eMedicine Specialties > Rheumatology > Vasculitis

Polyarteritis Nodosa: Multimedia

Author: Dana Jacobs-Kosmin, MD, Attending Physician, Department of Medicine, Division of Rheumatology, Albert Einstein Medical Center; Clinical Assistant Professor of Medicine, Jefferson Medical College
Coauthor(s): Mahendra Agraharkar, MD, MBBS, FACP, President, Space City Associates of Nephrology; Medical Director, Chronic Home Dialysis Unit, DaVita Reliant Dialysis Center and DaVita South Shore Dialysis Center; Kanwarpreet Baweja, MD, Fellow in Nephrology, Division of Renal Diseases and Hypertension, University of Texas Health Science Center; Vasanta P Weiss, MD, Consulting Staff, Department of Nephrology, University of Virginia Medical Center; Bruce A Baethge, MD, Faculty, Texas A&M Medical School; J Mark Jackson, MD, Associate Clinical Professor, Department of Internal Medicine, Division of Dermatology, University of Louisville
Contributor Information and Disclosures

Updated: Feb 12, 2009

Multimedia

Tender, hyperpigmented, firm subcutaneous nodules...Media file 1: Tender, hyperpigmented, firm subcutaneous nodules with a background of livedo reticularis common in cutaneous polyarteritis nodosa (PAN).
Tender, hyperpigmented, firm subcutaneous nodules...

Tender, hyperpigmented, firm subcutaneous nodules with a background of livedo reticularis common in cutaneous polyarteritis nodosa (PAN).

Nonspecific, firm, tender subcutaneous nodules wi...Media file 2: Nonspecific, firm, tender subcutaneous nodules without livedo reticularis and/or systemic involvement may be the first sign of polyarteritis nodosa (PAN).
Nonspecific, firm, tender subcutaneous nodules wi...

Nonspecific, firm, tender subcutaneous nodules without livedo reticularis and/or systemic involvement may be the first sign of polyarteritis nodosa (PAN).

Tender erythematous nodules with central "punched...Media file 3: Tender erythematous nodules with central "punched out" ulcerations common in cutaneous polyarteritis nodosa (PAN).
Tender erythematous nodules with central "punched...

Tender erythematous nodules with central "punched out" ulcerations common in cutaneous polyarteritis nodosa (PAN).

More on Polyarteritis Nodosa

Overview: Polyarteritis Nodosa
Differential Diagnoses & Workup: Polyarteritis Nodosa
Treatment & Medication: Polyarteritis Nodosa
Follow-up: Polyarteritis Nodosa
Multimedia: Polyarteritis Nodosa
References

References

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  22. Ricotti C, Kowalczyk JP, Ghersi M, Nousari CH. The diagnostic yield of histopathologic sampling techniques in PAN-associated cutaneous ulcers. Arch Dermatol. Oct 2007;143(10):1334-6. [Medline].

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  26. Guillevin L, Lhote F, Leon A, Fauvelle F, Vivitski L, Trepo C. Treatment of polyarteritis nodosa related to hepatitis B virus with short term steroid therapy associated with antiviral agents and plasma exchanges. A prospective trial in 33 patients. J Rheumatol. Feb 1993;20(2):289-98. [Medline].

  27. Guillevin L, Lhote F, Sauvaget F, Deblois P, Rossi F, Levallois D. Treatment of polyarteritis nodosa related to hepatitis B virus with interferon-alpha and plasma exchanges. Ann Rheum Dis. May 1994;53(5):334-7. [Medline].

  28. Erhardt A, Sagir A, Guillevin L, Neuen-Jacob E, Häussinger D. Successful treatment of hepatitis B virus associated polyarteritis nodosa with a combination of prednisolone, alpha-interferon and lamivudine. J Hepatol. Oct 2000;33(4):677-83. [Medline].

  29. Wicki J, Olivieri J, Pizzolato G, Sarasin F, Guillevin L, Dayer JM. Successful treatment of polyarteritis nodosa related to hepatitis B virus with a combination of lamivudine and interferon alpha. Rheumatology (Oxford). Feb 1999;38(2):183-5. [Medline].

