Hiar I, Ansart S, Volant A, Leroy J P, Pennec Y L
Service de médecine interne et maladies infectieuses, CHU La Cavale Blanche, boulevard Tanguy-Prigent, 29609 Brest, France.
Rev Med Interne. 2002 Sep;23(9):792-4. doi: 10.1016/s0248-8663(02)00677-x.
Systemic vasculitis presenting as a tumorlike lesion are unusual and affect mainly the uro-genital system and breast. Muscle-localized tumorlike periarteritis nodosa are scarce.
We report localized tumorlike polyarteritis nodosa affecting the forearm muscles in a 90-year-old woman.
Other cases of polyarteritis nodosa localized to muscles are reviewed. This limited form has a benign clinical course and responds promptly to treatment with corticosteroids alone but relapses may occur.
表现为肿瘤样病变的系统性血管炎并不常见,主要累及泌尿生殖系统和乳腺。肌肉局限性肿瘤样结节性多动脉炎较为罕见。
我们报告了一例90岁女性前臂肌肉局限性肿瘤样结节性多动脉炎。
回顾了其他肌肉局限性结节性多动脉炎病例。这种局限性形式临床病程良性,单独使用皮质类固醇治疗反应迅速,但可能复发。