 |
|
The Diagnostic Value of Angiographic Observations in Polyarteritis NodosaA Case of Multiple Aneurysms in the Visceral Organs
KLAUS M. BRON, MD;
CHARLES A. STROTT, MD;
ALVIN P. SHAPIRO, MD
Arch Intern Med. 1965;116(3):450-454.
|
|
| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
|
|
|
The protean clinical manifestations of polyarteritis nodosa reflect the underlying multiple organ involvement and frequently present a diagnostic challenge. The pathological lesion of the classic type occurs in the medium and smaller sized muscular arteries and represents a necrotizing inflammatory change.1,2 Lacking knowledge of a specific etiologic agent, the diagnosis rests largely on clinical awareness and suspicion and ultimately on a biopsy specimen of the characteristic vascular lesion.
Multiple aneurysm formation in the small and medium sized arteries is a feature of the pathological spectrum and when demonstrated is characteristic of the disease.3 The lesion is encountered in the vessels of the abdominal viscera, namely, kidney, liver, and spleen. Angiography affords a simple and safe method of demonstrating these lesions in vivo, and thus may help confirm the suspected clinical diagnosis.
In view of the vascular nature of this disease it is surprising more attention has not been
. . . [Full Text PDF of this Article]
Author Affiliations
PITTSBURGH
From the departments of radiology and medicine, University of Pittsburgh School of Medicine. Assistant Professor of Radiology (Dr. Bron); Resident in Medicine (Dr. Strott); and Associate Professor of Medicine (Dr. Shapiro).
Footnotes
Received for publication Dec 27, 1964; accepted Jan 25, 1965.
Reprint requests to Presbyterian-University Hospital, 230 Lothrop St, Pittsburgh, Pa 15213 (Dr. Bron).
 CiteULike  Connotea  Del.icio.us  Digg  Reddit  Technorati  Twitter
What's this?
|
