after administration of corticosteroid and cytotoxic drug. In conclusion, the authors report a case of PAN complicated by bilateral renal hematomas, U.G. I. Bleed- ing and acute renal failure with review of literatures. |
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