Case Report
The Journal of the Korean Rheumatism Association 2007; 14(4): 427-430
Published online December 30, 2007
© Korean College of Rheumatology
전신홍반루푸스로 오인된 결절다발동맥염 1예
이광훈ㆍ남동혁*ㆍ이혜원ㆍ유태현*ㆍ이찬희*ㆍ이수곤
연세대학교 의과대학 내과학교실, 국민건강보험공단 일산병원 류마티스내과*
A Case of Polyarteritis Nodosa Mimicking Systemic Lupus Erythematosus
Correspondence to : Chan Hee Lee
Polyarteritis nodosa (PAN) is a rare systemic necrotizing vasculitis involving multiple organ system. Systemic lupus erythematousus (SLE) also presented as a vasculitic symptoms. So, systemic vasculitis and SLE share some clinical features. We report a case of polyarteritis nodosa mimicking SLE. A 45-year-old woman was admitted due to oliguria. She diagnosed SLE because of pericardial effusion, hemolytic anemia, proteinuria, hematuria, and positivity of anti-dsDNA antibody. But she re-diagnosed as PAN through renal angiography and renal biopsy afterwards. She was treated with high dose steroid, cyclophosphamide, and anti-TNF-alpha antibody, but didn't respond those therapies.
Keywords Polyarteritis nodosa, Systemic lupus erythematosus, Vasculitis
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Case Report
The Journal of the Korean Rheumatism Association 2007; 14(4): 427-430
Published online December 30, 2007
Copyright © Korean College of Rheumatology.
전신홍반루푸스로 오인된 결절다발동맥염 1예
이광훈ㆍ남동혁*ㆍ이혜원ㆍ유태현*ㆍ이찬희*ㆍ이수곤
연세대학교 의과대학 내과학교실, 국민건강보험공단 일산병원 류마티스내과*
A Case of Polyarteritis Nodosa Mimicking Systemic Lupus Erythematosus
Kwang Hoon Lee, M.D., Dong Hyuk Nam, M.D.*, Hye Won Lee, M.D., Tae Hyun Ryu, M.D.*, Chan Hee Lee, M.D.*, Soo Kon Lee, M.D.
Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Division of Rheumatology, Department of Internal Medicine, National Health Insurance Corporation Ilsan Hospital, Goyang*, Korea
Correspondence to:Chan Hee Lee
Abstract
Polyarteritis nodosa (PAN) is a rare systemic necrotizing vasculitis involving multiple organ system. Systemic lupus erythematousus (SLE) also presented as a vasculitic symptoms. So, systemic vasculitis and SLE share some clinical features. We report a case of polyarteritis nodosa mimicking SLE. A 45-year-old woman was admitted due to oliguria. She diagnosed SLE because of pericardial effusion, hemolytic anemia, proteinuria, hematuria, and positivity of anti-dsDNA antibody. But she re-diagnosed as PAN through renal angiography and renal biopsy afterwards. She was treated with high dose steroid, cyclophosphamide, and anti-TNF-alpha antibody, but didn't respond those therapies.
Keywords: Polyarteritis nodosa, Systemic lupus erythematosus, Vasculitis
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