  30. Molloy PJ, Friedlander L, Van Thiel DH. Combined interferon, famciclovir and GM-CSF treatment of HBV infection in an individual with periarteritis nodosa. Hepatogastroenterology. Jul-Aug 1999;46(28):2529-31. [Medline].

Further Reading

Keywords

polyarteritis nodosa, classic polyarteritis nodosa, PAN, c-PAN, classic PAN, cutaneous polyarteritis nodosa, systemic vasculitis, periarteritis nodosa, necrotizing inflammatory lesions, hepatitis B–associated PAN, HBV-associated PAN, HBV-PAN, microscopic polyangiitis, MPA, HBV polyarteritis nodosa, idiopathic polyarteritis nodosa

Contributor Information and Disclosures

Author

Dana Jacobs-Kosmin, MD, Attending Physician, Department of Medicine, Division of Rheumatology, Albert Einstein Medical Center; Clinical Assistant Professor of Medicine, Jefferson Medical College
Dana Jacobs-Kosmin, MD is a member of the following medical societies: American College of Rheumatology
Disclosure: Nothing to disclose.

Coauthor(s)

Mahendra Agraharkar, MD, MBBS, FACP, President, Space City Associates of Nephrology; Medical Director, Chronic Home Dialysis Unit, DaVita Reliant Dialysis Center and DaVita South Shore Dialysis Center
Mahendra Agraharkar, MD, MBBS, FACP is a member of the following medical societies: American College of Physicians, American Society of Nephrology, and National Kidney Foundation
Disclosure: South Shore DaVita Dialysis Center  Ownership interest Other

Kanwarpreet Baweja, MD, Fellow in Nephrology, Division of Renal Diseases and Hypertension, University of Texas Health Science Center
Kanwarpreet Baweja, MD is a member of the following medical societies: American Medical Association, American Society of Nephrology, Medical Council of India, and National Kidney Foundation
Disclosure: Nothing to disclose.

Vasanta P Weiss, MD, Consulting Staff, Department of Nephrology, University of Virginia Medical Center
Disclosure: Nothing to disclose.

Bruce A Baethge, MD, Faculty, Texas A&M Medical School
Bruce A Baethge, MD is a member of the following medical societies: Alpha Omega Alpha, American College of Physicians, American College of Rheumatology, and Arthritis Foundation
Disclosure: Nothing to disclose.

J Mark Jackson, MD, Associate Clinical Professor, Department of Internal Medicine, Division of Dermatology, University of Louisville
J Mark Jackson, MD is a member of the following medical societies: American Academy of Dermatology, American Acne and Rosacea Society, American Medical Association, Kentucky Medical Association, and Texas Medical Association
Disclosure: Nothing to disclose.

Medical Editor

Carlos J Lozada, MD, Director of Rheumatology Fellowship Program, Associate Professor, Department of Medicine, Division of Rheumatology and Immunology, Jackson Memorial Medical Center, University of Miami School of Medicine
Carlos J Lozada, MD is a member of the following medical societies: American College of Physicians and American College of Rheumatology
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: Nothing to disclose.

Managing Editor

Elliot Goldberg, MD, Dean of the Western Pennsylvania Clinical Campus, Professor, Department of Medicine, Temple University School of Medicine
Elliot Goldberg, MD is a member of the following medical societies: Alpha Omega Alpha, American College of Physicians, and American College of Rheumatology
Disclosure: Nothing to disclose.

CME Editor

Alex J Mechaber, MD, FACP, Associate Dean for Undergraduate Medical Education, Associate Professor of Medicine, University of Miami Miller School of Medicine
Alex J Mechaber, MD, FACP is a member of the following medical societies: Alpha Omega Alpha, American College of Physicians-American Society of Internal Medicine, and Society of General Internal Medicine
Disclosure: Nothing to disclose.

Chief Editor

Herbert S Diamond, MD, Professor of Medicine, Temple University School of Medicine; Chairman Emeritus, Department of Internal Medicine, Western Pennsylvania Hospital
Herbert S Diamond, MD is a member of the following medical societies: Alpha Omega Alpha, American College of Physicians, American College of Rheumatology, American Medical Association, and Phi Beta Kappa
Disclosure: medifocus Honoraria Review panel membership; health dialogs Honoraria Consulting; West Penn Allegheny Health System None Board membership

 
 
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