Scherer H U, van Landeghem F K H, Buttgereit F
Charité - Universitätsmedizin Berlin, Abteilung für Rheumatologie und klinische Immunologie, Berlin, Germany.
Z Rheumatol. 2006 Jul;65(4):311-4. doi: 10.1007/s00393-005-0010-7.
Diagnosis of polyarteritis nodosa is often delayed due to the vast heterogeneity of initial clinical symptoms. The case presented shows the clinical image of the disease, leading from the first symptoms up to verification of the diagnosis by sural-nerve biopsy. We discuss the classification of the disease among other types of vasculitis, the classification criteria proposed by the American College of Rheumatology (ACR) as well as current therapeutic options. This case underlines the interdisciplinary character of the disease, challenging neurologists, dermatologists, rheumatologists and orthopedics alike.
结节性多动脉炎的诊断常常因初始临床症状的巨大异质性而延迟。所呈现的病例展示了该疾病的临床影像,从最初症状直至通过腓肠神经活检确诊。我们讨论了该疾病在其他类型血管炎中的分类、美国风湿病学会(ACR)提出的分类标准以及当前的治疗选择。该病例突显了该疾病的跨学科特性,对神经科医生、皮肤科医生、风湿病学家和骨科医生都构成了挑战。